Key result
The use of robotic-assisted platforms for colorectal surgery increased from 2.8% to 11.4% between 2013 and 2018, accompanied by a decline in open approaches from 40.8% to 33%.
Why the study?
The use of the robotic approach has gained momentum in colorectal surgery, prompting an analysis of trends in the adoption of the robotic-assisted platform.
How has the adoption of robotic, laparoscopic, and open approaches for colorectal surgery changed over time?
Observational
Yes
How has the adoption of robotic, laparoscopic, and open approaches for colorectal surgery changed over time?
The use of robotic-assisted platforms for colorectal surgery has significantly increased, replacing open approaches and expanding minimally invasive options to higher-risk patients.
Robotic adoption rose among higher-risk colorectal patients as open cases fell; leaves open comparative outcomes and should not yet change practice.
The use of robotic approach has gained momentum in colorectal surgery. We analyzed the trends in the adoption of robotic-assisted platform (RAP) for colorectal surgery over a 6-year period (2013-2018) using the American College of Surgeons National Surgical Quality Improvement Project. We assessed yearly prevalence of robotic, laparoscopic, and open approaches, and evaluated trends in the adoption of RAP across age, gender, BMI, and American Society of Anesthesiology (ASA) subgroups. Overall, the frequency of open, laparoscopic, and robotic approach was 36%, 46.8%, and 7.8%, respectively. While the use of laparoscopic cases remained stable over the study period, the prevalence of RAP increased from 2.8% to 11.4%. This was accompanied by a concomitant decline in the use of open approach, from 40.8% to 33%. The use of RAP also increased across all age, gender, BMI, and ASA subgroups. Robotic-assisted platform is increasingly utilized for higher risk, older, and obese patients, allowing more patients to receive minimally invasive colorectal surgery.
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Hajirawala et al. (2021) conducted an observational in Colorectal surgery. Robotic-assisted platform (RAP) vs. Laparoscopic and open approaches was evaluated on Yearly prevalence of robotic, laparoscopic, and open approaches. The use of robotic-assisted platforms for colorectal surgery increased from 2.8% to 11.4% between 2013 and 2018, accompanied by a decline in open approaches from 40.8% to 33%.
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