ArticleTechniques in coloproctology2025
Single-port robotic restorative proctectomy with ileal pouch-anal anastomosis for ulcerative colitis: first clinical experience and technical insights.
Article in Techniques in coloproctology, 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.
- Essential Updates in the Surgical Management of Inflammatory Bowel Disease: Current Topics From 2024 to Mid-2026.Annals of gastroenterological surgery · 2026Review
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Abstract
backgroundRestorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the standard surgical option for patients with ulcerative colitis (UC) wishing to avoid a permanent ileostomy. Single-port (SP) robotic surgery offers enhanced dexterity and visualization, potentially overcoming the limitations of single-port laparoscopy in the confined pelvic cavity. Its role in IPAA for UC is unexplored.
methodsPatients with ulcerative colitis undergoing SP robotic proctectomy with IPAA at a tertiary center between October 2024 and June 2025 were reviewed. Procedures followed a standardized three-step approach with transanal transection single stapled (TTSS) anastomosis. Feasibility was defined as completion of the procedure without unplanned conversion to multiport laparoscopy, laparotomy, or transanal minimally invasive surgery (TAMIS). Safety by 30-day postoperative morbidity, readmission, and pouch leak rates was analyzed.
resultsA total of 14 patients (median age 34 years; body mass index (BMI) 26.2 kg/m
conclusionsSP robotic proctectomy with IPAA is feasible and safe in unselected patients with UC, supporting further large prospective evaluation.
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