Learning robotic pyeloplasty without simulators: an assessment of the learning curve in the early robotic era
Clinics
; 74: e777, 2019. tab, graf
Article
de En
| LILACS
| ID: biblio-1011900
Bibliothèque responsable:
BR1.1
ABSTRACT
OBJECTIVE:
To analyze our experience and learning curve for robotic pyeloplasty during this robotic procedure.METHODS:
Ninety-nine patients underwent 100 consecutive procedures. Cases were divided into 4 groups of 25 consecutive procedures to analyze the learning curve.RESULTS:
The median anastomosis times were 50.0, 36.8, 34.2 and 29.0 minutes (p=0.137) in the sequential groups, respectively. The median operative times were 144.6, 119.2, 114.5 and 94.6 minutes, with a significant difference between groups 1 and 2 (p=0.015), 1 and 3 (p=0.002), 1 and 4 (p<0.001) and 2 and 4 (p=0.022). The mean hospital stay was 7.08, 4.76, 4.88 and 4.20 days, with a difference between groups 1 and 2 (p<0.001), 1 and 3 (p<0.001) and 1 and 4 (p<0.001). Clinical and radiological improvements were observed in 98.9% of patients. One patient presented with recurrent obstruction.CONCLUSIONS:
Our results demonstrate a high success rate with low complication rates. A significant decrease in hospital stay and surgical time was evident after 25 cases.Mots clés
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Obstruction urétérale
/
Laparoscopie
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Courbe d'apprentissage
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Interventions chirurgicales robotisées
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Chirurgiens
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Pelvis rénal
Limites du sujet:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
/
Male
langue:
En
Texte intégral:
Clinics
Thème du journal:
MEDICINA
Année:
2019
Type:
Article