Providence St. Joseph's Health, USA.
Providence St. Joseph's Health, USA.
Am J Surg. 2018 May;215(5):874-878. doi: 10.1016/j.amjsurg.2018.01.042. Epub 2018 Jan 31.
In this study we sought to assess the effect of surgeon volume on outcomes of robotic colorectal operations performed by surgeons with low or high volume across a large health system. We performed a retrospective review of colon or rectal resections performed between January 1, 2013 and January 1, 2017 within the Providence Health System Hospitals. Procedures were separated into those performed by surgeons with high volume (30 or more robotic cases per year) vs. low volume. A total of 8 high volume and 41 low volume robotic surgeons were included in the study. High volume surgeons had a significantly shorter length of hospital stay, lower conversion rate, and lower total hospital cost. There were no differences in complications or rate of readmission. Many studies have shown that outcomes improve with increased experience. These data suggest that if a surgeon maintains robotic experience there can be improvements in cost, length of stay and conversion rates.
在这项研究中，我们旨在评估低手术量和高手术量外科医生在大型医疗系统中进行机器人结直肠手术的结果。我们对普罗维登斯健康系统医院在 2013 年 1 月 1 日至 2017 年 1 月 1 日期间进行的结肠或直肠切除术进行了回顾性研究。手术分为高手术量（每年 30 例或更多机器人手术）和低手术量进行。共有 8 名高手术量和 41 名低手术量的机器人外科医生参与了这项研究。高手术量外科医生的住院时间明显更短，转化率更低，总住院费用更低。并发症或再入院率没有差异。许多研究表明，经验的增加会改善结果。这些数据表明，如果外科医生保持机器人手术经验，那么成本、住院时间和转化率都可以得到改善。
