Robotic Colorectal Surgery: A Single Tertiary Care Experience

Abstract

Introduction: Over the past two decades, minimally invasive surgery has changed the perspective in the general surgery. The advantages of minimally invasive surgery are reduced postoperative pain, a shorter hospital stay, return to normal function, and better cosmesis. Materials and Methods: This study includes 50 patients with clinically, radiologically, endoscopically, and pathologically confirmed adenocarcinoma who underwent robotic rectal cancer surgery. Results: In this study of 50 patients who underwent Robotic rectal surgery we observed that the most common age group was above the age of 46 years with male predisposition. The most commonly performed Robotic surgery was Anterior Resection which was done in 43 among 50 patients. Commonly encountered T STAGE WAS T2 and T3 with 20 and 11 patients respectively, mean operative time in our study was 240 minutes and TME was performed more than in 95% of patients with median lymph node retrieval of 17. Analyzing the operative time BMI we found it to be statistically significant with P-value of less than 0.005 reflecting that less operative for patients lower BMI. Conclusion: In this study we concluded that Robotic Rectal Surgery is safe, effective alternative in terms of short perioperative outcomes like reduced hospital stay, better recovery especially in lower BMI.