Completely intracorporeal anastomosis in robotic left colonic and rectal surgery: technique and 30-day outcomes

As robotic surgery continues to disseminate into the field of colon and rectal surgery, there is a growing interest in utilization intracorporeal anastomosis potentially improve surgical outcomes. The purpoe this study was compare feasibility, safety, short-term outcomes sigmoid low anterior resections performed with completely (CICA) technique traditional extracorporeal assisted (ECAA) technique. Consecutive series patients who underwent elective or for benign malignant disease utilizes either CICA ECAA between August 2017 November 2019. Surgical complications were assessed until 30 postoperative days compared two groups. A total 160 identified; 73 (45.6%) group 87 (54.4%) group. Most procedures malignancy (76%). Estimated blood loss lower (80.7 mL vs. 110.2 mL; p = 0.048), while operative times longer (5.9 ± SD hours 4.9 hours; < 0.001). Overall conversion rate 1.9%, no conversions occurred 54 (33.8%) 13 (8.3%) representing major complications. There significant differences day This demonstrates feasibility safety CICA. Outcomes are encouraging regardless anastomotic (CICA vs ECAA).