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Outcomes Following Robotic Surgery for Complicated and Uncomplicated Diverticulitis.
Am Surg
September 2025
Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
BackgroundLaparoscopic colectomy is standard for uncomplicated diverticulitis (UD) but has higher conversion and morbidity rates in complicated diverticulitis (CD). Robotic colectomy (RC) is increasingly used for both UD and CD. This study compared outcomes of RC for CD and UD and evaluated factors contributing to adverse outcomes.
View Article and Find Full Text PDFModification of the vascular preparation after high tie ligation to improve colonic perfusion and increase the length of the colon limb in low anterior rectal resection.
Surg Endosc
September 2025
Department of Surgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität, Campus Virchow Klinikum, Campus Charité Mitte, Augustenburger Platz 1, 13353, Berlin, Germany.
Introduction: High tie ligation of the inferior mesenteric artery (IMA) is the standard technique in oncological low anterior rectal resection. However, high tie may reduce blood flow to the colon, impairing distal tissue perfusion, anastomotic healing, and potentially causing necrosis. Therefore, a modified high tie technique (MoHiTi) was developed that preserves the arterial arc from the left colic artery via the proximal IMA to the first sigmoidal branch.
View Article and Find Full Text PDFMechanical Bowel Preparation's Influence on the Microbiome in Anastomotic Leak.
Dis Colon Rectum
September 2025
Immune Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.
Robotic Right Colectomy is Associated with Reduced Conversion to Open Surgery in Obese Patients.
J Gastrointest Surg
September 2025
Department of Surgery, Massachusetts General Hospital, Boston, MA. Electronic address:
Background: Obesity is associated with increased risk of conversion to open surgery, which in turn is associated with worse postoperative outcomes. We hypothesize that, with its improved ergonomics and instrument dexterity, the robotic approach to right colectomy will be associated with a decreased risk of conversion to open compared to laparoscopic right colectomy.
Methods: Obese adults (BMI ≥30kg/m) undergoing elective laparoscopic (LRC) or robotic (RRC) right colectomy for colon adenocarcinoma (2015-2022) were identified from the American College of Surgeons National Surgical Quality Improvement Program and its colectomy-targeted participant use file.