Premium
Robotic general surgery experience: a gradual progress from simple to more complex procedures
Author(s) -
AlNaami M.,
Anjum M. N.,
Aldohayan A.,
AlKhayal K.,
Alkharji H.
Publication year - 2013
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1521
Subject(s) - simple (philosophy) , chart , computer science , robotic surgery , surgery , set (abstract data type) , blood loss , medicine , retrospective cohort study , medical physics , statistics , mathematics , philosophy , epistemology , programming language
Background Robotic surgery was introduced at our institution in 2003, and we used a progressive approach advancing from simple to more complex procedures. Methods A retrospective chart review. Results Cases included totalled 129. Set‐up and operative times have improved over time and with experience. Conversion rates to standard laparoscopic or open techniques were 4.7% and 1.6%, respectively. Intraoperative complications (6.2%), blood loss and hospital stay were directly proportional to complexity. There were no mortalities and the postoperative complication rate (13.2%) was within accepted norms. Conclusion Our findings suggest that robot technology is presently most useful in cases tailored toward its advantages, i.e. those confined to a single space, those that require performance of complex tasks, and re‐do procedures. Copyright © 2013 John Wiley & Sons, Ltd.