Implementation of robotic gynecological surgery in a German University Hospital: patient safety after 110 procedures
Please always quote using this URN: urn:nbn:de:bvb:20-opus-232650
- Purpose Robotic surgery represents the latest development in the field of minimally invasive surgery and offers many technical advantages. Despite the higher costs, this novel approach has been applied increasingly in gynecological surgery. Regarding the implementation of a new operative method; however, the most important factor to be aware of is patient safety. In this study, we describe our experience in implementing robotic surgery in a German University Hospital focusing on patient safety after 110 procedures. Methods We performed aPurpose Robotic surgery represents the latest development in the field of minimally invasive surgery and offers many technical advantages. Despite the higher costs, this novel approach has been applied increasingly in gynecological surgery. Regarding the implementation of a new operative method; however, the most important factor to be aware of is patient safety. In this study, we describe our experience in implementing robotic surgery in a German University Hospital focusing on patient safety after 110 procedures. Methods We performed a retrospective analysis of 110 consecutive robotic procedures performed in the University Hospital of Würzburg between June 2017 and September 2019. During this time, 37 patients were treated for benign general gynecological conditions, 27 patients for gynecological malignancies, and 46 patients for urogynecological conditions. We evaluated patient safety through standardized assessment of intra- and postoperative complications, which were categorized according to the Clavien–Dindo classification. Results No complications were recorded in 90 (81.8%) operations. We observed Clavien–Dindo grade I complications in 8 (7.3%) cases, grade II complications in 5 (4.5%) cases, grade IIIa complications in 1 case (0.9%), and grade IIIb complications in 6 (5.5%) cases. No conversion to laparotomy or blood transfusion was needed. Conclusion Robotic surgery could be implemented for complex gynecological operations without relevant problems and was accompanied by low complication rates.…
Author: | Dimitrios Balafoutas, Achim Wöckel, Christine Wulff, Ralf Joukhadar |
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URN: | urn:nbn:de:bvb:20-opus-232650 |
Document Type: | Journal article |
Faculties: | Medizinische Fakultät / Frauenklinik und Poliklinik |
Language: | English |
Parent Title (English): | Archives of Gynecology and Obstetrics |
ISSN: | 0932-0067 |
Year of Completion: | 2020 |
Volume: | 302 |
Pagenumber: | 1381–1388 |
Source: | Archives of Gynecology and Obstetrics 302, 1381–1388 (2020). https://doi.org/10.1007/s00404-020-05751-8 |
DOI: | https://doi.org/10.1007/s00404-020-05751-8 |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Tag: | implementation; polyvinylidene fluoride (PVDF); robotic complications; robotic hysterectomy; robotic sacrocolpopexy |
Release Date: | 2021/06/30 |
Licence (German): | CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International |