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Improving Outcomes Defending Patient Safety: The Learning Journey in Robotic Liver Resections
المؤلفون المشاركون
Guerrini, Gian Piero
Ballarin, Roberto
Assirati, Giacomo
Tarantino, Giuseppe
Di Benedetto, Fabrizio
Paolo, Magistri
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-04-08
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
While laparoscopy is currently adopted for hepatic resections, robotic approaches to the liver have not gained wide acceptance.
We decided to analyze the learning curve in the field of robotic liver surgery comparing short-term outcomes between the first and the second half of our series.
Methods.
We retrospectively reviewed demographics and clinical data of patients who underwent robotic liver resection at our institution from July 2014 through September 2017.
60 patients diagnosed with primary or secondary liver neoplasms or hydatid disease were included in this study.
ASA PS >3, heart failure, respiratory insufficiency, and general contraindication to pneumoperitoneum were exclusion criteria.
Results.
60 patients were included.
We observed a statistically significant decrease in operative time (p<0.001), intraoperative blood loss (p=0.01), and postoperative complications (p<0.001) after 30 cases.
From the interpretation of the CUSUM curve, the time of operation appears to be significantly reduced after the first 30 operations.
Discussion.
This is the first European analysis of the learning curve for robotic liver resection in an HPB and liver transplant referral center.
However, more studies are needed to confirm such results outside a HPB referral center.
This is crucial to develop formal credentialing protocols for both junior and senior surgeons.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Paolo, Magistri& Guerrini, Gian Piero& Ballarin, Roberto& Assirati, Giacomo& Tarantino, Giuseppe& Di Benedetto, Fabrizio. 2019. Improving Outcomes Defending Patient Safety: The Learning Journey in Robotic Liver Resections. BioMed Research International،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1123532
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Paolo, Magistri…[et al.]. Improving Outcomes Defending Patient Safety: The Learning Journey in Robotic Liver Resections. BioMed Research International No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1123532
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Paolo, Magistri& Guerrini, Gian Piero& Ballarin, Roberto& Assirati, Giacomo& Tarantino, Giuseppe& Di Benedetto, Fabrizio. Improving Outcomes Defending Patient Safety: The Learning Journey in Robotic Liver Resections. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1123532
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1123532
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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