Short-term clinical outcomes of a European training programme for robotic colorectal surgery
| Autor: | Sofoklis Panteleimonitis, Matthias Turina, Giuseppe Spinoglio, Danilo Miskovic, Amjad Parvaiz, Earcs Collaborative, Richard J. Heald, Rachelle Bissett-Amess, Nuno Figueiredo |
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| Přispěvatelé: | University of Zurich, Parvaiz, Amjad |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Surgical training education Operative Time 610 Medicine & health Anastomotic Leak Anastomosis Minimally invasive colorectal surgery Article Robotic Surgical Procedures Internal medicine Robotic colorectal surgery Patient harm medicine Robotic surgery training Humans Training programme 10217 Clinic for Visceral and Transplantation Surgery Retrospective Studies Proctectomy business.industry Rectal Neoplasms General surgery Hepatology Length of Stay Colorectal surgery 2746 Surgery Robotic rectal surgery Treatment Outcome Cohort Operative time Surgery Laparoscopy business Colorectal Surgery Abdominal surgery |
| Zdroj: | Surgical Endoscopy |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | Background Despite there being a considerable amount of published studies on robotic colorectal surgery (RCS) over the last few years, there is a lack of evidence regarding RCS training pathways. This study examines the short-term clinical outcomes of an international RCS training programme (the European Academy of Robotic Colorectal Surgery—EARCS). Methods Consecutive cases from 26 European colorectal units who conducted RCS between 2014 and 2018 were included in this study. The baseline characteristics and short-term outcomes of cases performed by EARCS delegates during training were analysed and compared with cases performed by EARCS graduates and proctors. Results Data from 1130 RCS procedures were collected and classified into three cohort groups (323 training, 626 graduates and 181 proctors). The training cases conversion rate was 2.2% and R1 resection rate was 1.5%. The three groups were similar in terms of baseline characteristics with the exception of malignant cases and rectal resections performed. With the exception of operative time, blood loss and hospital stay (training vs. graduate vs. proctor: operative time 302, 265, 255 min, p p p = 0.003), all remaining short-term outcomes (conversion, 30-day reoperation, 30-day readmission, 30-day mortality, clinical anastomotic leak, complications, R1 resection and lymph node yield) were comparable between the three groups. Conclusions Colorectal surgeons learning how to perform RCS under the EARCS-structured training pathway can safely achieve short-term clinical outcomes comparable to their trainers and overcome the learning process in a way that minimises patient harm. |
| Databáze: | OpenAIRE |
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