Learning robotic pyeloplasty without simulators: an assessment of the learning curve in the early robotic era.
Clinics (Sao Paulo)
; 74: e777, 2019.
Article
en En
| MEDLINE
| ID: mdl-31271586
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:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Obstrucción Ureteral
/
Laparoscopía
/
Curva de Aprendizaje
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Procedimientos Quirúrgicos Robotizados
/
Cirujanos
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Pelvis Renal
Límite:
Adolescent
/
Adult
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Aged
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Aged80
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Clinics (Sao Paulo)
Asunto de la revista:
MEDICINA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Brasil