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Robotic-assisted laparoscopic gynecologic procedures in a fellowship training program.

Publication ,  Journal Article
Lee, PS; Bland, A; Valea, FA; Havrilesky, LJ; Berchuck, A; Secord, AA
Published in: JSLS
2009

BACKGROUND AND OBJECTIVE: The robotic surgical platform is an alternative technique to traditional laparoscopy and requires the development of new surgical skills for both the experienced surgeon and trainee. Our goal was to perform an early evaluation of the feasibility of training fellows in robotic-assisted gynecologic procedures at the outset of our incorporation of this technology into clinical practice. METHODS: A systematic approach to fellow training included (1) didactic and hands-on training with the robotic system, (2) instructional videos, (3) assistance at the operating table, and (4) performance of segments of gynecologic procedures in tandem with the attending physician. Time to complete the entire procedure, individual segments, rate of conversion to laparotomy, and complications were recorded. RESULTS: Twenty-one robotic-assisted gynecologic procedures were performed from April 2006 to January 2007. Fellows participated as the console surgeon in 14/21 cases. Thirteen patients (62%) had prior abdominal surgery. Median values with ranges were age 51 years (range, 33 to 90); BMI 28 (range, 19.4 to 43.8); EBL 25 mL (range, 25 to 250); and hospital stay 1 day (range, 1 to 4). No significant difference existed between fellow and attending mean total operative and individual segment times. One conversion to laparotomy was necessary. No major surgical complications occurred. CONCLUSION: These data suggest that it is feasible to incorporate a systematic approach to robotic-assisted laparoscopic training for trainees at the outset of incorporation of this technology into current practice.

Duke Scholars

Published In

JSLS

DOI

ISSN

1086-8089

Publication Date

2009

Volume

13

Issue

4

Start / End Page

467 / 472

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Surgery
  • Robotics
  • Middle Aged
  • Laparoscopy
  • Internship and Residency
  • Humans
  • Gynecologic Surgical Procedures
  • Genital Diseases, Female
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lee, P. S., Bland, A., Valea, F. A., Havrilesky, L. J., Berchuck, A., & Secord, A. A. (2009). Robotic-assisted laparoscopic gynecologic procedures in a fellowship training program. JSLS, 13(4), 467–472. https://doi.org/10.4293/108680809X12589998403921
Lee, Paula S., Amy Bland, Fidel A. Valea, Laura J. Havrilesky, Andrew Berchuck, and Angeles Alvarez Secord. “Robotic-assisted laparoscopic gynecologic procedures in a fellowship training program.JSLS 13, no. 4 (2009): 467–72. https://doi.org/10.4293/108680809X12589998403921.
Lee PS, Bland A, Valea FA, Havrilesky LJ, Berchuck A, Secord AA. Robotic-assisted laparoscopic gynecologic procedures in a fellowship training program. JSLS. 2009;13(4):467–72.
Lee, Paula S., et al. “Robotic-assisted laparoscopic gynecologic procedures in a fellowship training program.JSLS, vol. 13, no. 4, 2009, pp. 467–72. Pubmed, doi:10.4293/108680809X12589998403921.
Lee PS, Bland A, Valea FA, Havrilesky LJ, Berchuck A, Secord AA. Robotic-assisted laparoscopic gynecologic procedures in a fellowship training program. JSLS. 2009;13(4):467–472.

Published In

JSLS

DOI

ISSN

1086-8089

Publication Date

2009

Volume

13

Issue

4

Start / End Page

467 / 472

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Surgery
  • Robotics
  • Middle Aged
  • Laparoscopy
  • Internship and Residency
  • Humans
  • Gynecologic Surgical Procedures
  • Genital Diseases, Female
  • Female