{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T14:36:07Z","timestamp":1792852567300,"version":"4.5.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":55,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Minimally invasive ileal pouch-anal anastomosis (IPAA), including laparoscopic and robotic-assisted approaches, has been shown to improve outcomes for ulcerative colitis (UC), but few studies have compared outcomes between robotic-assisted and conventional laparoscopic IPAA. This study aimed to evaluate short-term outcomes of robotic-assisted versus laparoscopic IPAA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study utilized the U.S. Nationwide Readmission Database from 2016 to 2020. Patients aged\u2009\u2265\u200918\u00a0years undergoing robotic or laparoscopic IPAA for UC were included. Outcomes measured were in-hospital mortality, length of stay (LOS), hospital costs, complications, and 30-day and 90-day readmission rates. Propensity score matching (PSM) was employed to balance baseline characteristics, and multivariable regression was applied for adjusted analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 820 patients with UC undergoing IPAA, 242 robot-assisted and 242 laparoscopic cases were matched after PSM. Baseline demographic and clinical characteristics were well balanced following PSM. Robotic-assisted IPAA was associated with higher total hospital costs compared with the laparoscopic approach (adjusted mean difference, 24,460 USD; 95% CI 7.69\u201341.24;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004). No significant differences were observed between groups in LOS, overall postoperative complications, or 30- and 90-day readmission rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this nationwide analysis, robotic-assisted IPAA was associated with higher hospital costs but comparable short-term clinical outcomes relative to laparoscopy. These findings suggest that while robotic IPAA is feasible and safe, its higher cost without clear short-term clinical benefit warrants careful consideration when selecting the surgical approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10151-025-03285-2","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T19:54:53Z","timestamp":1778615693000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Robotic versus laparoscopic ileal pouch-anal anastomosis for ulcerative colitis: an analysis of the Nationwide readmission database, 2016\u20132020"],"prefix":"10.1007","volume":"30","author":[{"given":"Ming-Hung","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Yao","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"key":"3285_CR1","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1016\/s0140-6736(23)00966-2","volume":"402","author":"C Le Berre","year":"2023","unstructured":"Le Berre C, Honap S, Peyrin-Biroulet L (2023) Ulcerative colitis. 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