{
  "abstract": "Background: Robotic-assisted colorectal surgery is increasingly adopted; however, evidence regarding outcomes during the early implementation phase remains limited. This study aimed to evaluate the feasibility and short-term outcomes of a newly established robotic colorectal surgery program at a tertiary referral center. Methods: All consecutive patients undergoing robotic colorectal resection between November 2019 and February 2026 were prospectively recorded and retrospectively analyzed. Perioperative outcomes, conversion rates, postoperative complications, in-hospital mortality, and histopathological results were assessed. Results: A total of 177 patients were included, with a progressive increase in surgical volume over time. Most procedures were performed for oncological indications (159, 90%), while 18 (10%) were performed for benign diseases. The most frequent procedures were right hemicolectomy (45%), left hemicolectomy (32%), and low anterior rectal resection (23%). Mean operative time was 331.1 ± 75.0 min. Conversion to open surgery occurred in 15 patients (8.5%), mainly due to extensive intra-abdominal adhesions, particularly during the early phase of the program. Postoperative complications occurred in 20 patients (11%), while 3 patients (2%) died during hospitalization. Major complications (Clavien–Dindo ≥ III) occurred in 7%, and anastomotic leakage in 3%. Mean hospital stay was 10.1 ± 7.6 days. R0 resection was reported in all cases, with adequate lymph-node retrieval for staging. Conclusions: In this single-center, non-comparative series, robotic colorectal surgery was feasible during program implementation, with acceptable short-term perioperative outcomes. Comparative studies are needed to determine its relative performance compared with laparoscopy.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Surgery, Sapienza University, 00161 Rome, Italy",
    "Interdepartmental Unit of Digestive and Operative Endoscopy (UOSD), Department of Surgery, Sapienza University, 00161 Rome, Italy"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 10,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Gaia Cicioni"
    },
    {
      "affs": [
        0
      ],
      "name": "Immacolata Iannone"
    },
    {
      "affs": [
        0
      ],
      "name": "Daniele Crocetti",
      "orcid": "0000-0001-9950-3553"
    },
    {
      "affs": [
        0
      ],
      "name": "Michelangelo Miccini",
      "orcid": "0000-0002-7079-725X"
    },
    {
      "affs": [
        0
      ],
      "name": "Daniele Biacchi"
    },
    {
      "affs": [
        0
      ],
      "name": "Enrico Spalice",
      "orcid": "0009-0009-6220-7588"
    },
    {
      "affs": [
        1
      ],
      "name": "Antonietta Lamazza"
    },
    {
      "affs": [
        1
      ],
      "name": "Michele Marchese"
    },
    {
      "affs": [
        0
      ],
      "name": "Enrico Fiori",
      "orcid": "0000-0002-5171-6127"
    },
    {
      "affs": [
        0
      ],
      "name": "Paolo Sapienza",
      "orcid": "0000-0002-0198-7930"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7cg1w10jxgrgk.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15208097",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13706235/?tool=EBI",
  "id": "7cg1w10jxgrgk",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://www.mdpi.com/2077-0383/15/20/8097",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2730|Colorectal Cancer Surgical Treatments"
    ]
  ],
  "openalex": "W7204150561",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13706235/pdf/?tool=EBI",
  "pmcid": "PMC13706235",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/7cg1w10jxgrgk.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:01Z",
      "native_id": "10.3390/jcm15208097",
      "source": "crossref",
      "url": "https://www.mdpi.com/2077-0383/15/20/8097"
    },
    {
      "first_seen": "2026-10-30T12:21:25Z",
      "native_id": "PMC:PMC13706235",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13706235"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2730|Colorectal Cancer Surgical Treatments",
      "subfield": "oncology"
    }
  ],
  "title": "Implementation of a Robotic Colorectal Surgery Program: Early Outcomes from a Tertiary Referral Center",
  "title_text": "Implementation of a Robotic Colorectal Surgery Program: Early Outcomes from a Tertiary Referral Center",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:25Z",
  "url": "https://research.draconitic.com/paper/7cg1w10jxgrgk",
  "venue": "Journal of Clinical Medicine",
  "versions": []
}