Implementation of robotic pancreaticoduodenectomy at a community tertiary care hospital utilizing a comprehensive curriculum - 22/02/24
, Rebecca L. Keim a, Sarah E. Mazzaferro a, Kristin S. Mir a, Michael A. Gorman a, Ujas S. Shah aAbstract |
Background |
We evaluated the outcomes of a robotic pancreaticoduodenectomy (RPD) program implemented at a community tertiary care hospital.
Methods |
A retrospective review of 65 RPD cases compared surgical outcomes and performance to benchmark data.
Results |
Postoperative complications occurred in 31% (20) of patients vs. ≤73% (variance −42), with grade IV complications in 3% (2) vs. ≤5% (variance −2). Postoperative pancreatic fistula type B frequency was 12% (8) vs. ≤15% (variance −3). One 90-day mortality occurred (1.5% vs. 1.6%). Failure to rescue rate was 7% vs. ≤9% (variance −2), and R1 resection rate was 2% vs. ≤39% (variance −37). There was a downward trend of operative time (rho = −0.600, P < 0.001), with a learning curve of 27 cases. Median hospital length of stay was 6 days vs. ≤15 days (variance −9).
Conclusion |
Our comprehensive RPD training program resulted in improved operative performance and outcomes commensurate with benchmark thresholds.
Le texte complet de cet article est disponible en PDF.Highlights |
• | First use of benchmark data to validate surgical safety in robotic approach. |
• | Successful robotic surgery training program at smaller hospital with PA support. |
• | Curriculum optimizes surgical learning curve to 27 cases. |
Keywords : Pancreaticoduodenectomy, HPB surgery, Minimally invasive surgery (MIS)
Plan
Vol 228
P. 83-87 - février 2024 Retour au numéro
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