1. Caseload per Year in Robotic-Assisted Minimally Invasive Esophagectomy: A Narrative Review.
- Author
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Büdeyri, Ibrahim, El-Sourani, Nader, Eichelmann, Ann-Kathrin, Merten, Jennifer, Juratli, Mazen A., Pascher, Andreas, and Hoelzen, Jens P.
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ESOPHAGEAL surgery , *SURGICAL robots , *MEDICAL quality control , *MINIMALLY invasive procedures , *TREATMENT effectiveness , *PATIENT care , *OPERATIVE surgery , *ACCURACY ,DIGESTIVE organ surgery - Abstract
Simple Summary: Esophageal surgery is associated with a high hospital mortality. Research shows that hospitals performing more esophageal surgeries have better outcomes due to a higher likelihood of rescuing patients from complications. Since 2004, Germany has mandated a minimum required caseload per year for hospitals to ensure quality care and, as of 2023, increased the annually required number of complex esophageal operations from 10 to 26. This review will explore how the caseload per year impacts the quality of patient care and surgical training, especially regarding robotic-assisted minimally invasive esophagectomy (RAMIE), which promises greater precision and better outcomes for esophageal cancer surgeries. Esophageal surgery is deemed one of the most complex visceral operations. There is a well-documented correlation between higher caseload and better outcomes, with hospitals that perform more surgeries experiencing significantly lower mortality rates. The approach to caseload per year varies across different countries within Europe. Germany increased the minimum annual required caseload of complex esophageal surgeries from 10 to 26 starting in 2023. Furthermore, the new regulations present challenges for surgical training and staff recruitment, risking the further fragmentation of training programs. Enhanced regional cooperation is proposed as a solution to ensure comprehensive training. This review explores the benefits of robotic-assisted minimally invasive esophagectomy (RAMIE) in improving surgical precision and patient outcomes and aims to evaluate how the caseload per year influences the quality of patient care and the efficacy of surgical training, especially with the integration of advanced robotic techniques. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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