Our Summary

This research paper discusses the costs related to robot-assisted surgery (RAS), specifically in the field of colorectal procedures. The study highlights that previous research found RAS to be more expensive than traditional laparoscopic surgery, but it notes that the previous study did not specify which robotic system was used. The authors of this paper argue that the type of robotic system can greatly influence the costs and outcomes of the surgery. They cite their own research, which found that using a specific system, the da Vinci Xi, and having a more experienced surgeon, can significantly reduce costs and improve results in RAS.

FAQs

  1. What was the conclusion of the study conducted by Kulaylat et al. on robotic and laparoscopic colorectal surgery?
  2. How does the type of da Vinci system used impact the costs and outcomes of robot-assisted colorectal surgery?
  3. How does a surgeon’s experience affect the results and costs of robot-assisted surgery using the da Vinci Xi system?

Doctor’s Tip

One helpful tip a doctor might tell a patient about colorectal surgery is to discuss the potential costs associated with robot-assisted surgery (RAS) versus laparoscopic surgery. It is important to consider factors such as the type of da Vinci system being used (e.g. Si or Xi) and the surgeon’s experience, as these can impact both outcomes and costs. Be sure to have a thorough discussion with your healthcare provider about all options available to you.

Suitable For

Patients who are typically recommended colorectal surgery include those with colorectal cancer, inflammatory bowel disease, diverticulitis, rectal prolapse, and other conditions that require surgical intervention in the colon or rectum.

Timeline

Before colorectal surgery:

  • Patient meets with colorectal surgeon to discuss treatment options and surgical plan
  • Pre-operative testing and evaluations are conducted to ensure patient is a good candidate for surgery
  • Patient undergoes bowel preparation to clear colon before surgery
  • Patient may be placed on a liquid diet leading up to surgery
  • Patient may meet with an anesthesiologist to discuss anesthesia options and potential risks

After colorectal surgery:

  • Patient is closely monitored in the recovery room for any complications
  • Patient may experience pain and discomfort, which is managed with pain medication
  • Patient may have a temporary colostomy or ileostomy depending on the type of surgery
  • Patient gradually resumes eating solid foods and begins physical therapy to aid in recovery
  • Patient may need to follow up with the surgeon for post-operative care and monitoring
  • Patient may experience changes in bowel habits and may need to make dietary and lifestyle adjustments for optimal recovery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with colorectal surgery?

  2. How long is the recovery process expected to be after colorectal surgery?

  3. Will I need to make any lifestyle changes before or after the surgery?

  4. What type of anesthesia will be used during the surgery?

  5. How many colorectal surgeries have you performed using robotic-assisted techniques?

  6. What specific benefits are associated with robot-assisted colorectal surgery compared to laparoscopic surgery?

  7. Are there any specific preoperative tests or preparations I should be aware of before the surgery?

  8. How long does the surgery typically take?

  9. Will I need to stay in the hospital after the surgery, and if so, for how long?

  10. What is the expected outcome or success rate for this type of surgery?

Reference

Authors: Bianchini M, Guadagni S, Morelli L. Journal: J Robot Surg. 2019 Aug;13(4):607-608. doi: 10.1007/s11701-019-00936-z. Epub 2019 Feb 25. PMID: 30805777