Safety Model for the Introduction of Robotic Surgery in Gynecology

Gomes, Mariano Tamura Vieira; Porto, Beatriz; Filho, José Pedro Parise; Vasconcelos, Ana; Bottura, B.F.; Marques, Renato Moretti

doi:10.1055/s-0038-1655746

Cited by 9 publications

(5 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previously published studies have reported a 2% open/radical conversion rate for robotic partial nephrectomy and a 1.1% conversion rate for robotic surgery for gynecology. 43 44 …”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Robotic Procedures Performed Using the da Vinci Robotic Surgical System at a Single Institute in Korea: Experience with 10000 Cases

et al. 2018

View full text Add to dashboard Cite

PurposeTo evaluate the efficacy and safety of robotic procedures performed using the da Vinci Robotic Surgical System at a single institute.Materials and MethodsWe analyzed all robotic procedures performed at Severance Hospital, Yonsei University Health System (Seoul, Korea). Reliability and mortality rates of the robotic surgeries were also investigated.ResultsFrom July 2005 to December 2013, 10267 da Vinci robotic procedures were performed in seven different departments by 47 surgeons at our institute. There were 5641 cases (54.9%) of general surgery, including endocrine (38.0%), upper (7.7%) and lower gastrointestinal tract (7.5%), hepato-biliary and pancreatic (1.2%), and pediatric (0.6%) surgeries. Urologic surgery (33.0%) was the second most common, followed by otorhinolaryngologic (7.0%), obstetric and gynecologic (3.2%), thoracic (1.5%), cardiac (0.3%), and neurosurgery (0.1%). Thyroid (40.8%) and prostate (27.4%) procedures accounted for more than half of all surgeries, followed by stomach (7.6%), colorectal (7.5%), kidney and ureter (5.1%), head and neck (4.0%), uterus (3.2%), thoracic (1.5%), and other (2.9%) surgeries. Most surgeries (94.5%) were performed for malignancies. General and urologic surgeries rapidly increased after 2005, whereas others increased slowly. Thyroid and prostate surgeries increased rapidly after 2007. Surgeries for benign conditions accounted for a small portion of all procedures, although the numbers thereof have been steadily increasing. System malfunctions and failures were reported in 185 (1.8%) cases. Mortality related to robotic surgery was observed for 12 (0.12%) cases.ConclusionRobotic surgeries have increased steadily at our institution. The da Vinci Robotic Surgical System is effective and safe for use during surgery.

show abstract

“…Previously published studies have reported a 2% open/radical conversion rate for robotic partial nephrectomy and a 1.1% conversion rate for robotic surgery for gynecology. 43 44 …”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Robotic Procedures Performed Using the da Vinci Robotic Surgical System at a Single Institute in Korea: Experience with 10000 Cases

et al. 2018

View full text Add to dashboard Cite

show abstract

“…8,9 Having medical, nursing, biomedical engineering and administrative staff in synchrony to adapt a new technology and assume their role in the new project can be a complex challenge. Although robotic surgery can have great advantages in terms of learning over laparoscopic surgery, 10 creating a robotic surgery program at any medical institution implies having surgeons that are trained and continuously training, personnel who learn the operation of a completely new equipment, with different surgical steps, and administrative staff looking to make a program that is different from anything they had previously managed, grow. In addition, carrying this out in a private hospital implies having an economic model with the capacity to create a business plan with the equipment supplier and insurance companies.…”

Section: Introductionmentioning

confidence: 99%

Robotic surgery at ABC Medical Center: first 500 procedures experience

Vasquez-Lastra¹,

Decanini-Terán²,

Maffuz‐Aziz³

et al. 2023

GMM

View full text Add to dashboard Cite

Background: Robotic surgery is a technological advance that is used in multiple surgical specialties in the world. Its acceptance in various areas has been supported by comparative studies with laparoscopic surgery and open surgery. Objective: To document the robotic surgery program initial experience in a private hospital of Mexico City by analyzing its results and complications. Material and method: The first 500 robotic surgeries practiced at ABC Medical Center were included, covering a three-year period (January 2017 to December 2019). The following was documented: specialties involved, surgeries broken down by specialty and type of surgery, surgical times, complications and number of doctors involved in the initial experience. Results: Out of 500 patients, 367 (73.4 %) were males and 133 (26.4 %) were females. The three most common surgeries were radical prostatectomy (269), hysterectomy (64) and inguinal repair (33). Average age was 58 years (range: 18 to 90 years). A total of 40 certified surgeons from five specialties performed all the procedures. Conclusions: Starting a program in a private medical center has several implications. The creation of a robotic surgery committee made up of certified robotic surgery specialists from each specialty and hospital authorities for the accreditation of guidelines for both certification and recertification of their doctors can benefit programs like ours by creating a center of excellence in robotic surgery and thus reduce complications and improve results.

show abstract

“…To date, 84 hospitals in Brazil have the robotic daVinci system and these institutions, as well as medical associations and regulatory entities, have been searching and working for the safety in the use of this technology and its association with good results for the patient 3 . On this topic, we recently published an article on the importance of proctors in robotic gynecological procedures when surgeons are performing their first procedures, providing a learning curve without increasing risks to the patient 5 . But the literature is scarce, and there is no global credentialing rules to assure the best and safest outcomes to patients 1 , 4 , 6 .…”

Section: Introductionmentioning

confidence: 99%