Key result
Robotic ultralow anterior resection poses substantial perioperative challenges in heart failure with cardiac ascites.
Why the study?
Patients with congestive heart failure and cardiac ascites undergoing complex robotic or laparoscopic colorectal surgery face significant perioperative risks including increased mortality and complications.
Case Report (n=1)
Highlights the perioperative challenges of performing complex robotic colorectal surgery in a patient with congestive heart failure and cardiac ascites.
Urges individualized perioperative planning for robotic colorectal resection in CHF with ascites; leaves open standardized protocols pending higher-level evidence.
Patients with congestive heart failure (CHF) and cardiac ascites undergoing complex robotic or laparoscopic colorectal surgery face significant perioperative risks. CHF increases 30-day mortality by up to fourfold, with a 51% longer hospital stay and a 74% higher incidence of chronic renal failure.1 Cardiac ascites further compounds this risk. Moghadamyeghaneh et al.2 demonstrated higher mortality in CHF patients with ascites than those without (46.2% vs. 25.7%), together with increased ventilator dependence and acute renal failure. These patients therefore present substantial perioperative challenges.
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Lee et al. (2026) conducted a case report in Congestive heart failure and cardiac ascites (n=1). Robotic Ultralow Anterior Resection was evaluated. Robotic ultralow anterior resection in a patient with congestive heart failure and cardiac ascites highlights substantial perioperative challenges without specific quantitative case outcomes reported.
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