Complications of Robotic Surgery in Urology: Our Experience of 342 Procedures Including the Learning Curve

Objective: The aim of this study is to analyze the complications of all robot-assisted surgeries performed in our clinic and to investigate the effect of the learning curve on complications occurred. Materials and Methods: Data on a total of 342 robotic surgeries performed in our clinic between March 2015 and February 2018 was retrospectively analyzed. Two surgeons, who performed the surgery, were experienced in urological laparoscopic procedures. Intraoperative and postoperative complications were evaluated. According to the experience of robotic surgery, the complications were divided into two groups as those occurred in the first 18 months (March 2015-August 2016) and in the second 18 months (September 2016-February 2018). The complications were classified according to the Clavien-Dindo classification. Results: A total of 32 complications occurred in 31 of 342 patients undergoing robot-assisted surgery. The overall complication rate was 9.4%. The number of minor complications was 20 (62.5%), and the number of major complications was 12 (37.5%). Among all, 6.2% were intraoperative complications, 62.5% were postoperative complications, and 31.3% were medical complications. It was observed that the number of complications was plateaued after August 2016 and there was a statistically significant difference between the first and the second 18 months (p

Ürolojide Robotik Cerrahi Komplikasyonları: Öğrenme Eğrisini de Kapsayan 342 Hastalık Deneyimimiz

Amaç: Bu çalışmanın amacı kliniğimizde uygulanan tüm robot yardımlı ameliyatlardaki komplikasyonları analiz etmek ve öğrenme eğrisinin komplikasyon gelişimi üzerine etkisini araştırmaktır. Gereç ve Yöntem: Mart 2015 ile Şubat 2018 arasında kliniğimizde uygulanan toplam 342 robotik cerrahinin verileri analiz edildi. İki cerrah da ürolojik laparoskopik cerrahide deneyimliydi. İntraoperatif ve postoperatif komplikasyonlar değerlendirildi. Robotik cerrahi deneyimine göre ilk 18 ayda (Mart 2015-Ağustos 2016) ve ikinci 18 ayda (Eylül 2016-Şubat 2018) karşılaşılan komplikasyonlar olarak iki gruba ayrıldı. Komplikasyonlar Clavien-Dindo sınıflamasına göre kategorize edildi. Bulgular: Robotik cerrahi yapılan 342 hastanın 31’inde, toplam olarak 32 komplikasyon gelişti. Toplam komplikasyon oranı %9,4 idi. Minör komplikasyonların sayısı 20 (%62,5), majör komplikasyonların sayısı 12 (%37,5) idi. Tüm komplikasyonların %6,2’sini intraoperatif komplikasyonlar, %62,5’ini postoperatif komplikasyonlar, %31,3’ünü medikal komplikasyonlar oluşturmaktaydı. Komplikasyon sayılarının Ağustos 2016’dan sonra plato çizdiği görüldü ve ilk 18 ay ile son 18 ay arasında istatistiksel olarak anlamlı fark bulundu (p

Kaynakça

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Kaynak Göster

  • ISSN: 2148-9580
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2014

2.1b 1.5b

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