Learning curve of robotic-assisted transabdominal preperitoneal repair (rTAPP) for inguinal hernias

Proietti, Francesco; Regina, Davide La; Pini, Ramon; Giuseppe, Matteo Di; Cianfarani, Agnese; Mongelli, Francesco

doi:10.1007/s00464-020-08165-4

“…Our evaluation of the LC of a simple surgical technique excluded the effects of differences, such as surgical team performance or docking the da Vinci robotic system, other than operative or console time. Reports of completed LC for R‐TAPP by expert surgeons in L‐TAPP varied from 25 to 139 cases, but the majority of studies reported 30–50 cases, similar to our results 13–18 . We also performed 50 cases of RG during the same period.…”

Section: Discussionsupporting

confidence: 83%

“…Reports of completed LC for R‐TAPP by expert surgeons in L‐TAPP varied from 25 to 139 cases, but the majority of studies reported 30–50 cases, similar to our results. 13 , 14 , 15 , 16 , 17 , 18 We also performed 50 cases of RG during the same period. The LC in our report may be skewed, as it does not take into account the proficiency gained from using the robotic system in RG interspersed with R‐TAPP procedures.…”

Section: Discussionmentioning

confidence: 99%

How to Establish the Bipolar Forceps Dissection Method in Robotic Inguinal Hernia Repair

Saito

¹

,

Fukami

²

,

Komatsu

³

et al. 2021

Annals of Gastroent Surgery

Get access via publisher Add to dashboard Cite

Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.

show abstract

“…Die Lernkurve der r‑TAPP ist steil und die beschriebenen Reduktionen in der Operationszeit zeugen von der raschen und intuitiven Annahme der Vorteile der Robotik [ 27 , 28 ]. In einer Studie zur rTAPP aus Italien wurde berechnet, dass nach 43 r‑TAPPs durch erfahrene ChirurgInnen die Lernkurve das Plateau erreicht (von 70 min auf 61 min; [ 29 ]). Die r‑TAPP-Lernkurve des europäischen Pioniers der robotischen Hernienreparation Filip Muysoms aus Belgien zeigt ähnliche Ergebnisse: In einem Jahr wurde die Operationszeit (Schnitt-Naht) von 80 min auf 60 min gesenkt; bei Muysoms et al.…”

Section: Diskussionunclassified

Robotische Hernienchirurgie I

Ramser

¹

,

Baur

²

,

Keller

³

et al. 2021

Chirurg

Get access via publisher Add to dashboard Cite

Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.

show abstract

“… 35 , 48 Beyond orthopedics, CUSUM-based operative learning curves have reported to be approximately 30 cases for robot-assisted colorectal surgery, approximately 50 cases in surgical resection of advanced ovarian cancer, and 43 cases for robot-assisted transabdominal preperiotoneal repair of inguinal hernias. 31 , 37 , 43 Notably, the CUSUM learning curve for operative time is shorter than complication rate for the two surgeons in our series while no learning curve for patient reported outcomes was reported.…”

Section: Discussionmentioning

confidence: 62%

Results of single-incision distal biceps tendon repair for early-career upper-extremity surgeons

Baylor

¹

,

Torino

²

,

Udoeyo

³

et al. 2023

JSES International

1

0

Get access via publisher Add to dashboard Cite

Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.

Learning curve of robotic-assisted transabdominal preperitoneal repair (rTAPP) for inguinal hernias

Cited by 39 publications

References 28 publications

How to Establish the Bipolar Forceps Dissection Method in Robotic Inguinal Hernia Repair

How to Establish the Bipolar Forceps Dissection Method in Robotic Inguinal Hernia Repair

Robotische Hernienchirurgie I

Results of single-incision distal biceps tendon repair for early-career upper-extremity surgeons

Contact Info

Product

Resources

About