Surgeon satisfaction and outcomes of tele-proctoring for robotic gynecologic surgery
| Autor: | Umamaheswar Duvvuri, Michael J. Bonidie, Amanda M. Artsen, Linda S Burkett |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
2019-20 coronavirus outbreak Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) education Pilot Projects Health Informatics Personal Satisfaction Credentialing Tele-mentoring Gynecologic Surgical Procedures Robotic Surgical Procedures medicine Humans Robotic surgery Surgeons business.industry COVID-19 Mean age Middle Aged Surgery Tele-proctoring Surgical innovation Original Article Female business Abdominal surgery Healthcare system |
| Zdroj: | Journal of Robotic Surgery |
| ISSN: | 1863-2491 |
| DOI: | 10.1007/s11701-021-01280-x |
| Popis: | Surgical proctoring requires increasing resources in growing healthcare systems. In addition, travel has become less safe in the era of COVID-19. This study demonstrates surgeon satisfaction and safety with tele-proctoring in robotic gynecologic surgery. This pilot study assesses surgeon satisfaction and operative outcomes with a novel operative tele-proctoring system with a continuous two-way video-audio feed that allows the off-site surgeon to see the operating room, surgical field, and hands of the robotic surgeon. After thorough system testing, two experienced surgeons underwent tele-proctoring for hospital credentialing, completing 7 total cases. Each completed pre- and post-surveys developed from the Michigan Standard Simulation Experience Scale. Surgical characteristics were compared between tele-proctored cases and 59 historical cases proctored in-person over the last 8 years. Surgeons reported unanimous high satisfaction with tele-proctoring (5 ± 0). There were no major technologic issues. Five of the tele-proctored cases and 35 of controls were hysterectomies. Mean age was 48.2 ± 1.4 years, mean BMI was 29.6 ± 0.9 kg/m2, and mean uterine weight was 152 ± 112.3 g. Two-thirds had prior abdominal surgery (P > 0.1). Tele-proctored hysterectomies were 58 ± 6.5 min shorter than controls (P = 0.001). There were no differences in EBL or complication rates (P > 0.1). Tele-proctoring resulted in high surgeon satisfaction rates with no difference in EBL or complications. Tele-mentoring is a natural extension of tele-proctoring that could provide advanced surgical expertise far beyond where we can physically reach. |
| Databáze: | OpenAIRE |
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