Robotic colonic resection – our experiences after 3 years

Abstract

Introduction: Not only in the Czech Republic, robotic surgery has passed through the rapid development and exponential increase numbers of procedures in all spheres of surgery. We focused on evaluation of our initial experience with robotic-assisted colon resection over 3 years.

Methods: This is a retrospective, monocentric study involving a total of 105 patients who underwent robotic surgery in the colon area from January 2021 till December 2023.

Results: A total of 49 women and 56 men underwent a robotic procedure. The average age was 65 years. In total, 63 right-sided hemicolectomies, 18 left-sided hemicolectomies, 22 colon sigmoid resections and 2 transverse colon resections were performed. The median console operation time was 205 min, 8 patients underwent a conversion of the procedure (7.62%). Postoperative complications were seen in a total of 21 patients (20%). The median length of stay was 6 days.

Conclusion: Robotic surgery in the colon area is an effective method of surgical treat­ment for oncological and benign diseases. The initial time demands of the procedures are balanced by the low surgical burden on the patient, with low perioperative blood loss, and with the oncological safety and radicality of the procedure in patients with cancer at the same time. And last but not least, the possibility of shortening the length of stay, with a low level of postoperative complications (Clavien-Dindo ≥ grade III below 3%) is a great advantage.

doi: 10.48095/ccrvch2025397