Robotic-assisted surgery in the management of gastrointestinal neoplasms. Results of the first two years of implementation in a Latin-American Institution
DOI:
https://doi.org/10.35509/01239015.934Keywords:
Latin America, robotics, gastrointestinal neoplasms, minimally invasive surgical procedures, robotic surgical proceduresAbstract
Objectives: The Da Vinci® robotic platform for surgical assistance has been classified as an avant-garde tool in minimally invasive surgery; gastrointestinal cancer surgery has also benefited from its advantages. Currently, Latin American data on robotic surgery in this scenario is limited, so this work aims to describe the institutional experience and short-term outcomes at the Instituto Nacional de Cancerología, Bogotá, Colombia.
Methods: This is a retrospective cohort study of patients diagnosed with gastrointestinal neoplasms who underwent robotic-assisted resection from October 2017 to December 2019. The Mann-Whitney-Wilcoxon nonparametric test was used to make comparisons between variables.
Results: A total of 68 patients with gastrointestinal neoplasms underwent robotic-assisted surgical resection in this period; 33 patients had gastroduodenal neoplasms, 26 colorectal neoplasms, 6 esophageal neoplasms, and 3 pancreatic neoplasms. We found that the median BMI was significantly higher in patients who had intraoperative complications compared to those who did not (29.0 vs. 24.1; p=0.02). The overall conversion rate to open surgery was 7.3 %. In patients taken to colorectal surgery, the median body mass index was higher in patients requiring conversion to open surgery (30.5 vs. 22.8; p=0.01).
Conclusions: This report suggests that the implementation of robotic-assisted surgery for selected digestive malignancies is feasible and safe in terms of intraoperative and early postoperative outcomes, showing adequate initial oncological results.
Author Biographies
Raúl Eduardo Pinilla-Morales, Unidad Funcional Gastroenterología, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia.
1. Unidad Funcional Gastroenterología, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia.
2. Docente, Universidad Nacional de Colombia, Bogotá, D. C., Colombia.
Silvia Guerrero-Macías, Fellow, Posgrado Médico-Quirúrgico de Cirugía Oncológica, Convenio Universidad Militar Nueva Granada - Instituto Nacional de Cancerología, Bogotá, D. C., Colombia.
3. Fellow, Posgrado Médico-Quirúrgico de Cirugía Oncológica, Convenio Universidad Militar Nueva Granada - Instituto Nacional de Cancerología, Bogotá, D. C., Colombia.
Juliana Restrepo-López, Fellow, Posgrado Médico-Quirúrgico de Cirugía Oncológica, Convenio Universidad Militar Nueva Granada - Instituto Nacional de Cancerología, Bogotá, D. C., Colombia.
3. Fellow, Posgrado Médico-Quirúrgico de Cirugía Oncológica, Convenio Universidad Militar Nueva Granada - Instituto Nacional de Cancerología, Bogotá, D. C., Colombia.
Gustavo Aguirre-Bermúdez, Unidad Funcional Gastroenterología, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia.
1. Unidad Funcional Gastroenterología, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia.
Óscar Guevara-Cruz, Unidad Funcional Gastroenterología, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia.
1. Unidad Funcional Gastroenterología, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia.
Ricardo Oliveros-Wilches, Unidad Funcional Gastroenterología, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia.
1. Unidad Funcional Gastroenterología, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia.
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