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First 101 Robotic General Surgery Cases in a Community Hospital.

Title: First 101 Robotic General Surgery Cases in a Community Hospital.
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Name(s): Oviedo, Rodolfo J, author
Robertson, Jarrod C, author
Alrajhi, Sharifah, author
Type of Resource: text
Genre: Journal Article
Text
Date Issued: 2016-07-01
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: The general surgeon's robotic learning curve may improve if the experience is classified into categories based on the complexity of the procedures in a small community hospital. The intraoperative time should decrease and the incidence of complications should be comparable to conventional laparoscopy. The learning curve of a single robotic general surgeon in a small community hospital using the da Vinci S platform was analyzed. Measured parameters were operative time, console time, conversion rates, complications, surgical site infections (SSIs), surgical site occurrences (SSOs), length of stay, and patient demographics. Between March 2014 and August 2015, 101 robotic general surgery cases were performed by a single surgeon in a 266-bed community hospital, including laparoscopic cholecystectomies, inguinal hernia repairs; ventral, incisional, and umbilical hernia repairs; and colorectal, foregut, bariatric, and miscellaneous procedures. Ninety-nine of the cases were completed robotically. Seven patients were readmitted within 30 days. There were 8 complications (7.92%). There were no mortalities and all complications were resolved with good outcomes. The mean operative time was 233.0 minutes. The mean console operative time was 117.6 minutes. A robotic general surgery program can be safely implemented in a small community hospital with extensive training of the surgical team through basic robotic skills courses as well as supplemental educational experiences. Although the use of the robotic platform in general surgery could be limited to complex procedures such as foregut and colorectal surgery, it can also be safely used in a large variety of operations with results similar to those of conventional laparoscopy.
Identifier: FSU_pmch_27667913 (IID), 10.4293/JSLS.2016.00056 (DOI), PMC5027890 (PMCID), 27667913 (RID), 27667913 (EID), JSLS.2016.00056 (PII)
Keywords: Community Hospital, Learning Curve, Robotic General Surgery, Da Vinci S
Publication Note: This NIH-funded author manuscript originally appeared in PubMed Central at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5027890.
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_pmch_27667913
Owner Institution: FSU
Is Part Of: JSLS : Journal of the Society of Laparoendoscopic Surgeons.
1938-3797
Issue: iss. 3, vol. 20

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Oviedo, R. J., Robertson, J. C., & Alrajhi, S. (2016). First 101 Robotic General Surgery Cases in a Community Hospital. Jsls : Journal Of The Society Of Laparoendoscopic Surgeons. Retrieved from http://purl.flvc.org/fsu/fd/FSU_pmch_27667913