Learning curve for single-port robot-assisted colectomy
Purpose Since the introduction of robotic surgery, robots for colorectal cancer have replaced laparoscopic surgery, and a single-port robot (SPR) platform has been launched and is being used to treat patients. We analyzed the learning curve and initial complications of using an SPR platform in color...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Coloproctology
2024-02-01
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| Series: | Annals of Coloproctology |
| Subjects: | |
| Online Access: | http://coloproctol.org/upload/pdf/ac-2022-00745-0106.pdf |
| _version_ | 1797293024767639552 |
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| author | Moon Suk Choi Seong Hyeon Yun Sung Chul Lee Jung Kyong Shin Yoon Ah Park Jungwook Huh Yong Beom Cho Hee Cheol Kim Woo Yong Lee |
| author_facet | Moon Suk Choi Seong Hyeon Yun Sung Chul Lee Jung Kyong Shin Yoon Ah Park Jungwook Huh Yong Beom Cho Hee Cheol Kim Woo Yong Lee |
| author_sort | Moon Suk Choi |
| collection | DOAJ |
| description | Purpose Since the introduction of robotic surgery, robots for colorectal cancer have replaced laparoscopic surgery, and a single-port robot (SPR) platform has been launched and is being used to treat patients. We analyzed the learning curve and initial complications of using an SPR platform in colorectal cancer surgery. Methods We reviewed 39 patients who underwent SPR colectomy from April to October 2019. All surgeries were performed by the same surgeon using an SPR device. A learning curve was generated using the cumulative sum methodology to assess changes in total operation time, docking time, and surgeon console time. We grouped the patients into 3 groups according to the time period: the first 11 were phase 1, the next 11 were phase 2, and the last 17 were phase 3. Results The mean age of the patients was 61.28±13.03 years, and they had a mean body mass index of 23.79±2.86 kg/m2. Among the patients, 23 (59.0%) were male, and 16 (41.0%) were female. The average operation time was 186.59±51.30 minutes, the average surgeon console time was 95.49±35.33 minutes, and the average docking time (time from skin incision to robot docking) was 14.87±10.38 minutes. The surgeon console time differed significantly among the different phases (P<0.001). Complications occurred in 8 patients: 2 ileus, 2 postoperation hemoglobin changes, 3 urinary retentions, and 1 complicated fluid collection. Conclusion In our experience, the learning curve for SPR colectomy was achieved after the 18th case. |
| first_indexed | 2024-03-07T20:06:55Z |
| format | Article |
| id | doaj.art-505a21e65fc54f0a878991dd71610b45 |
| institution | Directory Open Access Journal |
| issn | 2287-9714 2287-9722 |
| language | English |
| last_indexed | 2024-03-07T20:06:55Z |
| publishDate | 2024-02-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj.art-505a21e65fc54f0a878991dd71610b452024-02-28T04:57:33ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222024-02-01401445110.3393/ac.2022.00745.01061970Learning curve for single-port robot-assisted colectomyMoon Suk Choi0Seong Hyeon Yun1Sung Chul Lee2Jung Kyong Shin3Yoon Ah Park4Jungwook Huh5Yong Beom Cho6Hee Cheol Kim7Woo Yong Lee8 Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Dankook University Hospital, Cheonan, Korea Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaPurpose Since the introduction of robotic surgery, robots for colorectal cancer have replaced laparoscopic surgery, and a single-port robot (SPR) platform has been launched and is being used to treat patients. We analyzed the learning curve and initial complications of using an SPR platform in colorectal cancer surgery. Methods We reviewed 39 patients who underwent SPR colectomy from April to October 2019. All surgeries were performed by the same surgeon using an SPR device. A learning curve was generated using the cumulative sum methodology to assess changes in total operation time, docking time, and surgeon console time. We grouped the patients into 3 groups according to the time period: the first 11 were phase 1, the next 11 were phase 2, and the last 17 were phase 3. Results The mean age of the patients was 61.28±13.03 years, and they had a mean body mass index of 23.79±2.86 kg/m2. Among the patients, 23 (59.0%) were male, and 16 (41.0%) were female. The average operation time was 186.59±51.30 minutes, the average surgeon console time was 95.49±35.33 minutes, and the average docking time (time from skin incision to robot docking) was 14.87±10.38 minutes. The surgeon console time differed significantly among the different phases (P<0.001). Complications occurred in 8 patients: 2 ileus, 2 postoperation hemoglobin changes, 3 urinary retentions, and 1 complicated fluid collection. Conclusion In our experience, the learning curve for SPR colectomy was achieved after the 18th case.http://coloproctol.org/upload/pdf/ac-2022-00745-0106.pdfcolonic neoplasmsrobotic surgical procedureslearning curvecolectomy |
| spellingShingle | Moon Suk Choi Seong Hyeon Yun Sung Chul Lee Jung Kyong Shin Yoon Ah Park Jungwook Huh Yong Beom Cho Hee Cheol Kim Woo Yong Lee Learning curve for single-port robot-assisted colectomy Annals of Coloproctology colonic neoplasms robotic surgical procedures learning curve colectomy |
| title | Learning curve for single-port robot-assisted colectomy |
| title_full | Learning curve for single-port robot-assisted colectomy |
| title_fullStr | Learning curve for single-port robot-assisted colectomy |
| title_full_unstemmed | Learning curve for single-port robot-assisted colectomy |
| title_short | Learning curve for single-port robot-assisted colectomy |
| title_sort | learning curve for single port robot assisted colectomy |
| topic | colonic neoplasms robotic surgical procedures learning curve colectomy |
| url | http://coloproctol.org/upload/pdf/ac-2022-00745-0106.pdf |
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