- Category: Volume2023Volume2
- Written by: BSMJ
- Hits: 161
ROBOT-ASSISTED COLORECTAL SURGERY - POSTOPERATIVE OUTCOMES IN THE LEARNING CURVE, Y. Georgiev, A. Karashmalakov
Abstract: Over the past two decades the evolution of surgical robots has changed the face of surgery
in all possible aspects, including colorectal surgery. Тhe implementation of a new surgical technique
in daily practice is a challenge in many respects. The aim of the present study was to investigate the
early postoperative results of the surgical treatment of patients with colorectal carcinoma operated
with the DaVinciX surgical robotic platform, in a team at the beginning of the learning curve. For a
period of 10 months (01.2023 to 10.2023). 26 patients with colorectal cancer were operated on in the
Surgery Clinic of UMBAL Heart and Brain Burgas. Of the operated patients, 26 patients, one had a
grade 1 complication according to Clavien and Dindo [5], expressed in a controlled ascites fistula of
the surgical wound, two had grade 3b complications resulting in marginal necrosis of the stoma, after
abdomino- perineal resection of the rectum and one dehiscence of the operative wound for extraction
of the specimen after a right hemicolectomy. Complications of 5th-grade were recorded in two
patients, due to sudden cardiac death in one patient on postoperative day 2 and pulmonary
thromboembolism leading to exitus on postoperative day 28 in the other patient.
Key words: Colorectal carcinoma, rectal carcinoma. DaVinci, miniinvasive surgery, operation