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Session: ePoster Monitor 2-Colon Cancer 1

eP273 - Outcomes in Robotic-assisted Colorectal Surgery Compared to Laparoscopic Surgery in Newly Established Colorectal Tertiary Center

Sunday, June 2, 2024
10:57 AM – 11:02 AM ET, USA
Location: Baltimore Convention Center, Room 318-320

    ePoster Presenter(s)

  • Diaa Soliman, MD

    General Surgery Resident
    Central Michigan University
    Jaber Al-Ahmad Hospital, Kuwait; University of Arizona - Tucson, US
    Tucson, AZ, United States

    All of the relevant financial relationships listed below have been mitigated.
    This individual has no financial relationships with ineligible companies.

    • Author(s)

  • AA

    Ahmad S A Alrashed, MD

    Assistant Registrar
    Sheikh Jaber Al-Ahmad Hospital, Kuwait
    Kuwait, Mubarak al Kabir, Kuwait

    Disclosure information not submitted.

  • MA

    Mohammad Alansari, MD

    Assistant Registrar
    Sheikh Jaber Al-Ahmad Al-Sabah Hospital
    Kuwait City, Mubarak al Kabir, Kuwait

    Disclosure information not submitted.

  • KA

    Khaled A. Al Sadder, 161875

    Junior Doctor in General Surgery
    MOH - Kuwait
    Salmiya, Hawalli, Kuwait

    Disclosure information not submitted.

  • ZC

    Zeinab Chamkha, MBBS, n/a

    Assistant Registrar
    Sheikh Jaber Al-Ahmad Al-Sabah Hospital
    Kuwait City, Hawalli, Kuwait

    Disclosure information not submitted.

  • Dante Souza, MD

    General Surgery Resident
    TriHealth Good Samaritan Hospital
    TriHealth Good Samaritan Hospital
    Cincinnati, OH, United States

    All of the relevant financial relationships listed below have been mitigated.
    This individual has no financial relationships with ineligible companies.

  • BA

    Bader Alshaban, MB, BCh, DABS

    Consultant Colorectal surgeon, Chief of. Colorectal Surgery
    None
    South surra, Al Asimah, Kuwait

    Disclosure information not submitted.

  • SA

    Sulaiman Almazeedi, MD

    Head of General Surgery Department
    Jaber AlAhmad Hospital
    Kuwait City, Mubarak al Kabir, Kuwait

    Disclosure information not submitted.

  • SA

    Salman Alsafran, MD

    Assistant professor
    Endocrine and General Surgery Senior Specialist. Assistant Professor Kuwait University Mubarak and Jaber Hospital
    Abu fatira, Mubarak al Kabir, Kuwait

    Disclosure information not submitted.

    • Senior Author(s)

  • AA

    Ahmed Alkhamis, MD, FRCSC, DABS

    assistant professor
    Kuwait Univerity
    kuwait, Al Asimah, Kuwait

    Disclosure information not submitted.

Purpose/Background: The robotic platform has proven to be non-inferior regarding postoperative morbidity and mortality compared to laparoscopic surgery, and in certain conditions, it has shown superior outcomes. However, its adoption in the Middle East has been slow, and there is limited data regarding outcomes with its use in small, newly established robotic colorectal programs led by fellowship-trained colorectal surgeons.Methods/Interventions: Between 2021 and 2023, a total of 107 patients undergoing colorectal surgery utilizing either robotic or laparoscopic procedures in our center were included in the study. Data on patient demographics, intraoperative parameters, short-term outcomes, and oncological outcomes were analyzed.Results/Outcomes: Of 107 patients included in the study, 57 were in the robotic and 50 were in the laparoscopic surgery groups. Overall, there were no significant differences in overall morbidity (46.8% vs. 53.2%, p = 0.9), serious morbidity (10.5% vs. 8%, p = 0.7), or mortality (0% vs. 4%, p = 0.2). Regarding oncological outcomes, there were no significant difference between the two groups regarding the number of lymph node harvested (17.7±6.9 vs 19.0±9.7, p = 0.5), R0 resections (92.7% vs. 87.1%, p = 0.5), and the rate of complete mesocrectal excision (92.7% vs. 71.4%, p = 0.19). Despite the robotic group including more obese and physically dependent patients, we found that the robotic group was associated with an 86% reduction in the risk of conversion to open surgery compared to the laparoscopic group (OR= 0.14, 95% CI 0.03-0.7, p= 0.01).Conclusion/

Discussion: Robotic surgery appears to be a safe and feasible option in small robotic colorectal surgery programs led by fellowship-trained robotic surgeons, with outcomes comparable to those of larger programs. In our study, robotic surgery showed comparable postoperative morbidity and mortality to laparoscopic surgery, with a lower risk of conversion to open surgery in obese and more physically dependent patients.