Implementation of robotic gynecological surgery in a German University Hospital: patient safety after 110 procedures
Uložené v:
| Názov: | Implementation of robotic gynecological surgery in a German University Hospital: patient safety after 110 procedures |
|---|---|
| Autori: | Dimitrios Balafoutas, Achim Wöckel, Christine Wulff, Ralf Joukhadar |
| Zdroj: | Arch Gynecol Obstet |
| Informácie o vydavateľovi: | Springer Science and Business Media LLC, 2020. |
| Rok vydania: | 2020 |
| Predmety: | Adult, 2. Zero hunger, ddc:610, Endometriosis, Middle Aged, Hysterectomy, Hospitals, 3. Good health, Female [MeSH], Implementation, Aged [MeSH], Adult [MeSH], Humans [MeSH], Retrospective Studies [MeSH], General Gynecology, Middle Aged [MeSH], Hospitals [MeSH], Polyvinylidene fluoride (PVDF), Polyvinyls [MeSH], Endometriosis/surgery [MeSH], Genital Diseases, Female/surgery [MeSH], Patient Safety [MeSH], Gynecologic Surgical Procedures/methods [MeSH], Germany [MeSH], Robotic complications, Postoperative Complications/etiology [MeSH], Salpingectomy/methods [MeSH], Robotic Surgical Procedures/methods [MeSH], Outcome Assessment, Health Care [MeSH], Hysterectomy/methods [MeSH], Robotic hysterectomy, Robotic sacrocolpopexy, Salpingectomy, 03 medical and health sciences, Gynecologic Surgical Procedures, Postoperative Complications, 0302 clinical medicine, Robotic Surgical Procedures, Germany, Outcome Assessment, Health Care, Humans, Female, Polyvinyls, Patient Safety, Genital Diseases, Female, Aged, Retrospective Studies |
| Popis: | Purpose Robotic surgery represents the latest development in the field of minimally invasive surgery and offers many technical advantages. Despite the higher costs, this novel approach has been applied increasingly in gynecological surgery. Regarding the implementation of a new operative method; however, the most important factor to be aware of is patient safety. In this study, we describe our experience in implementing robotic surgery in a German University Hospital focusing on patient safety after 110 procedures. Methods We performed a retrospective analysis of 110 consecutive robotic procedures performed in the University Hospital of Würzburg between June 2017 and September 2019. During this time, 37 patients were treated for benign general gynecological conditions, 27 patients for gynecological malignancies, and 46 patients for urogynecological conditions. We evaluated patient safety through standardized assessment of intra- and postoperative complications, which were categorized according to the Clavien–Dindo classification. Results No complications were recorded in 90 (81.8%) operations. We observed Clavien–Dindo grade I complications in 8 (7.3%) cases, grade II complications in 5 (4.5%) cases, grade IIIa complications in 1 case (0.9%), and grade IIIb complications in 6 (5.5%) cases. No conversion to laparotomy or blood transfusion was needed. Conclusion Robotic surgery could be implemented for complex gynecological operations without relevant problems and was accompanied by low complication rates. |
| Druh dokumentu: | Article Other literature type |
| Popis súboru: | application/pdf |
| Jazyk: | English |
| ISSN: | 1432-0711 0932-0067 |
| DOI: | 10.1007/s00404-020-05751-8 |
| Prístupová URL adresa: | https://link.springer.com/content/pdf/10.1007/s00404-020-05751-8.pdf https://pubmed.ncbi.nlm.nih.gov/32844240 https://pubmed.ncbi.nlm.nih.gov/32844240/ https://link.springer.com/article/10.1007/s00404-020-05751-8 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7584536 https://link.springer.com/content/pdf/10.1007/s00404-020-05751-8.pdf https://www.ncbi.nlm.nih.gov/pubmed/32844240 https://repository.publisso.de/resource/frl:6466692 https://opus.bibliothek.uni-wuerzburg.de/files/23265/Balafoutas2020_Article_ImplementationOfRoboticGynecol.pdf https://opus.bibliothek.uni-wuerzburg.de/frontdoor/index/index/docId/23265 https://nbn-resolving.org/urn:nbn:de:bvb:20-opus-232650 https://doi.org/10.1007/s00404-020-05751-8 |
| Rights: | CC BY |
| Prístupové číslo: | edsair.doi.dedup.....35a238c19e5252ef17adb946933e5e88 |
| Databáza: | OpenAIRE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstrakt: | Purpose Robotic surgery represents the latest development in the field of minimally invasive surgery and offers many technical advantages. Despite the higher costs, this novel approach has been applied increasingly in gynecological surgery. Regarding the implementation of a new operative method; however, the most important factor to be aware of is patient safety. In this study, we describe our experience in implementing robotic surgery in a German University Hospital focusing on patient safety after 110 procedures. Methods We performed a retrospective analysis of 110 consecutive robotic procedures performed in the University Hospital of Würzburg between June 2017 and September 2019. During this time, 37 patients were treated for benign general gynecological conditions, 27 patients for gynecological malignancies, and 46 patients for urogynecological conditions. We evaluated patient safety through standardized assessment of intra- and postoperative complications, which were categorized according to the Clavien–Dindo classification. Results No complications were recorded in 90 (81.8%) operations. We observed Clavien–Dindo grade I complications in 8 (7.3%) cases, grade II complications in 5 (4.5%) cases, grade IIIa complications in 1 case (0.9%), and grade IIIb complications in 6 (5.5%) cases. No conversion to laparotomy or blood transfusion was needed. Conclusion Robotic surgery could be implemented for complex gynecological operations without relevant problems and was accompanied by low complication rates. |
|---|---|
| ISSN: | 14320711 09320067 |
| DOI: | 10.1007/s00404-020-05751-8 |