Retrospective analysis compares surgical approaches in diverticulitis, suggesting improved outcomes with robotic surgery.
Key Points
This study aims to compare the outcomes of robotic, laparoscopic, and open surgeries for acute diverticulitis requiring non-elective operations.
Retrospective analysis of 28,456 patients from the Premier healthcare database (2019–2023).
Used propensity score matching to adjust for demographics, comorbidities, and disease severity.
Primary outcome assessed was conversion to open surgery, with secondary outcomes including anastomotic leak and hospital stay.
Robotic surgery had a lower conversion to open surgery rate compared to laparoscopic surgery (emergent: 10.2% vs 22.6%, p < 0.001; urgent: 13% vs 27.8%, p < 0.001).
Patients undergoing robotic surgery had lower stoma creation rates during index operations and shorter hospital stays.
Robotic surgery was associated with a 29% relative-risk reduction in anastomotic leaks compared to laparoscopic surgery (9.6% vs 6.8%, p = 0.029) in emergent colectomies.