Back to Search
Start Over
The effect of increased experience on complications in robotic hysterectomy for malignant and benign gynecological disease
- Source :
- Journal of Robotic Surgery. 9:321-330
- Publication Year :
- 2015
- Publisher :
- Springer Science and Business Media LLC, 2015.
-
Abstract
- The study objective was to assess the effect of increased experience on complications in robotic hysterectomy for malignant and benign gynecological disease. This is a retrospective cohort study. It is a Canadian Task Force classification II-2 study conducted at the University Hospital, Sweden. The patients were 949 women planned for robotic hysterectomy for malignant (75 %) and benign (25 %) gynecological disease between October 2005 and December 2013. They were continuously evaluated for the rate of intraoperative and postoperative complications up to 1-year post-surgery, the latter according to Clavien-Dindo classification following the introduction of robotic surgery with special awareness of complications possibly related to robot-specific risk factors, the description of refinement of practice and assessment of the effect of these measures. The rate of intraoperative complications, the overall rate of complications and the rate of ≥grade 3 complications decreased from the first to the last time period (4.8 vs 2.6 %, p = 0.037, 34 vs 19 %, p = 0.003 and 13.5 vs 3.2 %, p = 0.0003, respectively). The rate of intraoperative complications and the rate of postoperative complications possibly related to robot-specific risk factors was reduced from the first to the last time period (3.8 vs 0.6 %, p = 0.028 and 7.7 vs 1.5 %, p = 0.003, respectively). In patients undergoing robotic hysterectomy for malignant and benign gynecological disease intraoperative and postoperative complications and complications possibly related to the robotic approach diminish with training, experience and refinement of practice.
- Subjects :
- Adult
medicine.medical_specialty
Gynecological disease
medicine.medical_treatment
Health Informatics
Hysterectomy
Young Adult
Postoperative Complications
Robotic Surgical Procedures
Risk Factors
medicine
Humans
Robotic surgery
Young adult
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Retrospective cohort study
Middle Aged
University hospital
Surgery
Robotic hysterectomy
Female
business
Genital Diseases, Female
Subjects
Details
- ISSN :
- 18632491 and 18632483
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Journal of Robotic Surgery
- Accession number :
- edsair.doi.dedup.....9536747c7ac1d7cdf4e7fd6a47b94472