Performance of a multidisciplinary robotic surgery program at a university hospital (2012-2022).

Autor: Sanchez-Encinas M; Department of Urology, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain.; International Doctorate School, Rey Juan Carlos University, 28933, Madrid, Spain.; Research Institute-Fundacion Jimenez Diaz, Madrid, Spain., Rey-Biel J; Research Institute-Fundacion Jimenez Diaz, Madrid, Spain.; Department of Maxilofacial Surgery, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain., Alias D; Department of General Surgery, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain., Noguero-Meseguer R; Research Institute-Fundacion Jimenez Diaz, Madrid, Spain.; Department of Gynecology, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain., Granell J; Department of Otorhinolaryngology, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain., Muguruza I; Research Institute-Fundacion Jimenez Diaz, Madrid, Spain.; Department of Thoracic Surgery, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain., Herrero A; Research Institute-Fundacion Jimenez Diaz, Madrid, Spain., Ayala JL; Research Institute-Fundacion Jimenez Diaz, Madrid, Spain.; Department of Internal Medicine, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain., Barba R; International Doctorate School, Rey Juan Carlos University, 28933, Madrid, Spain. raquel.barba@hospitalreyjuancarlos.es.; Research Institute-Fundacion Jimenez Diaz, Madrid, Spain. raquel.barba@hospitalreyjuancarlos.es.; Department of Internal Medicine, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, Spain. raquel.barba@hospitalreyjuancarlos.es.
Jazyk: angličtina
Zdroj: Journal of robotic surgery [J Robot Surg] 2023 Dec; Vol. 17 (6), pp. 2869-2874. Date of Electronic Publication: 2023 Oct 07.
DOI: 10.1007/s11701-023-01726-4
Abstrakt: Robotic-assisted surgery has become widely adopted for its ability to expand the indications for minimally invasive procedures. This technology aims to improve precision, accuracy, and outcomes while reducing complications, blood loss, and recovery time. Successful implementation of a robotic surgery program requires careful initial design and a focus on maintenance and expansion to maximize its benefits. This article presents a comprehensive study conducted at a University Hospital on the robotic surgery program from December 2012 to December 2022. Data from hospital databases, including patient demographics, surgical department, surgical time, operating room occupancy, and primary diagnosis, were analyzed. The analysis covered various time periods (surgical sessions, weeks, months, and years) to assess the program's evolution over time. Over the 10-year period, a total of 1847 robotic-assisted interventions were performed across five surgical services. Urology accounted for 57% of the cases, general surgery 17%, gynecology 16%, otorhinolaryngology 6%, and thoracic surgery 4%. The most frequently performed procedures included robotic prostatectomies (643 cases), hysterectomies (261 cases), and colposacropexies (210 cases). The weekly volume of interventions showed a notable increase, rising from 2 cases per week in 2013-2014 cases in 2022. Moreover, the average surgical duration per intervention exhibited a progressive decrease from 275 min in 2013 to 184 min in 2022. This study highlights the potential of a well-managed robotic surgery program as a viable alternative to conventional surgical approaches. Effective coordination and resource utilization contribute to the program's efficiency. The findings underscore the successful integration of robotic-assisted surgery in diverse surgical specialties.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.)
Databáze: MEDLINE
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