Robotic sigmoidectomy for diverticulitis – Natural orifice extraction with stapleless hand-sewn intracorporeal anastomosis

摘要: AIM A sigmoidectomy is the most definitive surgical treatment for recurrent diverticulitis. While it usually accomplished via transabdominal specimen extraction and stapled anastomosis, robotic platform can facilitate novel approaches techniques. This first report of initial experience with natural orifice hand-sewn anastomosis (NOSHA). METHODS prospectively maintained database NOSHA procedures performed between 2018 2020 was retrospectively examined. The technique described variables across preoperative, intraoperative, postoperative timeframes were presented. Clavien-Dindo (CD) classification system used to describe complications. RESULTS Sixteen patients diverticulitis treated included in this study. Trans-anal an intracorporeal achieved all patients. However, two (12.8%) required de-bulking prior extraction. mean operating time 171.7 minutes, had a return bowel function within average period 35.2 hours. hospital length stay 2.9 days. In total complications seen; one ileus managed conservatively readmission due abdominal pain which resolved without intervention. No anastomotic leaks or reoperations observed. CONCLUSION Robotic appears be viable management Further studies are needed establish its utility various diseases reproducibility clinical practices.