The impact of the robotic platform on assistant variability in complex gastrointestinal surgery

The Journal of Surgical Research
Maureen D MooreRasa Zarnegar

Abstract

Nissen fundoplication is considered an advanced minimally invasive procedure whether performed laparoscopically or robotically. In laparoscopic surgery, it is evident that assistant skill level impacts operative times. However, the robotic platform allows improved surgeon autonomy. We aimed to determine the impact of assistant training level on operative times in robotic Nissen fundoplication (RNF) and laparoscopic Nissen fundoplication (LNF). A prospectively maintained Nissen database (2011-2016) from a single academic institution was utilized to collect patient characteristics, operative times, length of stay, intraoperative complications, postoperative complications, readmission rate, and assistant training level. Assistants were either postgraduate year-3 surgery residents defined as junior-level assistants or a minimally invasive surgery (MIS) fellow defined as senior-level assistants. There were 105 patients included in our analyses. When comparing postgraduate year-3 residents to MIS fellows performing LNF, the median operative time was significantly decreased when senior-level assistants were present in the LNF group, 85 (75-103) versus 129 (74-269) min, P = 0.02. In comparison, median operative times in the RNF group w...Continue Reading

Citations

Jan 20, 2019·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Po-Da ChenYao-Ming Wu
Jul 1, 2018·World Journal of Surgery·Adham ElmouslyRasa Zarnegar
Jan 20, 2021·Obesity Surgery·Ahmed M Al-MazrouCheguevara Afaneh

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