The effect of bedside assistant technical performance on outcomes in robotic surgery.

Autor: Hazen JK; Division of Bariatric and Foregut Surgery, Department of Surgery, University of Texas Southwestern, 5323 Harry Hines Blvd, Dallas, TX, 75390-9158, USA., Scott DJ; Division of Bariatric and Foregut Surgery, Department of Surgery, University of Texas Southwestern, 5323 Harry Hines Blvd, Dallas, TX, 75390-9158, USA., Holcomb CN; Division of Bariatric and Foregut Surgery, Department of Surgery, University of Texas Southwestern, 5323 Harry Hines Blvd, Dallas, TX, 75390-9158, USA. Carla.Holcomb@utsouthwestern.edu.
Jazyk: angličtina
Zdroj: Journal of robotic surgery [J Robot Surg] 2023 Jun; Vol. 17 (3), pp. 711-718. Date of Electronic Publication: 2022 Nov 21.
DOI: 10.1007/s11701-022-01497-4
Abstrakt: Technical performance in surgery has been associated with patient outcomes. Robotic surgery is unique in that both a console surgeon and bedside surgeon are required. A systematic review according to PRISMA guidelines identified all pertinent literature regarding skill level of the bedside assistant with regards to patient outcomes in robotic surgery. 10 studies met inclusion criteria. In all studies, the skill level of the assistant was based on experience, either by post-graduate year of the resident or number of cases previously performed by the assistant. Five studies reported significant, shorter operative times with increasing experience of the bedside assistant. No study reported a significant difference in postoperative outcomes. The existing literature fails to show improved patient outcomes with more experienced bedside assistants in robotic surgery. Metrics should be developed to measure actual technical performance of the bedside assistant rather than using arbitrary assessments of experience in future studies.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.)
Databáze: MEDLINE
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