Safe Implementation of Robotic Surgery for Gynecologic Diseases at a Tertiary Center: Retrospective Analysis of 149 Cases and Review of the Literature

• DOI: 10.4103/gmit.gmit_144_23
• Publication Date: 2024-12-30T12:00:50Z
• Authors: Takuma Yoshimura; Hiroshi Nishio; Kensuke Sakai; Yuya Nogami; Shigenori Hayashi; Wataru Yamagami
• Keywords: Gynecological surgery

Abstract Objectives: The initial learning curve is a barrier to introducing robotic surgery. Evidence regarding appropriate simulation programs that allow for smooth introduction of gynecological surgery remains limited. Materials and Methods: We retrospectively analyzed 149 patients who underwent gynecologic diseases. Before their first procedure, the surgeons completed training program. Assistant also programs, including setup procedures manipulation arm. Results: mean (± standard deviation) operative, setup, console times were 170 ± 54 min, 22 8 126 51 respectively. No patient required blood transfusion or conversion laparoscopy laparotomy. Patients undergoing by same surgeon divided into three groups (first-third, middle-third, last-third surgery) assess chronological changes. statistically significant differences found between operative among these groups. middle last third 20 7 min 18 respectively, which significantly shorter than those patients. in done five physicians observed 75 latter 74 procedures; however, (25 9 vs. 19 6 min; P < 0.001). Conclusion: time was influenced clinical experience. An program allowed safe implementation