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The effect of increased experience on complications in robotic hysterectomy for malignant and benign gynecological disease.

Aardal Lönnerfors, Celine LU ; Reynisson, Petur LU ; Geppert, Barbara LU and Persson, Jan LU (2015) In Journal of Robotic Surgery 9(4). p.321-330
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... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Robotic Surgery
volume
9
issue
4
pages
321 - 330
publisher
Springer London
external identifiers
  • PMID:26530844
  • Scopus:84947043932
ISSN
1863-2491
DOI
10.1007/s11701-015-0534-z
language
English
LU publication?
yes
id
7235c2b5-e2b5-4451-ab4c-118ea8d50219 (old id 8243387)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26530844?dopt=Abstract
date added to LUP
2015-12-02 18:57:17
date last changed
2016-10-30 04:37:13
@misc{7235c2b5-e2b5-4451-ab4c-118ea8d50219,
  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.},
  author       = {Aardal Lönnerfors, Celine and Reynisson, Petur and Geppert, Barbara and Persson, Jan},
  issn         = {1863-2491},
  language     = {eng},
  number       = {4},
  pages        = {321--330},
  publisher    = {ARRAY(0x7dfb2b0)},
  series       = {Journal of Robotic Surgery},
  title        = {The effect of increased experience on complications in robotic hysterectomy for malignant and benign gynecological disease.},
  url          = {http://dx.doi.org/10.1007/s11701-015-0534-z},
  volume       = {9},
  year         = {2015},
}