Generic placeholder image

Current Drug Targets


ISSN (Print): 1389-4501
ISSN (Online): 1873-5592

General Review Article

Robotic Surgery in Inflammatory Bowel Disease

Author(s): Jacopo Crippa, Michele Carvello, Paulo Gustavo Kotze and Antonino Spinelli*

Volume 22 , Issue 1 , 2021

Published on: 20 August, 2020

Page: [112 - 116] Pages: 5

DOI: 10.2174/1389450121999200820125918

Price: $65


Background: Surgery is considered a cornerstone of inflammatory bowel disease (IBD) treatment. In the last years, robotic surgery has seen an increase in adoption rates for both benign and malignant diseases.

Objective: This work aims to review the current applications of robotic surgery in IBD.

Discussion and Conclusion: Minimally-invasive techniques have been applied to the treatment of IBD for more than 20 years. Investments in surgical digital and robotic platforms are increasingly arising, with an estimate of getting doubled within the next 5 years. Robotic surgery represents the newest technology available to reduce the impact of surgery on patients affected by IBD, and may theoretically be even more effective than other minimally-invasive techniques given the lower rate of conversion to open surgery as compared to laparoscopy according to many large retrospective series. Data on robotic surgery applied to IBD are still scarce and initial experiences in high-volume centers from retrospective series suggested that robotic surgery may achieve similar results when compared to laparoscopy. A new wave of robotics incorporating artificial intelligence is awaited to empower the capability of IBD surgeon in terms of intraoperative decision-making beyond technical skill enhancement.

Keywords: Colorectal Surgery, crohn, IBD, minimally invasive surgery, robotic surgery, ulcerative colitis.

Graphical Abstract
Adamina M, Bonovas S, Raine T, et al. ECCO Guidelines on Therapeutics in Crohn’s Disease: Surgical Treatment. J Crohn’s Colitis 2020; 14(2): 155-68.
[] [PMID: 31742338]
Finnerty CC, Mabvuure NT, Ali A, Kozar RA, Herndon DN. The surgically induced stress response. JPEN J Parenter Enteral Nutr 2013; 37(5)(Suppl.): 21S-9S.
[] [PMID: 24009246]
Renshaw S, Silva IL, Hotouras A, Wexner SD, Murphy J, Bhan C. Perioperative outcomes and adverse events of robotic colorectal resections for inflammatory bowel disease: a systematic literature review. Tech Coloproctol 2018; 22(3): 161-77.
[] [PMID: 29546470]
Gaglani T, Davis CH, Bailey HR, Cusick MV. Trends and Outcomes for Minimally Invasive Surgery for Inflammatory Bowel Disease. J Surg Res 2019; 235: 303-7.
[] [PMID: 30691810]
Crippa J, Mari GM, Miranda A, Costanzi AT, Maggioni D. Surgical Stress Response and Enhanced Recovery after Laparoscopic Surgery - A systematic review. Chirurgia (Bucur) 2018; 113(4): 455-63.
[] [PMID: 30183575]
Spinelli A, Bazzi P, Sacchi M, et al. Short-term outcomes of laparoscopy combined with enhanced recovery pathway after ileocecal resection for Crohn’s disease: a case-matched analysis. J Gastrointest Surg 2013; 17(1): 126-32.
[] [PMID: 22948838]
Phan K, Kahlaee HR, Kim SH, Toh JWT. Laparoscopic vs. robotic rectal cancer surgery and the effect on conversion rates: a meta-analysis of randomized controlled trials and propensity-score-matched studies. Tech Coloproctol 2019; 23(3): 221-30.
[] [PMID: 30623315]
Duchalais E, Machairas N, Kelley SR, et al. Does prolonged operative time impact postoperative morbidity in patients undergoing robotic-assisted rectal resection for cancer? Surg Endosc 2018; 32(8): 3659-66.
[] [PMID: 29546672]
Larson DW, Dozois E, Sandborn WJ, Cima R. Total laparoscopic proctocolectomy with Brooke ileostomy: a novel incisionless surgical treatment for patients with ulcerative colitis. Surg Endosc 2005; 19(9): 1284-7.
[] [PMID: 16132322]
Schwartzberg DM, Remzi FH. The Role of Laparoscopic, Robotic, and Open Surgery in Uncomplicated and Complicated Inflammatory Bowel Disease. Gastrointest Endosc Clin N Am 2019; 29(3): 563-76.
[] [PMID: 31078253]
Kessler H, Mudter J, Hohenberger W. Recent results of laparoscopic surgery in inflammatory bowel disease. World J Gastroenterol 2011; 17(9): 1116-25.
[] [PMID: 21448415]
Duricova D. What Can We Learn from Epidemiological Studies in Inflammatory Bowel Disease? Dig Dis 2017; 35(1-2): 69-73.
[] [PMID: 28147360]
Watt DG, Horgan PG, McMillan DC. Routine clinical markers of the magnitude of the systemic inflammatory response after elective operation: a systematic review. Surgery 2015; 157(2): 362-80.
[] [PMID: 25616950]
Veenhof AA, Vlug MS, van der Pas MH, et al. Surgical stress response and postoperative immune function after laparoscopy or open surgery with fast track or standard perioperative care: a randomized trial. Ann Surg 2012; 255(2): 216-21.
[] [PMID: 22241289]
McSorley ST, Horgan PG, McMillan DC. The impact of preoperative corticosteroids on the systemic inflammatory response and postoperative complications following surgery for gastrointestinal cancer: A systematic review and meta-analysis. Crit Rev Oncol Hematol 2016; 101: 139-50.
[] [PMID: 26997303]
Zoccali M, Fichera A. Minimally invasive approaches for the treatment of inflammatory bowel disease. World J Gastroenterol 2012; 18(46): 6756-63.
[] [PMID: 23239913]
Holder-Murray J, Marsicovetere P, Holubar SD. Minimally invasive surgery for inflammatory bowel disease. Inflamm Bowel Dis 2015; 21(6): 1443-58.
[] [PMID: 25989341]
Shrestha B. Minimally invasive surgery for inflammatory bowel disease: Current perspectives. World J Gastrointest Pharmacol Ther 2016; 7(2): 214-6.
[] [PMID: 27158536]
Baek SJ, Kim CH, Cho MS, et al. Robotic surgery for rectal cancer can overcome difficulties associated with pelvic anatomy. Surg Endosc 2015; 29(6): 1419-24.
[] [PMID: 25159651]
Lightner AL, Grass F, McKenna NP, et al. Short-term postoperative outcomes following robotic versus laparoscopic ileal pouch-anal anastomosis are equivalent. Tech Coloproctol 2019; 23(3): 259-66.
[] [PMID: 30941619]
Carpenter BT, Sundaram CP. Training the next generation of surgeons in robotic surgery. Robot Surg 2017; 4: 39-44.
[] [PMID: 30697562]
Neumann PA, Rijcken E. Minimally invasive surgery for inflammatory bowel disease: Review of current developments and future perspectives. World J Gastrointest Pharmacol Ther 2016; 7(2): 217-26.
[] [PMID: 27158537]
Benlice C, Aytac E, Costedio M, et al. Robotic, laparoscopic, and open colectomy: a case-matched comparison from the ACS-NSQIP. Int J Med Robot 2017; 13(3): 13.
[] [PMID: 27766727]
Hamzaoglu I, Baca B, Esen E, et al. Short-term results after totally robotic restorative total proctocolectomy with Ileal pouch anal anastomosis for ulcerative colitis. Surg Laparosc Endosc Percutan Tech 2019.
[PMID: 30768495]
Scaringi S, Giudici F, Zambonin D, Ficari F, Bechi P. Totally robotic intracorporeal side-to-side isoperistaltic strictureplasty for Crohn’s disease. J Minim Access Surg 2018; 14(4): 341-4.
[] [PMID: 29319021]
Spinelli A, David G, Gidaro S, et al. First experience in colorectal surgery with a new robotic platform with haptic feedback. Colorectal Dis 2017.
[PMID: 28905524]
Raskin ER, Gorrepati ML, Mehendale S, Gaertner WB. Robotic-assisted ileocolic resection for Crohn’s disease: outcomes from an early national experience. J Robot Surg 2019; 13(3): 429-34.
[] [PMID: 30426352]
Anderson M, Lynn P, Aydinli HH, et al. Early experience with urgent robotic subtotal colectomy for severe acute ulcerative colitis has comparable perioperative outcomes to laparoscopic surgery. J Robot Surg 2019.
[PMID: 31076952]
Brodie A, Vasdev N. The future of robotic surgery. Ann R Coll Surg Engl 2018; 100(Suppl. 7): 4-13.
[] [PMID: 30179048]
Kinross JM, Mason SE, Mylonas G, Darzi A. Next-generation robotics in gastrointestinal surgery. Nat Rev Gastroenterol Hepatol 2020; 17(7): 430-40.
[] [PMID: 32269329]

Rights & Permissions Print Export Cite as
© 2022 Bentham Science Publishers | Privacy Policy