Evidence map›Paper›PMID 40624405›Full record

ArticleJournal of robotic surgery2025

Bowel function and quality of life after robotic and laparoscopic IPAA: a patient-reported outcomes study.

Tommaso Violante, Davide Ferrari, Nicholas P McKenna, William R G Perry, Eric J Dozois, Kevin T Behm, Kellie L Mathis, David W Larson

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Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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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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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Tommaso ViolanteDivision of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, 55905, USA.
Davide FerrariDivision of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, 55905, USA.
Nicholas P McKennaDivision of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, 55905, USA.
William R G PerryDivision of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, 55905, USA.
Eric J DozoisDivision of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, 55905, USA.
Kevin T BehmDivision of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, 55905, USA.
Kellie L MathisDivision of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, 55905, USA.
David W LarsonDivision of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, 55905, USA. Larson.David2@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive ileal pouch-anal anastomosis (IPAA) has become the standard of care for patients with ulcerative colitis or familial adenomatous polyposis, offering numerous benefits over open surgery. However, the impact of robotic surgery on long-term quality of life (QoL) remains poorly defined.

objectiveTo analyze QoL after robotic and laparoscopic IPAA using a validated patient-reported outcome instrument.

designThis retrospective, STROBE-compliant study analyzed 158 patients who underwent laparoscopic (n = 112) or robotic (n = 46) IPAA at a single, tertiary-care institution. SETTINGS: Data were collected at a single, tertiary-care institution. PATIENTS: The study included 158 patients who underwent laparoscopic (n = 112) or robotic (n = 46) IPAA. All patients had a J-pouch procedure and had at least 12 months of restored intestinal continuity.

interventionsLaparoscopic or robotic IPAA.

main outcome measuresQoL was assessed using a modified, validated Ileoanal Pouch Syndrome Severity Score (IPSS) survey at least 12 months after ileostomy closure.

resultsBoth groups experienced similar overall QoL, with a high prevalence of severe or extremely severe pouch-related symptoms (55.1%). Robotic IPAA was associated with longer operative times but less blood loss. Worse IPSS scores correlated with hand-sewn IPAA with mucosectomy and postoperative septic complications. Despite these challenges, 92% of patients preferred IPAA over ileostomy. LIMITATIONS: Retrospective design and potential for non-response bias. The modified IPSS survey may not fully capture all aspects of QoL.

conclusionsIn this cohort, robotic and laparoscopic IPAA resulted in comparable QoL as measured by a validated patient-reported outcome instrument. Significant pouch dysfunction remains prevalent regardless of surgical approach. Modifiable factors, such as hand-sewn anastomosis and septic complications, negatively impact patient-reported outcomes.

Indexed as

LaparoscopyPatient Reported Outcome MeasuresProctocolectomy, RestorativeQuality of LifeRobotic Surgical ProceduresAdenomatous Polyposis ColiAdultColitis, UlcerativeColonic PouchesFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesIBDIPAAMinimally invasiveQuality of lifeRoboticSurvey

Identifiers

PMID40624405

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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.