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Improving Outcomes Defending Patient Safety: The Learning Journey in Robotic Liver Resections
Joint Authors
Guerrini, Gian Piero
Ballarin, Roberto
Assirati, Giacomo
Tarantino, Giuseppe
Di Benedetto, Fabrizio
Paolo, Magistri
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-08
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1123532