The impact of robotics on the mode of benign hysterectomy and clinical outcomes
Background The impact of robotics on benign hysterectomy surgical approach, clinical outcomes, and learning curve is still unclear. Methods Review of abdominal, vaginal, laparoscopic, or robotic cases in 156 US hospitals in the Premier Research Database. Results Of 289 875 hysterectomies, abdominal...
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| Veröffentlicht in: | The international journal of medical robotics + computer assisted surgery 2016-03, Vol.12 (1), p.114-124 |
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| container_title | The international journal of medical robotics + computer assisted surgery |
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| creator | Luciano, Anthony A. Luciano, Danielle E. Gabbert, Jessica Seshadri-Kreaden, Usha |
| description | Background
The impact of robotics on benign hysterectomy surgical approach, clinical outcomes, and learning curve is still unclear.
Methods
Review of abdominal, vaginal, laparoscopic, or robotic cases in 156 US hospitals in the Premier Research Database.
Results
Of 289 875 hysterectomies, abdominal cases decreased from 2005–2010 (60–33%) and minimally invasive approaches increased (40–67%). Conversion rates were: 0.04% for vaginal, 2.5% for robotic, and 7.2% for laparoscopy (P |
| doi_str_mv | 10.1002/rcs.1648 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1800481642</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1800481642</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4908-e6df67cc8062629db4dadeaae95c69eadd572b1cbcf16139b15859f56afdb5563</originalsourceid><addsrcrecordid>eNqFkV1LHDEUhkOxVKuF_gIJeOPNaDKTr7mUxW4LotVq9S5kkjM1dmayTWaw---brdtFBOlVQvLwHt7zIPSRkiNKSHkcbTqigqk3aIcyqQpei7utzZ3TbfQ-pQdCGGeCvUPbJZe8opTuoIvre8C-Xxg74tDiGJoweptwGPCYf_rgYPXewOB_DPh-mUaIYMfQL7EZHLadH7w1HQ7TaEMPaQ-9bU2X4MP63EU3n06vZ5-Ls4v5l9nJWWFZTVQBwrVCWquIKEVZu4Y548AYqLkVNRjnuCwbahvbUkGruqFc8brlwrSu4VxUu-jwKXcRw68J0qh7nyx0nRkgTElTlduqvJPy_6iURKlKcp7RgxfoQ5jikIv8pWjNyuezbQwpRWj1IvrexKWmRK986OxDr3xkdH8dODU9uA34T0AGiifg0XewfDVIX82-rQPXvM8mfm94E39qIXMHfXs-10zSu9vvV5f6a_UHdI-iug</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1770194256</pqid></control><display><type>article</type><title>The impact of robotics on the mode of benign hysterectomy and clinical outcomes</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Luciano, Anthony A. ; Luciano, Danielle E. ; Gabbert, Jessica ; Seshadri-Kreaden, Usha</creator><creatorcontrib>Luciano, Anthony A. ; Luciano, Danielle E. ; Gabbert, Jessica ; Seshadri-Kreaden, Usha</creatorcontrib><description>Background
The impact of robotics on benign hysterectomy surgical approach, clinical outcomes, and learning curve is still unclear.
Methods
Review of abdominal, vaginal, laparoscopic, or robotic cases in 156 US hospitals in the Premier Research Database.
Results
Of 289 875 hysterectomies, abdominal cases decreased from 2005–2010 (60–33%) and minimally invasive approaches increased (40–67%). Conversion rates were: 0.04% for vaginal, 2.5% for robotic, and 7.2% for laparoscopy (P < 0.001). Robotic surgery time was longest (3.4 h vs. 2.2 vaginal, 2.5 abdominal, 2.7 laparoscopy, P < 0.001). Robotic complication rate was lowest (14.8% vs. 16.2% vaginal, 18.6% laparoscopy, 28.9% abdominal, P < 0.001). Hospital stay was longer following abdominal surgery (3.5 days vs. 1.8 robotic, 1.9 vaginal, 1.8 laparoscopy, P < 0.001). Robotic surgery times and conversion and complication rates improved with experience (2.8 h, 2%, and 13.9%, respectively), even with increasing complexity.
Conclusions
Robotics was successfully incorporated without jeopardizing patient outcomes and increased the overall use of minimally invasive approaches. Copyright © 2015 John Wiley & Sons, Ltd.</description><identifier>ISSN: 1478-5951</identifier><identifier>EISSN: 1478-596X</identifier><identifier>DOI: 10.1002/rcs.1648</identifier><identifier>PMID: 25753111</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>abdominal ; Adult ; Conversion ; da Vinci surgical system ; Female ; Hospitals ; Humans ; Hysterectomy - adverse effects ; Hysterectomy - methods ; Laparoscopy ; learning curve ; Learning curves ; Medical ; Middle Aged ; Minimally Invasive Surgical Procedures ; Robotic Surgical Procedures - methods ; robotic-assisted hysterectomy ; Robotics ; Surgery ; Telesurgery ; vaginal</subject><ispartof>The international journal of medical robotics + computer assisted surgery, 2016-03, Vol.12 (1), p.114-124</ispartof><rights>Copyright © 2015 John Wiley & Sons, Ltd.</rights><rights>Copyright © 2016 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4908-e6df67cc8062629db4dadeaae95c69eadd572b1cbcf16139b15859f56afdb5563</citedby><cites>FETCH-LOGICAL-c4908-e6df67cc8062629db4dadeaae95c69eadd572b1cbcf16139b15859f56afdb5563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Frcs.1648$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Frcs.1648$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25753111$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luciano, Anthony A.</creatorcontrib><creatorcontrib>Luciano, Danielle E.</creatorcontrib><creatorcontrib>Gabbert, Jessica</creatorcontrib><creatorcontrib>Seshadri-Kreaden, Usha</creatorcontrib><title>The impact of robotics on the mode of benign hysterectomy and clinical outcomes</title><title>The international journal of medical robotics + computer assisted surgery</title><addtitle>Int J Med Robotics Comput Assist Surg</addtitle><description>Background
The impact of robotics on benign hysterectomy surgical approach, clinical outcomes, and learning curve is still unclear.
Methods
Review of abdominal, vaginal, laparoscopic, or robotic cases in 156 US hospitals in the Premier Research Database.
Results
Of 289 875 hysterectomies, abdominal cases decreased from 2005–2010 (60–33%) and minimally invasive approaches increased (40–67%). Conversion rates were: 0.04% for vaginal, 2.5% for robotic, and 7.2% for laparoscopy (P < 0.001). Robotic surgery time was longest (3.4 h vs. 2.2 vaginal, 2.5 abdominal, 2.7 laparoscopy, P < 0.001). Robotic complication rate was lowest (14.8% vs. 16.2% vaginal, 18.6% laparoscopy, 28.9% abdominal, P < 0.001). Hospital stay was longer following abdominal surgery (3.5 days vs. 1.8 robotic, 1.9 vaginal, 1.8 laparoscopy, P < 0.001). Robotic surgery times and conversion and complication rates improved with experience (2.8 h, 2%, and 13.9%, respectively), even with increasing complexity.
Conclusions
Robotics was successfully incorporated without jeopardizing patient outcomes and increased the overall use of minimally invasive approaches. Copyright © 2015 John Wiley & Sons, Ltd.</description><subject>abdominal</subject><subject>Adult</subject><subject>Conversion</subject><subject>da Vinci surgical system</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hysterectomy - adverse effects</subject><subject>Hysterectomy - methods</subject><subject>Laparoscopy</subject><subject>learning curve</subject><subject>Learning curves</subject><subject>Medical</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Robotic Surgical Procedures - methods</subject><subject>robotic-assisted hysterectomy</subject><subject>Robotics</subject><subject>Surgery</subject><subject>Telesurgery</subject><subject>vaginal</subject><issn>1478-5951</issn><issn>1478-596X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1LHDEUhkOxVKuF_gIJeOPNaDKTr7mUxW4LotVq9S5kkjM1dmayTWaw---brdtFBOlVQvLwHt7zIPSRkiNKSHkcbTqigqk3aIcyqQpei7utzZ3TbfQ-pQdCGGeCvUPbJZe8opTuoIvre8C-Xxg74tDiGJoweptwGPCYf_rgYPXewOB_DPh-mUaIYMfQL7EZHLadH7w1HQ7TaEMPaQ-9bU2X4MP63EU3n06vZ5-Ls4v5l9nJWWFZTVQBwrVCWquIKEVZu4Y548AYqLkVNRjnuCwbahvbUkGruqFc8brlwrSu4VxUu-jwKXcRw68J0qh7nyx0nRkgTElTlduqvJPy_6iURKlKcp7RgxfoQ5jikIv8pWjNyuezbQwpRWj1IvrexKWmRK986OxDr3xkdH8dODU9uA34T0AGiifg0XewfDVIX82-rQPXvM8mfm94E39qIXMHfXs-10zSu9vvV5f6a_UHdI-iug</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Luciano, Anthony A.</creator><creator>Luciano, Danielle E.</creator><creator>Gabbert, Jessica</creator><creator>Seshadri-Kreaden, Usha</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SC</scope><scope>7SP</scope><scope>7TB</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>JQ2</scope><scope>K9.</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>7X8</scope></search><sort><creationdate>201603</creationdate><title>The impact of robotics on the mode of benign hysterectomy and clinical outcomes</title><author>Luciano, Anthony A. ; Luciano, Danielle E. ; Gabbert, Jessica ; Seshadri-Kreaden, Usha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4908-e6df67cc8062629db4dadeaae95c69eadd572b1cbcf16139b15859f56afdb5563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>abdominal</topic><topic>Adult</topic><topic>Conversion</topic><topic>da Vinci surgical system</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hysterectomy - adverse effects</topic><topic>Hysterectomy - methods</topic><topic>Laparoscopy</topic><topic>learning curve</topic><topic>Learning curves</topic><topic>Medical</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>Robotic Surgical Procedures - methods</topic><topic>robotic-assisted hysterectomy</topic><topic>Robotics</topic><topic>Surgery</topic><topic>Telesurgery</topic><topic>vaginal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luciano, Anthony A.</creatorcontrib><creatorcontrib>Luciano, Danielle E.</creatorcontrib><creatorcontrib>Gabbert, Jessica</creatorcontrib><creatorcontrib>Seshadri-Kreaden, Usha</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luciano, Anthony A.</au><au>Luciano, Danielle E.</au><au>Gabbert, Jessica</au><au>Seshadri-Kreaden, Usha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of robotics on the mode of benign hysterectomy and clinical outcomes</atitle><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle><addtitle>Int J Med Robotics Comput Assist Surg</addtitle><date>2016-03</date><risdate>2016</risdate><volume>12</volume><issue>1</issue><spage>114</spage><epage>124</epage><pages>114-124</pages><issn>1478-5951</issn><eissn>1478-596X</eissn><abstract>Background
The impact of robotics on benign hysterectomy surgical approach, clinical outcomes, and learning curve is still unclear.
Methods
Review of abdominal, vaginal, laparoscopic, or robotic cases in 156 US hospitals in the Premier Research Database.
Results
Of 289 875 hysterectomies, abdominal cases decreased from 2005–2010 (60–33%) and minimally invasive approaches increased (40–67%). Conversion rates were: 0.04% for vaginal, 2.5% for robotic, and 7.2% for laparoscopy (P < 0.001). Robotic surgery time was longest (3.4 h vs. 2.2 vaginal, 2.5 abdominal, 2.7 laparoscopy, P < 0.001). Robotic complication rate was lowest (14.8% vs. 16.2% vaginal, 18.6% laparoscopy, 28.9% abdominal, P < 0.001). Hospital stay was longer following abdominal surgery (3.5 days vs. 1.8 robotic, 1.9 vaginal, 1.8 laparoscopy, P < 0.001). Robotic surgery times and conversion and complication rates improved with experience (2.8 h, 2%, and 13.9%, respectively), even with increasing complexity.
Conclusions
Robotics was successfully incorporated without jeopardizing patient outcomes and increased the overall use of minimally invasive approaches. Copyright © 2015 John Wiley & Sons, Ltd.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25753111</pmid><doi>10.1002/rcs.1648</doi><tpages>11</tpages></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | abdominal Adult Conversion da Vinci surgical system Female Hospitals Humans Hysterectomy - adverse effects Hysterectomy - methods Laparoscopy learning curve Learning curves Medical Middle Aged Minimally Invasive Surgical Procedures Robotic Surgical Procedures - methods robotic-assisted hysterectomy Robotics Surgery Telesurgery vaginal |
| title | The impact of robotics on the mode of benign hysterectomy and clinical outcomes |
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