Higher robotic colorectal surgery volume improves outcomes - 25/04/18
Abstract |
In this study we sought to assess the effect of surgeon volume on outcomes of robotic colorectal operations performed by surgeons with low or high volume across a large health system. We performed a retrospective review of colon or rectal resections performed between January 1, 2013 and January 1, 2017 within the Providence Health System Hospitals. Procedures were separated into those performed by surgeons with high volume (30 or more robotic cases per year) vs. low volume. A total of 8 high volume and 41 low volume robotic surgeons were included in the study. High volume surgeons had a significantly shorter length of hospital stay, lower conversion rate, and lower total hospital cost. There were no differences in complications or rate of readmission. Many studies have shown that outcomes improve with increased experience. These data suggest that if a surgeon maintains robotic experience there can be improvements in cost, length of stay and conversion rates.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Compared outcomes of high volume robotic surgeons (30 or greater cases/year) to low volume surgeons in colorectal procedures. |
• | Outcome measures were mean OR time, conversion to open, postop complications, LOS, readmission & total direct cost. |
• | 8 high volume surgeons performed 532 cases while 41 low volume surgeons performed 425 cases. |
• | High volume surgeons show benefit in operative time, LOS, conversion, total direct cost. |
• | There was no difference in complication or readmission rates between the groups. |
Plan
Vol 215 - N° 5
P. 874-878 - mai 2018 Retour au numéro
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- Discussion of “Patients with sentinel lymph node positive melanoma: Who needs completion lymph node dissection?”
- John K. Macfarlane
- Discussion of “Higher robotic colorectal surgery volume improves outcomes”
- Ravi Moonka
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