Learning robotic pyeloplasty without simulators: an assessment of the learning curve in the early robotic era
Clinics
; 74: e777, 2019. tab, graf
Article
in En
| LILACS
| ID: biblio-1011900
Responsible library:
BR1.1
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.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Ureteral Obstruction
/
Laparoscopy
/
Learning Curve
/
Robotic Surgical Procedures
/
Surgeons
/
Kidney Pelvis
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
En
Journal:
Clinics
Journal subject:
MEDICINA
Year:
2019
Document type:
Article
Affiliation country:
Brazil
/
France