ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2025
Robotic right colectomy is associated with reduced conversion to open surgery in patients with obesity.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Comparative outcomes of robotic versus laparoscopic total proctocolectomy.Journal of robotic surgery · 2026Article
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Abstract
backgroundObesity is associated with an increased risk of conversion to open surgery, which in turn is associated with worse postoperative outcomes. We hypothesize that, with its improved ergonomics and instrument dexterity, the robotic approach to right colectomy will be associated with a decreased risk of conversion to open compared with laparoscopic right colectomy (LRC).
methodsObese adults (body mass index [BMI], ≥30 kg/m
resultsA total of 11,026 patients (81.9%) underwent LRC, and 2430 (18.1%) underwent RRC. Patients undergoing RRC were younger (64.8 vs 65.8 years; P <.001), more likely to be White (77.9% vs 67.9%; P <.001), and more obese (BMI, 36.1 vs 35.5 kg/m
conclusionIn patients with obesity, RRC is associated with a nearly 50% reduction in conversion rate but increased operative time. Given the difficulties of converting to open in patients with obesity and worse postoperative outcomes associated with conversion, the robotic platform may be beneficial for patients with obesity who require a right colectomy.
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