Our Summary

This research paper compares two methods used to perform a type of surgery called a sigmoid colectomy, which involves removing part of the colon. The two methods compared are the laparoscopic approach (LA), which uses small incisions and long instruments, and the robotic approach, which uses a surgical robot controlled by a surgeon.

The study used data from patients who had the surgery between 2008 and 2014 in the United States. The results showed that 95.1% of these surgeries were done using the laparoscopic method. The average age of patients was similar for both methods, and there were no significant differences in the number of complications.

However, the study did find that patients who had the surgery using the robotic method spent less time in the hospital compared to those who had the laparoscopic method. The downside was that the robotic method was significantly more expensive.

In conclusion, while the robotic method might get you out of the hospital quicker, it doesn’t provide any other clear benefits over the laparoscopic method and it costs more.

FAQs

  1. What is a sigmoid colectomy and what methods are used to perform it?
  2. According to the research, which method between laparoscopic approach and the robotic approach was more commonly used for sigmoid colectomy surgeries between 2008 and 2014?
  3. Does the robotic method of sigmoid colectomy have any clear benefits over the laparoscopic method?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laparoscopic colectomy is that it is a minimally invasive procedure that typically results in less pain, a shorter hospital stay, and quicker recovery compared to traditional open surgery. It is important to follow your doctor’s post-operative instructions carefully to ensure a successful recovery.

Suitable For

Patients who are typically recommended for laparoscopic colectomy are those who have conditions such as colon cancer, diverticulitis, ulcerative colitis, Crohn’s disease, and other diseases of the colon. Additionally, patients who are relatively healthy and have a lower risk of complications may also be good candidates for this minimally invasive surgery. It is important for patients to discuss their individual case with their healthcare provider to determine the most appropriate treatment option for their specific condition.

Timeline

Before Laparoscopic Colectomy:

  1. Patient meets with a surgeon to discuss the need for colectomy and the different surgical options available.
  2. Patient undergoes pre-operative testing and preparation.
  3. Surgery is scheduled and patient is instructed on pre-operative instructions, such as fasting and medication management.

After Laparoscopic Colectomy:

  1. Patient wakes up in the recovery room post-surgery and is monitored closely by medical staff.
  2. Patient is gradually introduced to clear liquids and then solid foods as tolerated.
  3. Patient is encouraged to walk and move around to promote healing and prevent complications.
  4. Patient may experience pain and discomfort at the incision sites, which can be managed with pain medication.
  5. Patient is discharged from the hospital once they are able to tolerate food, walk independently, and their pain is well-controlled.
  6. Patient follows up with their surgeon for post-operative care and monitoring, including monitoring for any signs of infection or complications.

What to Ask Your Doctor

  1. What are the potential risks and complications of laparoscopic colectomy compared to other surgical methods?
  2. How long is the recovery time expected to be after laparoscopic colectomy?
  3. Are there any specific dietary or lifestyle changes I should make before or after the surgery?
  4. How experienced are you with performing laparoscopic colectomy procedures?
  5. Are there any alternative treatments or surgical methods that I should consider?
  6. What is the success rate of laparoscopic colectomy in terms of completely removing the affected part of the colon?
  7. How will pain management be handled after the surgery?
  8. What follow-up care will be needed after the surgery?
  9. How long do you expect me to stay in the hospital after the laparoscopic colectomy?
  10. What are the potential long-term effects or complications of laparoscopic colectomy that I should be aware of?

Reference

Authors: Alharthi S, Reilly M, Arishi A, Ahmed AM, Chulkov M, Qu W, Ortiz J, Nazzal M, Pannell S. Journal: Am Surg. 2020 Mar 1;86(3):256-260. PMID: 32223807