TY  - JOUR
A1  - Widder, Anna
A1  - Kelm, Matthias
A1  - Reibetanz, Joachim
A1  - Wiegering, Armin
A1  - Matthes, Niels
A1  - Germer, Christoph-Thomas
A1  - Seyfried, Florian
A1  - Flemming, Sven
T1  - Robotic-assisted versus laparoscopic left hemicolectomy — postoperative inflammation status, short-term outcome and cost effectiveness
JF  - International Journal of Environmental Research and Public Health
N2  - Robotic-assisted colon surgery may contain advantages over the laparoscopic approach, but clear evidence is sparse. This study aimed to analyze postoperative inflammation status, short-term outcome and cost-effectiveness of robotic-assisted versus laparoscopic left hemicolectomy. All consecutive patients who received minimal-invasive left hemicolectomy at the Department of Surgery I at the University Hospital of Wuerzburg in 2021 were prospectively included. Importantly, no patient selection for either procedure was carried out. The robotic-assisted versus laparoscopic approaches were compared head to head for postoperative short-term outcomes as well as cost-effectiveness. A total of 61 patients were included, with 26 patients having received a robotic-assisted approach. Baseline characteristics did not differ among the groups. Patients receiving a robotic-assisted approach had a significantly decreased length of hospital stay as well as lower rates of complications in comparison to patients who received laparoscopic surgery (n = 35). In addition, C-reactive protein as a marker of systemic stress response was significantly reduced postoperatively in patients who were operated on in a robotic-assisted manner. Consequently, robotic-assisted surgery could be performed in a cost-effective manner. Thus, robotic-assisted left hemicolectomy represents a safe and cost-effective procedure and might improve patient outcomes in comparison to laparoscopic surgery.
KW  - robotic surgery
KW  - colon resection
KW  - postoperative inflammation
KW  - cost-effectiveness
KW  - left hemicolectomy
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-286203
SN  - 1660-4601
VL  - 19
IS  - 17
ER  - 
TY  - JOUR
A1  - Hottenrott, Sebastian
A1  - Schlesinger, Tobias
A1  - Helmer, Philipp
A1  - Meybohm, Patrick
A1  - Alkatout, Ibrahim
A1  - Kranke, Peter
T1  - Do small incisions need only minimal anesthesia? — anesthetic management in laparoscopic and robotic surgery
JF  - Journal of Clinical Medicine
N2  - Laparoscopic techniques have established themselves as a major part of modern surgery. Their implementation in every surgical discipline has played a vital part in the reduction of perioperative morbidity and mortality. Precise robotic surgery, as an evolution of this, is shaping the present and future operating theatre that an anesthetist is facing. While incisions get smaller and the impact on the organism seems to dwindle, challenges for anesthetists do not lessen and could even become more demanding than in open procedures. This review focuses on the pathophysiological effects of contemporary laparoscopic and robotic procedures and summarizes anesthetic challenges and strategies for perioperative management.
KW  - general anesthesia
KW  - anesthetics
KW  - perioperative care
KW  - minimally invasive surgery
KW  - laparoscopic surgery
KW  - robotic surgery
Y1  - 2020
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-220039
SN  - 2077-0383
VL  - 9
IS  - 12
ER  -