Effect of learning curve on the perioperative course of robotic-assisted laparoscopic donor nephrectomy compared with laparoscopic donor nephrectomy
Rev. Assoc. Med. Bras. (1992, Impr.)
;
67(7): 1033-1037, July 2021. tab
Article
Dans Anglais
| LILACS
| ID: biblio-1346941
ABSTRACT
Summary OBJECTIVE:
This study was designed to compare the standard and robotic-assisted laparoscopic donor nephrectomy in terms of perioperative course, short-term postoperative outcome, and to evaluate the effect of surgeon's learning curve on these parameters.METHODS:
This was a prospective randomized study including 60 patients (mean age, 47 years; age, 21-72 years; 26 males, 34 females) who had been planned laparoscopic donor nephrectomies in our clinic. For comparison of standard and robot-assisted techniques and to evaluate the impact of learning curve, patients were randomized into three groups by a computer, each group containing 20 patients. Group 1 standard laparoscopic donor nephrectomies; Group 2 the first 20 patients who underwent robot-assisted laparoscopic donor nephrectomy; and Group 3 the next 20 patients who underwent robot-assisted laparoscopic donor nephrectomy.RESULTS:
Operative time was significantly higher in Group 2 (221.0±45.1 min) than both Group 1 (183.5±16.9 min, p=0.001) and Group 3 (186.5±20.6 min, p=0.002). Similarly, time for laparoscopic system setup was significantly higher in Group 2 (39.5±8.6 min), which contained the first cases of robot-assisted laparoscopic donor nephrectomy where surgeon had least experience than Group 1 (19.3±3.7 min, p<0.001) and Group 3 (24.0±9.4 min, p<0.001). On the other hand, duration of operation and time for laparoscopic system setup was similar between Groups 1 and 3.CONCLUSIONS:
Learning curve extends the operative time and laparoscopic system setup time in robotic-assisted laparoscopic donor nephrectomy, however, after the learning process was completed, these parameters were similar between robotic-assisted and standard laparoscopic nephrectomy.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Laparoscopie
/
Interventions chirurgicales robotisées
Type d'étude:
Étude observationnelle
Limites du sujet:
Adulte
/
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Rev. Assoc. Med. Bras. (1992, Impr.)
Thème du journal:
EducaÆo em Sa£de
/
GestÆo do Conhecimento para a Pesquisa em Sa£de
/
Médicament
Année:
2021
Type:
Article
Pays d'affiliation:
Turquie
Institution/Pays d'affiliation:
Ankara Yıldırım Beyazıt University/TR
/
Ataturk Research and Training Hospital/TR
/
Osmangazi Faculty of Medicine/TR
/
Yıldırım Beyazıt University/TR
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