Thoracic robotics at the Heart Hospital Baylor Plano: the first 20 cases
| Autor: | G. Kimble Jett |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Paroxysmal atrial fibrillation business.industry Bronchopleural fistula Atrial fibrillation General Medicine medicine.disease 030218 nuclear medicine & medical imaging Surgery Cost savings Multipatient Studies 03 medical and health sciences Catheter 0302 clinical medicine Pneumothorax Cardiothoracic surgery 030220 oncology & carcinogenesis medicine Hospital discharge business |
| Zdroj: | Proceedings (Baylor University. Medical Center). 25(4) |
| ISSN: | 1525-3252 |
| Popis: | A da Vinci Robotic Surgical System was purchased for The Heart Hospital Baylor Plano in fall 2011 and a program for robotic-assisted thoracic surgery commenced at the facility. Successive thoracic patients were offered and accepted a robotic-assisted operation. No patient was excluded because of age, height, weight, or comorbidities. The first 20 patients are summarized herein. Of the first 10 operations, only one was a lobectomy. As the program staff gained experience, seven of the latter 10 procedures were lobectomies. The average length of stay was 2.6 days (longest, 4 days). The average operating room time was 147 minutes overall and 200 minutes for lobectomies. The longest operating room time was 337 minutes in a patient who underwent a right middle lobectomy that was converted to a video-assisted thoracic surgery. Two patients developed atrial fibrillation, one of whom had a pacemaker and a history of paroxysmal atrial fibrillation. One patient developed a bronchopleural fistula on the first postoperative day, following a coughing episode. One patient was readmitted 6 days after hospital discharge with a pneumothorax, which was successfully treated with a small-bore catheter. In conclusion, robotic-assisted thoracic surgery has many advantages. Decreased complications can lead to improved outcomes, and hospitals can achieve cost savings as a result of reduced length of stay. |
| Databáze: | OpenAIRE |
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