Robotic pyeloplasty learning curve for a pediatric surgeon without previous laparoscopic pyeloplasty experience.
J Robot Surg
; 17(6): 2955-2962, 2023 Dec.
Article
em En
| MEDLINE
| ID: mdl-37864128
ABSTRACT
Robotic pyeloplasty has become a technique of choice for pyelo-ureteral junction syndrome treatment in children. Less invasive than open surgery, robotic pyeloplasty also has a lower learning curve than laparoscopic pyeloplasty. This is how a new generation of surgeons without previous laparoscopic pyeloplasty experience has begun training in robotics. To assess the robotic assisted pyeloplasty learning curve for a pediatric surgeon only trained in open pyeloplasty, and to investigate if that mode of practice is safe and effective. Data were collected from all children operated on for pyelo-ureteral junction syndrome by the same surgeon in our center between 2015 and 2021. Cases were divided into 4 groups of 14 consecutive procedures to analyze the learning curve. Fifty-six patients were operated on, with a median (IQR) age, weight, and hospital stay of 9 years and 1 month old (3.5), 29 kg (17.3), and 3 days (2), respectively. The mean ± SD operative times were 146.5 ± 39.3, 123.2 ± 48.1, 103.1 ± 29.5, and 141.7 ± 25.0 min, with a unique significant difference between groups 1 and 3 (p = 0.007**). Only two intraoperative and nine postoperative complications were observed. The surgery was successful in 98% cases. Our study shows that a significant improvement in surgical time could be achieved in the first 30 cases, safely and efficiently even without previous laparoscopic pyeloplasty experience.Level of evidence III.
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Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Obstrução Ureteral
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Laparoscopia
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Procedimentos Cirúrgicos Robóticos
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Cirurgiões
Limite:
Child
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Humans
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Infant
Idioma:
En
Revista:
J Robot Surg
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
França