ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
First 101 Robotic General Surgery Cases in a Community Hospital.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of the learning curve in robotic surgery: range and heterogeneity.Surgical endoscopy · 2019Pooled it
- A Systematic Review of Open, Laparoscopic, and Robotic Inguinal Hernia Repair: Management of Inguinal Hernias in the 21st Century.Journal of clinical medicine · 2025Article
- Video Review Can Measure Surgical Robotic Skill Development in a Resident Robotic Hernia Curriculum: A Retrospective Cohort Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Comparative Analysis of Learning Curves in Robotic Versus Laparoscopic Cholecystectomy: A Systematic Review.Cureus · 2024Review
- Robot-assisted groin hernia repair is primarily performed by specialized surgeons: a scoping review.Journal of robotic surgery · 2023Article
- A retrospective review of a large series of groin hernia patients operated with robotically assisted laparoscopic technique (R-TAPP).Journal of robotic surgery · 2023Article
- Initial Experience of Robot-Assisted Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair by a Single Surgeon in South Korea.Medicina (Kaunas, Lithuania) · 2023Article
- Robotic Roux en Y gastric bypass can be safe and cost-effective in a rural setting: clinical outcomes from a community hospital bariatric program.Journal of robotic surgery · 2021Article
- Prospective observational study of abdominal wall reconstruction with THT technique in primary midline defects with diastasis recti: clinical and functional outcomes in 110 consecutive patients.Surgical endoscopy · 2021Observational
- Safety and efficacy of robotic-assisted groin hernia repair.Journal of robotic surgery · 2021Article
- The importance of robotic-assisted procedures in residency training to applicants of a community general surgery residency program.Journal of robotic surgery · 2019Article
- First 100 consecutive robotic inguinal hernia repairs at a Veterans Affairs hospital.Journal of robotic surgery · 2018Article
- Robotic colorectal surgery: previous laparoscopic colorectal experience is not essential.Journal of robotic surgery · 2018Article
- Robotic ventral hernia repair is not superior to laparoscopic: a national database review.Surgical endoscopy · 2018Article
- Robotic Ventral Hernia Repair and Endoscopic Component Separation: Outcomes.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThe general surgeon's robotic learning curve may improve if the experience is classified into categories based on the complexity of the procedures in a small community hospital. The intraoperative time should decrease and the incidence of complications should be comparable to conventional laparoscopy. The learning curve of a single robotic general surgeon in a small community hospital using the da Vinci S platform was analyzed.
methodsMeasured parameters were operative time, console time, conversion rates, complications, surgical site infections (SSIs), surgical site occurrences (SSOs), length of stay, and patient demographics.
resultsBetween March 2014 and August 2015, 101 robotic general surgery cases were performed by a single surgeon in a 266-bed community hospital, including laparoscopic cholecystectomies, inguinal hernia repairs; ventral, incisional, and umbilical hernia repairs; and colorectal, foregut, bariatric, and miscellaneous procedures. Ninety-nine of the cases were completed robotically. Seven patients were readmitted within 30 days. There were 8 complications (7.92%). There were no mortalities and all complications were resolved with good outcomes. The mean operative time was 233.0 minutes. The mean console operative time was 117.6 minutes.
conclusionA robotic general surgery program can be safely implemented in a small community hospital with extensive training of the surgical team through basic robotic skills courses as well as supplemental educational experiences. Although the use of the robotic platform in general surgery could be limited to complex procedures such as foregut and colorectal surgery, it can also be safely used in a large variety of operations with results similar to those of conventional laparoscopy.
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