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Implementation of robotic gynecological surgery in a German University Hospital: patient safety after 110 procedures.

Abstract：

PURPOSE:Robotic surgery represents the latest development in the field of minimally invasive surgery and offers many technical advantages. Despite the higher costs, this novel approach has been applied increasingly in gynecological surgery. Regarding the implementation of a new operative method; however, the most important factor to be aware of is patient safety. In this study, we describe our experience in implementing robotic surgery in a German University Hospital focusing on patient safety after 110 procedures. METHODS:We performed a retrospective analysis of 110 consecutive robotic procedures performed in the University Hospital of Würzburg between June 2017 and September 2019. During this time, 37 patients were treated for benign general gynecological conditions, 27 patients for gynecological malignancies, and 46 patients for urogynecological conditions. We evaluated patient safety through standardized assessment of intra- and postoperative complications, which were categorized according to the Clavien-Dindo classification. RESULTS:No complications were recorded in 90 (81.8%) operations. We observed Clavien-Dindo grade I complications in 8 (7.3%) cases, grade II complications in 5 (4.5%) cases, grade IIIa complications in 1 case (0.9%), and grade IIIb complications in 6 (5.5%) cases. No conversion to laparotomy or blood transfusion was needed. CONCLUSION:Robotic surgery could be implemented for complex gynecological operations without relevant problems and was accompanied by low complication rates.

journal_name

Arch Gynecol Obstet

journal_title

Archives of gynecology and obstetrics

authors

Balafoutas D,Wöckel A,Wulff C,Joukhadar R

doi

10.1007/s00404-020-05751-8

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

1381-1388

issue

6

eissn

0932-0067

issn

1432-0711

pii

10.1007/s00404-020-05751-8

journal_volume

302

pub_type

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