RT - European Journal of Gynaecological Oncology ID - 10.12892/ejgo4674.2018 T1 - Robotic-assisted colorectal procedures in a gynecologic oncology setting A1 - G.A. Feuer A1 - C.S. Abied A1 - M.A. Glasgow A1 - S.S. Salmieri A1 - N.A. Lakhi K1 - Robotic surgery; Gynecologic oncology; Colorectal surgery; Minimally invasive surgery; Surgical technique. YR - 2018 SP - 718 AB -
Purpose: Despite potential benefits, gynecologic oncology has not fully embraced use of the robot for concomitant colorectal procedures. The authors describe the robotic technique and outcomes of colorectal surgeries from an experienced gynecologic oncologist’s practice. Materials and Methods: A review of robotic-assisted gynecologic surgeries between 2011 and 2016 was undertaken to identify patients with colorectal procedures and findings. Results: Sixteen patients had robotic-assisted colorectal procedures, including end-sigmoid colostomy (n=8), colon resection with anastomosis (n=5), low anterior resection with end-to-end anastomosis (n=3), and cecectomy (n=1). Median operative time was 130 minutes, blood loss 50 ml, and length-of-stay three days. There were no intra-operative complications or conversions. One postoperative ileus resolved with supportive care and one intermittent partial bowel obstruction not requiring hospitalization occurred. Conclusions: Robotic-assisted colorectal procedures by a gynecologic oncologist can be done safely and in reasonable operative time. Gynecologic oncology calls for overlapping training in multiple domains with a minimally invasive approach.