Dual-console robotic surgery compared to laparoscopic surgery with respect to surgical outcomes in a gynecologic oncology fellowship program.

作者: Ashlee L. Smith , Thomas C. Krivak , Eirwen M. Scott , Jose Alejandro Rauh-Hain , Paniti Sukumvanich

DOI: 10.1016/J.YGYNO.2012.05.017

关键词:

摘要: Abstract Objective Minimally invasive surgical techniques decrease morbidity and recovery time. Studies demonstrate similar outcomes comparing robotic to laparoscopic surgery. These studies have not accounted for the incorporation of fellow education. With dual-console da Vinci Si Surgical System®, a two surgeon approach could be performed. We sought compare at gynecologic oncology fellowship program traditional surgeries using system. Methods identified patients who underwent or surgery performed by oncologist from November 2009–November 2010. Robotic were conducted dual-console, utilizing approach. Surgeries involved staff physician with fellow. Statistical analysis was student t -test chi-squared analysis. Results A total 222 cases identified. Cases analyzed in groups: all identified, cancer cases, endometrial only. When analyzing no statistical difference noted operating room time (172 vs. 175min; p=0.6), pelvic lymph nodes removed (10.1 9.6; p=0.69), para-aortic dissected (3.7 3.8; p=0.91), length stay (1.5 1.3days; p=0.3). There significant (131 vs.110min; p Conclusion Incorporating education into does adversely affect when compared

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