Download PDF
Clin Colon Rectal Surg 2021; 34(05): 286-291
DOI: 10.1055/s-0041-1729862
Review Article

Robotic Surgery in Crohn's Disease

Drew Gunnells
1   Division of Gastrointestinal Surgery, University of Alabama, Birmingham, Alabama
,
Jamie Cannon
1   Division of Gastrointestinal Surgery, University of Alabama, Birmingham, Alabama
› Author Affiliations Funding None.
› Further Information
   Permissions and Reprints

Abstract

Surgery for Crohn's disease presents unique challenges secondary to the inflammatory nature of the disease. While a minimally invasive approach to colorectal surgery has consistently been associated with better patient outcomes, adoption of laparoscopy in Crohn's disease has been limited due to these challenges. Robotic assisted surgery has the potential to overcome these challenges and allow more complex patients to undergo a minimally invasive operation. Here we describe our approach to robotic assisted surgery for terminal ileal Crohn's disease.

Keywords

Crohn's disease - robotic surgery


Publication History

Article published online:
08 September 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Bernell O, Lapidus A, Hellers G. Risk factors for surgery and recurrence in 907 patients with primary ileocaecal Crohn's disease. Br J Surg 2000; 87 (12) 1697-1701
    CrossrefPubMedGoogle Scholar
  • 2 Heimann TM, Greenstein AJ, Lewis B, Kaufman D, Heimann DM, Aufses Jr AH. Comparison of primary and reoperative surgery in patients with Crohn's disease. Ann Surg 1998; 227 (04) 492-495
    CrossrefPubMedGoogle Scholar
  • 3 Moghadamyeghaneh Z, Phelan M, Smith BR, Stamos MJ. Outcomes of open, laparoscopic, and robotic abdominoperineal resections in patients with rectal cancer. Dis Colon Rectum 2015; 58 (12) 1123-1129
    CrossrefPubMedGoogle Scholar
  • 4 Holder-Murray J, Marsicovetere P, Holubar SD. Minimally invasive surgery for inflammatory bowel disease. Inflamm Bowel Dis 2015; 21 (06) 1443-1458
    PubMedGoogle Scholar
  • 5 Lujan J, Valero G, Hernandez Q, Sanchez A, Frutos MD, Parrilla P. Randomized clinical trial comparing laparoscopic and open surgery in patients with rectal cancer. Br J Surg 2009; 96 (09) 982-989
    CrossrefPubMedGoogle Scholar
  • 6 Braga M, Frasson M, Vignali A, Zuliani W, Civelli V, Di Carlo V. Laparoscopic vs. open colectomy in cancer patients: long-term complications, quality of life, and survival. Dis Colon Rectum 2005; 48 (12) 2217-2223
    CrossrefPubMedGoogle Scholar
  • 7 Lacy AM, García-Valdecasas JC, Delgado S. et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial. Lancet 2002; 359 (9325): 2224-2229
    CrossrefPubMedGoogle Scholar
  • 8 Lacy AM, Delgado S, Castells A. et al. The long-term results of a randomized clinical trial of laparoscopy-assisted versus open surgery for colon cancer. Ann Surg 2008; 248 (01) 1-7
    CrossrefPubMedGoogle Scholar
  • 9 Tilney HS, Constantinides VA, Heriot AG. et al. Comparison of laparoscopic and open ileocecal resection for Crohn's disease: a metaanalysis. Surg Endosc 2006; 20 (07) 1036-1044
    CrossrefPubMedGoogle Scholar
  • 10 Lee Y, Fleming FJ, Deeb AP, Gunzler D, Messing S, Monson JR. A laparoscopic approach reduces short-term complications and length of stay following ileocolic resection in Crohn's disease: an analysis of outcomes from the NSQIP database. Colorectal Dis 2012; 14 (05) 572-577
    CrossrefPubMedGoogle Scholar
  • 11 Tan JJ, Tjandra JJ. Laparoscopic surgery for Crohn's disease: a meta-analysis. Dis Colon Rectum 2007; 50 (05) 576-585
    CrossrefPubMedGoogle Scholar
  • 12 Park JS, Choi GS, Park SY, Kim HJ, Ryuk JP. Randomized clinical trial of robot-assisted versus standard laparoscopic right colectomy. Br J Surg 2012; 99 (09) 1219-1226
    CrossrefPubMedGoogle Scholar
  • 13 Melich G, Hong YK, Kim J. et al. Simultaneous development of laparoscopy and robotics provides acceptable perioperative outcomes and shows robotics to have a faster learning curve and to be overall faster in rectal cancer surgery: analysis of novice MIS surgeon learning curves. Surg Endosc 2015; 29 (03) 558-568
    CrossrefPubMedGoogle Scholar
  • 14 Baik SH, Kwon HY, Kim JS. et al. Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study. Ann Surg Oncol 2009; 16 (06) 1480-1487
    CrossrefPubMedGoogle Scholar
  • 15 Baek JH, Pastor C, Pigazzi A. Robotic and laparoscopic total mesorectal excision for rectal cancer: a case-matched study. Surg Endosc 2011; 25 (02) 521-525
    CrossrefPubMedGoogle Scholar
  • 16 Cho MS, Baek SJ, Hur H. et al. Short and long-term outcomes of robotic versus laparoscopic total mesorectal excision for rectal cancer: a case-matched retrospective study. Medicine (Baltimore) 2015; 94 (11) e522
    CrossrefPubMedGoogle Scholar
  • 17 Hollis RH, Cannon JA, Singletary BA, Korb ML, Hawn MT, Heslin MJ. Understanding the value of both laparoscopic and robotic approaches compared to the open approach in colorectal surgery. J Laparoendosc Adv Surg Tech A 2016; 26 (11) 850-856
    CrossrefPubMedGoogle Scholar
  • 18 Tam MS, Kaoutzanis C, Mullard AJ. et al. A population-based study comparing laparoscopic and robotic outcomes in colorectal surgery. Surg Endosc 2016; 30 (02) 455-463
    CrossrefPubMedGoogle Scholar
  • 19 Bhama AR, Obias V, Welch KB, Vandewarker JF, Cleary RK. A comparison of laparoscopic and robotic colorectal surgery outcomes using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database. Surg Endosc 2016; 30 (04) 1576-1584
    CrossrefPubMedGoogle Scholar
  • 20 Scarpinata R, Aly EH. Does robotic rectal cancer surgery offer improved early postoperative outcomes?. Dis Colon Rectum 2013; 56 (02) 253-262
    CrossrefPubMedGoogle Scholar
  • 21 Bauer JJ, Harris MT, Grumbach NM, Gorfine SR. Laparoscopic-assisted intestinal resection for Crohn's disease. Dis Colon Rectum 1995; 38 (07) 712-715
    CrossrefPubMedGoogle Scholar
  • 22 Lesperance K, Martin MJ, Lehmann R, Brounts L, Steele SR. National trends and outcomes for the surgical therapy of ileocolonic Crohn's disease: a population-based analysis of laparoscopic vs. open approaches. J Gastrointest Surg 2009; 13 (07) 1251-1259
    CrossrefPubMedGoogle Scholar
  • 23 Maartense S, Dunker MS, Slors JF. et al. Laparoscopic-assisted versus open ileocolic resection for Crohn's disease: a randomized trial. Ann Surg 2006; 243 (02) 143-149 , discussion 150–153
    CrossrefPubMedGoogle Scholar
  • 24 Milsom JW, Hammerhofer KA, Böhm B, Marcello P, Elson P, Fazio VW. Prospective, randomized trial comparing laparoscopic vs. conventional surgery for refractory ileocolic Crohn's disease. Dis Colon Rectum 2001; 44 (01) 1-8 , discussion 8–9
    CrossrefPubMedGoogle Scholar
  • 25 Dasari BV, McKay D, Gardiner K. Laparoscopic versus open surgery for small bowel Crohn's disease. Cochrane Database Syst Rev 2011; (01) CD006956
    PubMedGoogle Scholar
  • 26 Patel SV, Ramagopalan SV, Ott MC. Laparoscopic surgery for Crohn's disease: a meta-analysis of perioperative complications and long term outcomes compared with open surgery. BMC Surg 2013; 13: 14
    CrossrefPubMedGoogle Scholar
  • 27 Edden Y, Ciardullo J, Sherafgan K. et al. Laparoscopic-assisted ileocolic resection for Crohn's disease. JSLS 2008; 12 (02) 139-142
    PubMedGoogle Scholar
  • 28 Goyer P, Alves A, Bretagnol F, Bouhnik Y, Valleur P, Panis Y. Impact of complex Crohn's disease on the outcome of laparoscopic ileocecal resection: a comparative clinical study in 124 patients. Dis Colon Rectum 2009; 52 (02) 205-210
    CrossrefPubMedGoogle Scholar
  • 29 Moorthy K, Shaul T, Foley RJ. Factors that predict conversion in patients undergoing laparoscopic surgery for Crohn's disease. Am J Surg 2004; 187 (01) 47-51
    CrossrefPubMedGoogle Scholar
  • 30 Holubar SD, Dozois EJ, Privitera A. et al. Laparoscopic surgery for recurrent ileocolic Crohn's disease. Inflamm Bowel Dis 2010; 16 (08) 1382-1386
    CrossrefPubMedGoogle Scholar
  • 31 McLemore EC, Cullen J, Horgan S, Talamini MA, Ramamoorthy S. Robotic-assisted laparoscopic stage II restorative proctectomy for toxic ulcerative colitis. Int J Med Robot 2012; 8 (02) 178-183
    CrossrefPubMedGoogle Scholar
  • 32 Miller AT, Berian JR, Rubin M, Hurst RD, Fichera A, Umanskiy K. Robotic-assisted proctectomy for inflammatory bowel disease: a case-matched comparison of laparoscopic and robotic technique. J Gastrointest Surg 2012; 16 (03) 587-594
    CrossrefPubMedGoogle Scholar
  • 33 Pedraza R, Patel CB, Ramos-Valadez DI, Haas EM. Robotic-assisted laparoscopic surgery for restorative proctocolectomy with ileal J pouch-anal anastomosis. Minim Invasive Ther Allied Technol 2011; 20 (04) 234-239
    CrossrefPubMedGoogle Scholar
  • 34 Rencuzogullari A, Gorgun E, Costedio M. et al. Case-matched comparison of robotic versus laparoscopic proctectomy for inflammatory bowel disease. Surg Laparosc Endosc Percutan Tech 2016; 26 (03) e37-e40
    CrossrefPubMedGoogle Scholar
  • 35 Mark-Christensen A, Pachler FR, Nørager CB, Jepsen P, Laurberg S, Tøttrup A. Short-term outcome of robot-assisted and open IPAA: an observational single-center study. Dis Colon Rectum 2016; 59 (03) 201-207
    CrossrefPubMedGoogle Scholar
  • 36 Morpurgo E, Contardo T, Molaro R, Zerbinati A, Orsini C, D'Annibale A. Robotic-assisted intracorporeal anastomosis versus extracorporeal anastomosis in laparoscopic right hemicolectomy for cancer: a case control study. J Laparoendosc Adv Surg Tech A 2013; 23 (05) 414-417
    CrossrefPubMedGoogle Scholar
  • 37 Grams J, Tong W, Greenstein AJ, Salky B. Comparison of intracorporeal versus extracorporeal anastomosis in laparoscopic-assisted hemicolectomy. Surg Endosc 2010; 24 (08) 1886-1891
    CrossrefPubMedGoogle Scholar
  • 38 Trastulli S, Coratti A, Guarino S. et al. Robotic right colectomy with intracorporeal anastomosis compared with laparoscopic right colectomy with extracorporeal and intracorporeal anastomosis: a retrospective multicentre study. Surg Endosc 2015; 29 (06) 1512-1521
    CrossrefPubMedGoogle Scholar
  • 39 Casillas Jr MA, Leichtle SW, Wahl WL. et al. Improved perioperative and short-term outcomes of robotic versus conventional laparoscopic colorectal operations. Am J Surg 2014; 208 (01) 33-40
    CrossrefPubMedGoogle Scholar
  • 40 Samia H, Lawrence J, Nobel T, Stein S, Champagne BJ, Delaney CP. Extraction site location and incisional hernias after laparoscopic colorectal surgery: should we be avoiding the midline?. Am J Surg 2013; 205 (03) 264-267 , discussion 268
    CrossrefPubMedGoogle Scholar
  • 41 Jacobson IM, Schapiro RH, Warshaw AL. Gastric and duodenal fistulas in Crohn's disease. Gastroenterology 1985; 89 (06) 1347-1352
    CrossrefPubMedGoogle Scholar