Imperial College London
Alternate

Professor Jamie Murphy BChir PhD FRCS FASCRS - Consultant Colorectal Surgeon

Faculty of Medicine, Department of Surgery & Cancer

Visiting Professor
 
 
 
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Contact

 

jamie.murphy

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Renshaw:2018:10.1007/s10151-018-1766-5,
author = {Renshaw, S and Silva, IL and Hotouras, A and Wexner, SD and Murphy, J and Bhan, C},
doi = {10.1007/s10151-018-1766-5},
journal = {TECHNIQUES IN COLOPROCTOLOGY},
pages = {161--177},
title = {Perioperative outcomes and adverse events of robotic colorectal resections for inflammatory bowel disease: a systematic literature review},
url = {http://dx.doi.org/10.1007/s10151-018-1766-5},
volume = {22},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - The purpose of this study was to assess outcome measures and cost-effectiveness of robotic colorectal resections in adult patients with inflammatory bowel disease. The Cochrane Library, PubMed/Medline and Embase databases were reviewed, using the text “robotic(s)” AND (“inflammatory bowel disease” OR “Crohn’s” OR “Ulcerative Colitis”). Two investigators screened abstracts for eligibility. All English language full-text articles were reviewed for specified outcomes. Data were pre-sented in a summarised and aggregate form, since the lack of higher-level evidence studies precluded meta-analysis. Primary outcomes included mortality and postoperative complications. Secondary outcomes included readmission rate, length of stay, conversion rate, procedure time, estimated blood loss and functional outcome. The tertiary outcome was cost-effectiveness. Eight studies (3 case-matched observational studies, 4 case series and 1 case report) met the inclusion criteria. There was no reported mortality. Overall, complications occurred in 81 patients (54%) including 30 (20%) Clavien-Dindo III–IV complica-tions. Mean length of stay was 8.6 days. Eleven cases (7.3%) were converted to open. The mean robotic operating time was 99 min out of a mean total operating time of 298.6 min. Thirty-two patients (24.7%) were readmitted. Functional outcomes were comparable among robotic, laparoscopic and open approaches. Case-matched observational studies comparing robotic to laparoscopic surgery revealed a significantly longer procedure time; however, conversion, complication, length of stay and readmission rates were similar. The case-matched observational study comparing robotic to open surgery also revealed a longer procedure time and a higher readmission rate; postoperative complication rates and length of stay were similar. No studies compared cost-effectiveness between robotic and traditional approaches. Although robotic resections fo
AU  - Renshaw,S
AU  - Silva,IL
AU  - Hotouras,A
AU  - Wexner,SD
AU  - Murphy,J
AU  - Bhan,C
DO  - 10.1007/s10151-018-1766-5
EP  - 177
PY  - 2018///
SN  - 1123-6337
SP  - 161
TI  - Perioperative outcomes and adverse events of robotic colorectal resections for inflammatory bowel disease: a systematic literature review
T2  - TECHNIQUES IN COLOPROCTOLOGY
UR  - http://dx.doi.org/10.1007/s10151-018-1766-5
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000428057400002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/59349
VL  - 22
ER  -
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