Learning robotic pyeloplasty without simulators: an assessment of the learning curve in the early robotic era
Clinics
;
74: e777, 2019. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-1011900
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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Obstrução Ureteral
/
Laparoscopia
/
Curva de Aprendizado
/
Procedimentos Cirúrgicos Robóticos
/
Cirurgiões
/
Pelve Renal
Limite:
Adolescente
/
Adulto
/
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Clinics
Assunto da revista:
Medicina
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
França
Instituição/País de afiliação:
Centre Hospitalier Universitaire de Nancy/FR
/
Universidade de Sao Paulo/BR
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