{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T12:36:34Z","timestamp":1783600594855,"version":"3.55.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T00:00:00Z","timestamp":1757116800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Laparoscopic colectomy is standard for uncomplicated diverticulitis (UD) but has higher conversion and morbidity rates in complicated diverticulitis (CD). Robotic colectomy (RC) is increasingly used for both UD and CD. This study compared outcomes of RC for CD and UD and evaluated factors contributing to adverse outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using 2014-2021 NSQIP data, we identified patients with CD or UD who underwent RC. The primary endpoint was textbook outcome (TO), defined as absence of prolonged length of stay (LOS), major morbidity, readmission, anastomotic leak, or mortality within 30 days. Regression analyses were used to assess outcomes and associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 6829 patients, 4604 (67.4%) had UD, and 2225 (32.6%) had CD. Complicated diverticulitis patients were more often male (50.3% vs 41.0%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and had smoking history (21.0% vs 16.1%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), preoperative sepsis (3.1% vs 0.8%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), and delayed surgery &gt;1 day after admission (8.8% vs 1.9%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Textbook outcome was achieved in 48.5% of CD vs 62.9% of UD patients (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), and major morbidity occurred in 12.5% vs 5.4% (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). On regression analyses, CD patients had lower odds of achieving TO (OR 0.754 [95% CI 0.673-0.846]) and higher odds of major morbidity (1.949 [1.610-2.360]), conversion (1.577 [1.262-1.972]), prolonged LOS (1.280 [1.137-1.440]), iatrogenic complication (2.134 [1.561-2.918]), postoperative sepsis (2.653 [2.020-3.486]), and organ\/space infection (1.751 [1.374-2.232]). Factors associated with TO achievement were identified separately in UD and CD cohorts.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Robotic colectomy is a safe and feasible option for both UD and CD, with anticipated variations in complication rates reflecting differences in disease complexity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251376691","type":"journal-article","created":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T09:58:22Z","timestamp":1757152702000},"page":"2069-2078","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Outcomes Following Robotic Surgery for Complicated and Uncomplicated Diverticulitis"],"prefix":"10.1177","volume":"91","author":[{"given":"Usama","family":"Waqar","sequence":"first","affiliation":[{"name":"Emory University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney L.","family":"Devin","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terrah J.","family":"Paul Olson","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2880-2844","authenticated-orcid":false,"given":"Seth A.","family":"Rosen","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,6]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001679"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0715-8"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234294"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2021.07.012"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.3389\/frobt.2023.1208611"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16227"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2271"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-018-00914-x"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-021-08771-w"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-023-03138-y"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.9738\/INTSURG-D-13-00201.1"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v8.i4.308"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4393-5"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.4293\/108680813X13693422520512"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/ags3.12035"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181e6239e"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6507-3"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2015.0620"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2016.0409"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.01.042"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251376691","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348251376691","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251376691","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:38:26Z","timestamp":1777379906000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348251376691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,6]]},"references-count":20,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1177\/00031348251376691"],"URL":"https:\/\/doi.org\/10.1177\/00031348251376691","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,6]]}}}