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Task division by multiple console surgeons is beneficial for safe robotic pancreaticoduodenectomy implementation and education.
- Source :
-
Surgical Endoscopy & Other Interventional Techniques . Aug2024, Vol. 38 Issue 8, p4712-4721. 10p. - Publication Year :
- 2024
-
Abstract
- Background: The optimal approach for the safe implementation and education of robotic pancreaticoduodenectomy (RPD) remains unclear. Prolonged operation time may cause surgeon fatigue and result in perioperative complications. To solve this issue, our department adopted task division by the console surgeon turnover between resection and reconstruction in 2022. Methods: This study retrospectively investigated consecutive patients who underwent RPD from November 2009 (initial introduction of RPD) to December 2023. The analysis excluded patients who underwent concomitant resection of other organs. The cases performed by a single console surgeon (single approach) were compared with those performed by two or more console surgeons (multiple approach). Results: This study analyzed 85 consecutive RPD cases, including 51 with the single approach and 34 with the multiple approach. The operation time was significantly shorter (832 vs. 618 min, p < 0.001), and the postoperative major complication was less frequent (45% vs. 12%, p = 0.003) in the multiple approach group, although less experienced surgeons performed the multiple approach (number of RPD experiences: 19 cases vs. 5 cases, p < 0.001). The console surgeon turnover between the resection and reconstruction resulted in a safe pancreatojejunostomy performed by the less experienced surgeon (number of pancreatic reconstruction experiences: 6.5 vs. 14 cases, p = 0.010). Surgeons who started RPD with a multiple approach observed a reduction in surgical time and a lower incidence of complications earlier than those who started with a single approach. Conclusion: Task division during the early introduction phase of RPD using the multiple approach demonstrated potential contributions to improved surgical outcomes and enhanced educational benefits. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANTIBIOTICS
*SURGICAL robots
*POSTOPERATIVE care
*TASK performance
*INTERPROFESSIONAL relations
*PATIENT safety
*SURGERY
*PATIENTS
*FOOD consumption
*EDUCATIONAL outcomes
*FATIGUE (Physiology)
*PANCREATIC fistula
*FISHER exact test
*LOGISTIC regression analysis
*HUMAN dissection
*PANCREATIC diseases
*TREATMENT effectiveness
*SURGICAL therapeutics
*RETROSPECTIVE studies
*WORK experience (Employment)
*SURGICAL stents
*SURGICAL blood loss
*MANN Whitney U Test
*CHI-squared test
*MULTIVARIATE analysis
*DESCRIPTIVE statistics
*PANCREATICODUODENECTOMY
*DUMPING syndrome
*SURGICAL complications
*ODDS ratio
*VETERINARY dissection
*MEDICAL records
*ACQUISITION of data
*CLINICAL competence
*STATISTICS
*QUALITY assurance
*COMPARATIVE studies
*DATA analysis software
*CONFIDENCE intervals
*PLASTIC surgery
*DUODENAL diseases
*TIME
*PANCREATIC surgery
*HEMORRHAGE
*PERIOPERATIVE care
PREVENTION of surgical complications
Subjects
Details
- Language :
- English
- ISSN :
- 18666817
- Volume :
- 38
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- Surgical Endoscopy & Other Interventional Techniques
- Publication Type :
- Academic Journal
- Accession number :
- 178774469
- Full Text :
- https://doi.org/10.1007/s00464-024-10991-9