Our Summary

This research looks at how surgeons who are experts in a type of minimally invasive colon surgery called laparoscopic colectomy adapt to using robots to assist with the procedure. The researchers studied 101 surgeries carried out by a single surgeon who had 20 years of experience with the traditional technique, comparing the last 59 traditional surgeries with the first 42 robotic ones. They found that while the robotic surgeries took longer, they were just as safe and effective as the traditional ones. The quality of the cancer removal was the same, as were the rates of complications, the need for additional surgery, the length of hospital stay, and the number of patients who had to be readmitted to the hospital. This suggests that experienced surgeons can transition from traditional to robotic surgery without sacrificing patient safety or the quality of cancer care.

FAQs

  1. What is laparoscopic colectomy?
  2. How does the use of robots in laparoscopic colectomy compare to the traditional technique in terms of safety and effectiveness?
  3. Can experienced surgeons transition from traditional to robotic surgery without sacrificing patient safety or quality of care?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laparoscopic colectomy is to follow all pre-operative instructions provided by the surgical team, including fasting guidelines and medication instructions. Additionally, patients should discuss any concerns or questions they have with their surgeon before the procedure to ensure they are well-informed and prepared for the surgery. After the procedure, it is important to follow post-operative care instructions carefully, including pain management, activity restrictions, and dietary guidelines, to promote a smooth recovery and optimal healing.

Suitable For

Patients who are typically recommended for laparoscopic colectomy include those with conditions such as colorectal cancer, diverticulitis, inflammatory bowel disease, and benign tumors of the colon. Laparoscopic colectomy is often recommended for patients who are in good overall health and have a lower risk of complications during surgery. It may not be recommended for patients with extensive scarring from previous abdominal surgeries or certain medical conditions that make the procedure more challenging. Ultimately, the decision to undergo laparoscopic colectomy should be made in consultation with a surgeon who can assess the individual patient’s specific circumstances and determine the most appropriate treatment approach.

Timeline

Before laparoscopic colectomy:

  • Patient is diagnosed with a condition requiring surgery, such as colorectal cancer or diverticulitis
  • Patient undergoes preoperative testing and preparation, including blood tests, imaging studies, and bowel preparation
  • Patient meets with their surgeon to discuss the procedure, risks, and benefits

During laparoscopic colectomy:

  • Patient is given general anesthesia
  • Surgeon makes small incisions in the abdomen and inserts a laparoscope and other surgical instruments
  • Surgeon removes a portion of the colon or rectum, depending on the reason for surgery
  • Surgery typically takes 2-4 hours
  • Patient is monitored in the recovery room before being transferred to a hospital room

After laparoscopic colectomy:

  • Patient is monitored for complications, such as infection, bleeding, or bowel obstruction
  • Patient is given pain medication and encouraged to walk and resume normal activities gradually
  • Patient may need to follow a special diet or take medication to support healing
  • Patient typically stays in the hospital for 2-5 days
  • Patient follows up with their surgeon for postoperative care and monitoring of their condition

What to Ask Your Doctor

  1. How experienced are you with laparoscopic colectomy and robotic-assisted laparoscopic colectomy?
  2. What are the potential benefits and risks of undergoing a laparoscopic colectomy compared to traditional open surgery?
  3. How long does a laparoscopic colectomy typically take to perform?
  4. What is the expected recovery time after a laparoscopic colectomy?
  5. Will I have any restrictions on my activities after the surgery?
  6. What are the potential complications or side effects associated with a laparoscopic colectomy?
  7. How often do patients need additional surgery or experience complications after a laparoscopic colectomy?
  8. How will my pain be managed after the surgery?
  9. Will I need to stay in the hospital after the surgery, and if so, for how long?
  10. What is your success rate with laparoscopic colectomy and robotic-assisted laparoscopic colectomy in terms of cancer removal and long-term outcomes?

Reference

Authors: Gerbaud F, Valverde A, Danoussou D, Goasguen N, Oberlin O, Lupinacci RM. Journal: JSLS. 2019 Oct-Dec;23(4):e2019.00044. doi: 10.4293/JSLS.2019.00044. PMID: 31787837