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. 2013 Dec;9(4):486-91.
doi: 10.1002/rcs.1521. Epub 2013 Jul 19.

Robotic general surgery experience: a gradual progress from simple to more complex procedures

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Robotic general surgery experience: a gradual progress from simple to more complex procedures

M Al-Naami et al. Int J Med Robot. 2013 Dec.

Abstract

Background: Robotic surgery was introduced at our institution in 2003, and we used a progressive approach advancing from simple to more complex procedures.

Methods: A retrospective chart review.

Results: Cases included totalled 129. Set-up and operative times have improved over time and with experience. Conversion rates to standard laparoscopic or open techniques were 4.7% and 1.6%, respectively. Intraoperative complications (6.2%), blood loss and hospital stay were directly proportional to complexity. There were no mortalities and the postoperative complication rate (13.2%) was within accepted norms.

Conclusion: Our findings suggest that robot technology is presently most useful in cases tailored toward its advantages, i.e. those confined to a single space, those that require performance of complex tasks, and re-do procedures.

Keywords: da Vinci system; general surgery; operative experience; robotic; set-up.

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