Our Summary

This study looks at the safety and effectiveness of two different techniques used in robotic-assisted sigmoidectomy surgery (a procedure to remove part of the large intestine). It compared the intracorporeal technique (where the procedure is done entirely inside the body) with the extracorporeal technique (where part of the procedure is done outside the body).

Data from 193 past surgeries was examined, but only 116 cases were used for the final analysis. The researchers used statistical tests to compare the two groups.

They found that patients who had the intracorporeal technique experienced less pain on the first and second day after surgery, had the catheter in for a shorter time, and had a shorter hospital stay. They also had fewer complications, like urinary retention and hernia.

Overall, the study suggests that the intracorporeal technique is safer and more feasible due to the shorter hospital stay and fewer post-op complications.

FAQs

  1. What is a robotic-assisted sigmoidectomy surgery?
  2. What are the differences between the intracorporeal and extracorporeal techniques used in sigmoidectomy surgery?
  3. According to the study, which technique is safer and more feasible for sigmoidectomy surgery, and why?

Doctor’s Tip

One helpful tip a doctor might tell a patient about sigmoidectomy is that the intracorporeal technique may result in less pain, shorter hospital stay, and fewer complications compared to the extracorporeal technique. It is important to discuss the different surgical options with your surgeon to determine the best approach for your individual case.

Suitable For

Patients who are recommended sigmoidectomy typically have conditions such as diverticulitis, colorectal cancer, inflammatory bowel disease, or severe chronic constipation. These patients may have symptoms such as severe abdominal pain, rectal bleeding, changes in bowel habits, or a bowel obstruction that require surgical intervention to remove part of the sigmoid colon. Additionally, patients who have not responded to conservative treatment options or have a high risk of developing complications may also be recommended for sigmoidectomy.

Timeline

Before sigmoidectomy:

  1. Patient consultation with a surgeon to discuss the need for sigmoidectomy
  2. Pre-operative tests and evaluations to assess the patient’s health and fitness for surgery
  3. Patient preparation instructions, including fasting and medication adjustments
  4. Surgery scheduling and admission to the hospital
  5. Anesthesia administration before the procedure

After sigmoidectomy:

  1. Recovery in the post-anesthesia care unit (PACU) immediately after surgery
  2. Monitoring for any immediate post-operative complications
  3. Pain management and wound care in the hospital
  4. Gradual resumption of oral intake and mobility
  5. Discharge from the hospital once the patient is stable and able to manage at home
  6. Follow-up appointments with the surgeon for monitoring and assessment of recovery progress.

What to Ask Your Doctor

  1. What is a sigmoidectomy and why do I need this procedure?
  2. What are the potential risks and complications associated with sigmoidectomy surgery?
  3. What are the differences between the intracorporeal and extracorporeal techniques for sigmoidectomy?
  4. Why is the intracorporeal technique considered safer and more feasible in this study?
  5. How long is the recovery process after sigmoidectomy surgery?
  6. What can I expect in terms of pain management after the procedure?
  7. Will I need any additional follow-up appointments or care after the surgery?
  8. Are there any specific dietary or lifestyle changes I should make post-surgery?
  9. How soon can I resume normal activities and work after sigmoidectomy surgery?
  10. Are there any long-term effects or considerations I should be aware of after undergoing sigmoidectomy?

Reference

Authors: Yao Q, Sun QN, Zhou JJ, Ma Y, Ren J, Wang LH, Wang DR. Journal: J Robot Surg. 2023 Oct;17(5):2479-2485. doi: 10.1007/s11701-023-01678-9. Epub 2023 Jul 29. PMID: 37515681