ReviewInternational journal of colorectal disease2023
Robotic colorectal surgery in the emergent diverticulitis setting: is it safe? A review of large national database.
Review in International journal of colorectal disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Emergency minimally invasive versus open left-sided colonic resection for complicated diverticulitis: a systematic review and meta-analysis.BMC surgery · 2026Pooled it
- Robotic surgery in colorectal emergencies: a systematic review of current evidence.World journal of emergency surgery : WJES · 2026Pooled it
- Robotic-assisted surgery for acute abdominal emergencies: a systematic review of 1142 cases.Journal of robotic surgery · 2025Pooled it
- Robotic versus laparoscopic general surgery in the emergency setting: a systematic review.Journal of robotic surgery · 2024Pooled it
- Observational
- An Emergency Robotic Programme for Acute Complicated Diverticulitis: A Tertiary Centre Experience.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Article
- Artificial intelligence in emergency surgery: a scoping review within the artificial intelligence in emergency and trauma surgery (ARIES) project.World journal of emergency surgery : WJES · 2026Article
- Minimally invasive surgery for colorectal cancer emergencies.World journal of clinical oncology · 2025Review
- Acute Left-Side Colonic Diverticulitis: A Historical Cohort Study on the Optimization of Non-Operative Management Outcomes and Anastomosis Rate After Sigmoid Resection.Journal of clinical medicine · 2025Article
- Minimally invasive versus open surgery for colonic diverticular disease: a nationwide analysis of German hospital data.Techniques in coloproctology · 2025Article
- Robotic Surgical Management of Complicated Diverticulitis.Current trauma reports · 2025Review
- Article
- The role of RObotic surgery in EMergency setting (ROEM): protocol for a multicentre, observational, prospective international study on the use of robotic platform in emergency surgery.World journal of emergency surgery : WJES · 2024Observational
- Racial disparities in complications following elective colon cancer resection: Impact of laparoscopic versus robotic approaches.American journal of surgery · 2024Article
- Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.World journal of emergency surgery : WJES · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs robotic colorectal surgery continues to advance in conjunction with improved recovery protocols, we began implementing robotic surgery (RS) as an option for emergent diverticulitis surgery. Our hospital system utilizes the Da Vinci Xi system, and staff are required to undergo training, making emergent colorectal surgery a feasible option. However, it is essential to determine the safety with reproducibility of our experiences.
methodsA de-identified retrospective review was performed of Intuitive's national database which obtained data from 262 facilities from January 2018 through December 2021. This identified over 22,000 emergent colorectal surgeries. Of those, over 2500 were performed for diverticulitis in which 126 were RS, 446 laparoscopic surgery (LS), and 1952 open surgery (OS). Clinical outcome metrics including conversion rates, anastomotic leaks, intensive care unit (ICU) admissions, length of stay, mortality, and readmissions were obtained. The cohort was defined by patients who were seen in the emergency department (ED) with diverticulitis and proceeded to have a sigmoid colectomy within 24 h of ED arrival.
resultsRS was associated with increased operating time (RS 262, LS 207, OS 182 min), but data has shown many benefits of emergent RS compared to OS. We identified significant decreases in ICU admission rates (OS 19.0%, RS 9.5%, p = 0.01) and anastomotic leak rates (OS 4.4%, RS 0.8%, p = 0.04), with borderline improvement in overall length of stay (OS 9.9, RS 8.9 days, p = 0.05). When compared with LS, RS showed many comparable results. However, RS witnessed a statistically significant improvement in anastomotic leak rates (LS 4.5%, RS 0.8%, p = 0.04). Importantly, there was a striking difference in conversion rates to OS. LS converted over 28.7% of cases to OS, whereas RS only converted 7.9%, p = 0.000005.
conclusionGiven these findings, RS is another MIS tool that could be a safe and feasible option for the acute management of emergent diverticulitis.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.