An analysis of the impact of previous laparoscopic hysterectomy experience on the learning curve for robotic hysterectomy.

作者: A. Eddib , N. Jain , M. Aalto , S. Hughes , A. Eswar

DOI: 10.1007/S11701-012-0388-6

关键词:

摘要: To analyze and compare the safety perioperative outcomes of newly trained robotic surgeons with previous laparoscopic hysterectomy experience (TLH Exp) those without (Non-TLH Exp). The purpose is to determine effect advanced skills on performance in assisted surgery. We will also between total hysterectomies (TLH), (RALH) a single experienced surgeon. benefits and/or risks, if any, one approach over other hands an Prospective data were collected first consecutive series RALH performed by surgeons, morbidity being evaluated. In addition, retrsopective patients TLH group compared for benign same parameters that analyzed associations these two groups estimated blood loss (EBL), Hb drop, length hospital stay (LOS), procedure time, pain medication use, complications. had 64 patients, 72 patients. When comparing group, mean age was 44 45 (P = 0.8), BMI 27.7 29.5 kg/m2 0.2), time 121 174 min < 0.05), console 70 119 EBL 84 ml 0.3), drop 1.7 1.33 uterine weight 192 205 gms 0.7), 1.07 days respectively. lower OR, but higher hemoglobin no difference EBL. There operative deaths, or conversions either group. Morbidity occurred (3 %) each statistically significant groups. it included transfusion readmission postoperative ileus. Exp), complications return OR vaginal cuff dehiscence. surgeon’s own versus RALH, there 49 cases. 121.1 88.8 2.3 64.2 158 longer less loss. 2 transfusion, noted Previous appear only significantly impact procedure, not variables. Robotic surgery may level playing field basic surgeon hysterectomy. surgeon, assistance appeared lengthen reduce amount offer benefit reduced at expense operating time. Similar studies including different are needed validate points, thereby risk–benefit balance approaches simple hysterectomies.

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