Formal robotic training diminishes the learning curve for robotic pancreatoduodenectomy: Implications for new programs in complex robotic surgery
| Autor: | Brian A. Boone, Kelsey A. Musgrove, Carl Schmidt, Alan A Thomay, Pavan Rao, Britney R. Harris, Melissa E. Hogg, Herbert J. Zeh, Amer H. Zureikat, J. Wallis Marsh |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Operative Time education 030230 surgery Article Pancreaticoduodenectomy 03 medical and health sciences 0302 clinical medicine Blood loss Humans Medicine Robotic surgery Retrospective Studies Surgeons business.industry Tertiary institution Robotics General Medicine Length of Stay Middle Aged Prognosis medicine.disease Pancreatic Neoplasms Oncology Learning curve Pancreatic fistula 030220 oncology & carcinogenesis Physical therapy Operative time Female Surgery business Learning Curve Follow-Up Studies Early analysis |
| Zdroj: | J Surg Oncol |
| ISSN: | 1096-9098 0022-4790 |
| Popis: | Introduction The learning curve associated with robotic pancreatoduodenectomy (RPD) is a hurdle for new programs to achieve optimal results. Since early analysis, robotic training has recently expanded, and the RPD approach has been refined. The purpose of this study is to examine RPD outcomes for surgeons who implemented a new program after receiving formal RPD training to determine if such training reduces the learning curve. Methods Outcomes for consecutive patients undergoing RPD at a single tertiary institution were compared to optimal RPD benchmarks from a previously reported learning curve analysis. Two surgical oncologists with formal RPD training performed all operations with one surgeon as bedside assistant and the other at the console. Results Forty consecutive RPD operations were evaluated. Mean operative time was 354 ± 54 min, and blood loss was 300 ml. Length of stay was 7 days. Three patients (7.5%) underwent conversion to open. Pancreatic fistula affected five patients (12.5%). Operative time was stable over the study and lower than the reported benchmark. These RPD operative outcomes were similar to reported surgeon outcomes after the learning curve. Conclusion This study suggests formal robotic training facilitates safe and efficient adoption of RPD for new programs, reducing or eliminating the learning curve. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text