University of Adelaide, North Terrace, Adelaide, South Australia, 5000, Australia.
Royal Adelaide Hospital, Adelaide, South Australia, Australia.
J Robot Surg. 2023 Aug;17(4):1541-1546. doi: 10.1007/s11701-023-01560-8. Epub 2023 Mar 10.
Robot-assisted general surgery has become increasingly common in the Australian public sector since 2003. It provides significant technical advantages compared to laparoscopic surgery. Currently, it is estimated that the learning curve for surgeons starting off with robotic surgery is complete after 15 cases. This is a retrospective case series, following the progress of four surgeons with minimal robotic experience over 5 years. Patients undergoing colorectal procedures and hernia repairs were included. 303 robotic cases were included in this study, 193 colorectal surgeries and 110 hernia repairs. 20.2% of colorectal patients experienced an adverse event and 10.0% of hernia patients had a complication. The learning curve was correlated to the average docking time, and it was found that this was complete after 2 years, or after a minimum of 12 to 15 cases. Patient length of stay decreases as surgeon experience increases. Robotic surgery is a safe approach to colorectal surgery and hernia repairs with some potential benefits in terms of patient outcomes as surgeon experience increases.
自 2003 年以来，机器人辅助普通外科手术在澳大利亚公共部门中越来越普遍。与腹腔镜手术相比，它具有显著的技术优势。目前，据估计，对于刚开始进行机器人手术的外科医生来说，学习曲线在完成 15 例手术后就结束了。这是一项回顾性病例系列研究，对 5 年内 4 名机器人手术经验最少的外科医生的进展进行了跟踪。本研究纳入了接受结直肠手术和疝修补术的患者。这项研究共纳入 303 例机器人手术病例，其中 193 例为结直肠手术，110 例为疝修补术。193 例结直肠手术患者中有 20.2%发生不良事件，110 例疝修补术患者中有 10.0%发生并发症。学习曲线与平均对接时间相关，结果发现，这在 2 年后或至少 12 到 15 例手术后就完成了。随着外科医生经验的增加，患者的住院时间减少。机器人手术是一种安全的结直肠手术和疝修补术方法，随着外科医生经验的增加，在患者预后方面可能具有一些潜在的优势。
