Short-Term Outcomes with Robotic Right Colectomy

Few series have reported on the impact of robotic right colectomy compared with conventional laparoscopy. Even fewer have reported on the outcomes of intracorporeal anastomoses. The aim of our study was to determine the impact of robotic surgery on short-term operative outcomes in patients undergoing right colectomy with intracorporeal anastomosis. One hundred and fourteen consecutive patients who underwent a right colectomy by two colorectal surgeons between 2012 and 2017 were included. Patients were separated into two groups: laparoscopic technique with extracorporeal anastomosis (n = 87) and robotic technique with intracorporeal anastomosis (n = 27). Univariate analysis was performed to determine differences in outcomes. Differences between cohorts were only identified with regard to gender (62 vs 37%, P = 0.022) and year of surgery. In comparison with laparoscopy, robotic colectomy resulted in a shorter time of GI recovery (1.3 ± 0.6 vs 3 ± 1.1, P < 0.0001), lower rates of postoperative ileus (4 vs 28%, P = 0.007), lower overall morbidity (26 vs 52%, P = 0.019), less blood loss ( P = 0.001), 50 per cent lower narcotic use, and longer operative time (255 ± 66 vs 139 ± 49, P < 0.001). Despite longer operative time, robotic surgery improved GI recovery, significantly lowered oral morphine equivalent usage, and decreased short-term complications.

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Robotic right colectomy for cancer with intracorporeal anastomosis: short-term outcomes from a single institution

International Journal of Colorectal Disease ◽

10.1007/s00384-012-1604-6 ◽

2012 ◽

Vol 28 (6) ◽

pp. 807-814 ◽

Cited By ~ 42

Author(s):

Stefano Trastulli ◽

Jacopo Desiderio ◽

Federico Farinacci ◽

Francesco Ricci ◽

Chiara Listorti ◽

...

Keyword(s):

Intracorporeal Anastomosis ◽

Right Colectomy ◽

Single Institution ◽

Short Term ◽

Robotic Right Colectomy

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Feasibility of robotic right colectomy with complete mesocolic excision and intracorporeal anastomosis: short-term outcomes of 161 consecutive patients

Updates in Surgery ◽

10.1007/s13304-021-01001-x ◽

2021 ◽

Author(s):

Paolo Pietro Bianchi ◽

Adelona Salaj ◽

Giuseppe Giuliani ◽

Luca Ferraro ◽

Giampaolo Formisano

Keyword(s):

Complete Mesocolic Excision ◽

Intracorporeal Anastomosis ◽

Right Colectomy ◽

Short Term ◽

Mesocolic Excision ◽

Robotic Right Colectomy

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The relationship between maximal expiratory pressure values and critical outcomes in mechanically ventilated patients: a post hoc analysis of an observational study

Annals of Intensive Care ◽

10.1186/s13613-020-00791-4 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Yann Combret ◽

Guillaume Prieur ◽

Roger Hilfiker ◽

Francis-Edouard Gravier ◽

Pauline Smondack ◽

...

Keyword(s):

Mechanical Ventilation ◽

Observational Study ◽

Univariate Analysis ◽

Premature Death ◽

Extubation Failure ◽

Short Term ◽

Expiratory Muscle ◽

Maximal Expiratory Pressure ◽

The Impact ◽

The Relationship

Abstract Background Little interest has been paid to expiratory muscle strength, and the impact of expiratory muscle weakness on critical outcomes is not known. Very few studies assessed the relationship between maximal expiratory pressure (MEP) and critical outcomes. The aim of this study was to investigate the relationship between MEP and critical outcomes. Methods This work was a secondary analysis of a prospective, observational study of adult patients who required mechanical ventilation for ≥ 24 h in an 18-bed ICU. MEP was assessed before extubation after a successful, spontaneous breathing trial. The relationships between MEP and extubation failure, and short-term (30 days) mortality, were investigated. Univariate logistic regressions were computed to investigate the relationship between MEP values and critical outcomes. Two multivariate analyses, with and without maximal inspiratory pressure (MIP), both adjusted using principal component analysis, were undertaken. Unadjusted and adjusted ROC curves were computed to compare the respective ability of MEP, MIP and the combination of both measures to discriminate patients with and without extubation failure or premature death. Results One hundred and twenty-four patients were included. Median age was 66 years (IQR 18) and median mechanical ventilation duration was 7 days (IQR 6). Extubation failure rate was 15% (18/124 patients) and the rate for 30-day mortality was 11% (14/124 patient). Higher MEP values were significantly associated with a lower risk of extubation failure in the univariate analysis [OR 0.96 95% CI (0.93–0.98)], but not with short-term mortality. MEP was independently linked with extubation failure when MIP was not included in the multivariate model, but not when it was included, despite limited collinearity between these variables. This study was not able to differentiate the respective abilities of MEP, MIP, and their combination to discriminate patients with extubation failure or premature death (adjusted AUC for the combination of MEP and MIP: 0.825 and 0.650 for extubation failure and premature death, respectively). Conclusions MEP is related to extubation failure. But, the results did not support its use as a substitute for MIP, since the relationship between MEP and critical outcomes was no longer significant when MIP was included. The use of MIP and MEP measurements combined did not reach higher discriminative capacities for critical outcomes that MEP or MIP alone. Trial Registration This study was retrospectively registered at https://clinicaltrials.gov/ct2/show/NCT02363231?cond=NCT02363231&draw=2&rank=1 (NCT02363231) in 13 February 2015

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Key Factors for Activated Carbon Adsorption of Pharmaceutical Compounds from Wastewaters: A Multivariate Modelling Approach

Water ◽

10.3390/w14020166 ◽

2022 ◽

Vol 14 (2) ◽

pp. 166

Author(s):

Rui M. C. Viegas ◽

Ana S. Mestre ◽

Elsa Mesquita ◽

Miguel Machuqueiro ◽

Marta A. Andrade ◽

...

Keyword(s):

Adsorption Capacity ◽

Activated Carbons ◽

Univariate Analysis ◽

Pharmaceutical Compounds ◽

Pls Regression ◽

Short Term ◽

Latent Structures ◽

The Impact ◽

Inorganic Matrix ◽

Modelling Approach

Projection to Latent Structures (PLS) regression, a generalization of multiple linear regression, is used to model two datasets (40 observed data points each) of adsorption removal of three pharmaceutical compounds (PhCs), of different therapeutic classes and physical–chemical properties (carbamazepine, diclofenac, and sulfamethoxazole), from six real secondary effluents collected from wastewater treatment plants onto different powdered activated carbons (PACs). For the PLS regression, 25 descriptors were considered: 7 descriptors related to the PhCs properties, 10 descriptors related to the wastewaters properties (8 related to the organic matrix and 2 to the inorganic matrix), and 8 descriptors related to the PACs properties. This modelling approach showed good descriptive capability, showing that hydrophobic PhC-PAC interactions play the major role in the adsorption process, with the solvation energy and log Kow being the most suitable descriptors. The results also stress the importance of the competition effects of water dissolved organic matter (DOM), namely of its slightly hydrophobic compounds impacting the adsorption capacity or its charged hydrophilic compounds impacting the short-term adsorption, while the water inorganic matrix only appears to impact PAC adsorption capacity and not the short-term adsorption. For the pool of PACs tested, the results point to the BET area as a good descriptor of the PAC capacity, while the short-term adsorption kinetics appears to be better related to its supermicropore volume and density. The improvement in these PAC properties should be regarded as a way of refining their performance. The correlations obtained, involving the impact of water, PhC and PAC-related descriptors, show the existence of complex interactions that a univariate analysis is not sufficient to describe.

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Robotic Right Colectomy with Intracorporeal Anastomosis: Experience with 52 Consecutive Cases

Journal of Laparoendoscopic & Advanced Surgical Techniques ◽

10.1089/lap.2014.0199 ◽

2015 ◽

Vol 25 (2) ◽

pp. 117-122 ◽

Cited By ~ 18

Author(s):

Henry J. Lujan ◽

Andres Molano ◽

Alfredo Burgos ◽

Brian Rivera ◽

Gustavo Plasencia

Keyword(s):

Intracorporeal Anastomosis ◽

Right Colectomy ◽

Robotic Right Colectomy

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Advantages of Robotic Right Colectomy With Intracorporeal Anastomosis

Surgical Laparoscopy Endoscopy & Percutaneous Techniques ◽

10.1097/sle.0000000000000384 ◽

2018 ◽

Vol 28 (1) ◽

pp. 36-41 ◽

Cited By ~ 26

Author(s):

Henry J. Lujan ◽

Gustavo Plasencia ◽

Brian X. Rivera ◽

Andres Molano ◽

Alex Fagenson ◽

...

Keyword(s):

Intracorporeal Anastomosis ◽

Right Colectomy ◽

Robotic Right Colectomy

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Right hemicolectomy – from laparoscopic facilitated technique to robotic intracorporeal anastomosis

Perspectives in Surgery ◽

10.33699/pis.2020.99.3.110-115 ◽

2020 ◽

Vol 99 (3) ◽

pp. 110-115

Keyword(s):

Minimally Invasive ◽

Operating Time ◽

Laparoscopic Approach ◽

Technical Difficulty ◽

Right Hemicolectomy ◽

Intracorporeal Anastomosis ◽

Right Colectomy ◽

The Other ◽

Laparoscopic Technique ◽

Operative Techniques

Several different operative techniques have been applied in minimally invasive right colectomy. Data reported in literature confirm the advantages of laparoscopic approach, however, there is no sure evidence of which one is the best. The pure laparoscopic technique with intracorporeal anastomosis seems to show some advantages compared to the other laparoscopic and open procedures, although for the price of technical difficulty and a longer operating time.

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Effect of Household Income on Short-Term Outcomes Following Cerebellopontine Angle Tumor Resection

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0040-1722664 ◽

2021 ◽

Author(s):

Vincent Huang ◽

Stephen P. Miranda ◽

Ryan Dimentberg ◽

Kaitlyn Shultz ◽

Scott D. McClintock ◽

...

Keyword(s):

Regression Analysis ◽

Household Income ◽

Cerebellopontine Angle ◽

Univariate Analysis ◽

Tumor Resection ◽

Index Admission ◽

P Value ◽

Short Term ◽

Significant Difference ◽

The Impact

Abstract Objectives The objective of this study is to elucidate the impact of income on short-term outcomes in a cerebellopontine angle (CPA) tumor resection population. Design This is a retrospective regression analysis. Setting This study was done at a single, multihospital, urban academic medical center. Participants Over 6 years (from June 7, 2013, to April 24, 2019), 277 consecutive CPA tumor cases were reviewed. Main Outcome Measures Outcomes studied included readmission, emergency department evaluation, unplanned return to surgery, return to surgery after index admission, and mortality. Univariate analysis was conducted among the entire population with significance set at a p-value <0.05. The population was divided into quartiles based on median household income and univariate analysis conducted between the lowest (quartile 1 [Q1]) and highest (quartile 4 [Q4]) socioeconomic quartiles, with significance set at a p-value <0.05. Stepwise regression was conducted to determine the correlations among study variables and to identify confounding factors. Results Regression analysis of 273 patients demonstrated decreased rates of unplanned reoperation (p = 0.015) and reoperation after index admission (p = 0.035) at 30 days with higher standardized income. Logistic regression between the lowest (Q1) and highest (Q4) socioeconomic quartiles demonstrated decreased unplanned reoperation (p = 0.045) and decreasing but not significant reoperation after index admission (p = 0.15) for Q4 patients. No significant difference was observed for other metrics of morbidity and mortality. Conclusion Higher socioeconomic status is associated with decreased risk of unplanned reoperation following CPA tumor resection.

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