AB072. SOH26AB_0184. Robotic colorectal resections for benign disease: outcomes from a single-centre tertiary referral cohort
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AB072. SOH26AB_0184. Robotic colorectal resections for benign disease: outcomes from a single-centre tertiary referral cohort

Isa Aly1,2, Mark Behan1,2, Ian Stephens2, Sean Martin2, Desmond Winters2, Rory Kennelly2

1Centre for Colorectal Disease, St. Vincent’s University Hospital, Dublin, Ireland; 2Colorectal Department, St. Vincent’s University Hospital, Dublin, Ireland

Background: Robotic colorectal surgery is increasingly utilized for benign conditions, including diverticular disease (DD) and inflammatory bowel disease (IBD). Comparative outcomes versus conventional approaches remain limited. We report perioperative outcomes of robotic colorectal resections for benign disease at a single tertiary referral centre, with reference to published laparoscopic data.

Methods: A retrospective cohort study was performed using a prospectively maintained database of all patients undergoing robotic colorectal resection for DD or IBD between 1st January 2018 and 1st August 2025. Primary outcomes included conversion to open surgery, postoperative complications, anastomotic leak, length of stay (LOS), and 30-day readmission. Secondary outcomes included operative time, stoma formation, and intraoperative blood loss.

Results: Eighty-one patients were included: 49 DD and 32 IBD. Conversion to open surgery occurred in 1/32 (3%) IBD cases and 0/49 DD cases. Postoperative complications occurred in 10/81 patients (12%), with Clavien-Dindo ≥3 in 5/81 (6%). Mean operative time was 198.6±137.6 min for DD and 187.6±153.5 min for IBD. Mean estimated blood loss was 110±137.6 mL for DD and 111.8±153.5 mL for IBD. Median LOS was 8.96±24.3 days for DD and 7.84±24.9 days for IBD. Stoma formation occurred in 7/49 DD patients (14%) and 7/13 IBD patients with an anastomosis (54%). Eight patients (10%) were readmitted within 30 days (DD 3 and IBD 5).

Conclusions: Robotic colorectal resection for benign disease in this tertiary centre cohort was safe and feasible, with low conversion rates, acceptable complication rates, and predictable perioperative outcomes. Despite relatively long operative times and LOS, robotic surgery facilitated technically complex resections in DD and IBD. These outcomes are comparable to published laparoscopic series, supporting the role of robotics in specialized centres.

Keywords: Diverticular disease (DD); robotic surgery; perioperative outcomes; inflammatory bowel disease (IBD); textbook outcomes

Acknowledgments

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Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-26-ab072
Cite this abstract as: Aly I, Behan M, Stephens I, Martin S, Winters D, Kennelly R. AB072. SOH26AB_0184. Robotic colorectal resections for benign disease: outcomes from a single-centre tertiary referral cohort. Mesentery Peritoneum 2026;10:AB072.

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