What is the learning curve for robotic assisted gynecologic surgery?

Journal of Minimally Invasive Gynecology
John P LenihanUsha Seshadri-Kreaden

Abstract

The purpose of this study was to estimate the learning curve when using the da Vinci Surgical System (Intuitive Surgical Inc., Sunnyvale, CA) in benign gynecologic cases by a team of 2 gynecologic laparoscopists. Retrospective case series (Canadian Task Force classification II-1). A private practice obstetrics/gynecology clinic. Patients requiring major benign gynecologic surgery who were candidates for a laparoscopic approach. All patients who would have otherwise been offered a transabdominal or conventional laparoscopic procedure were offered the option of having their procedure performed laparoscopically with robotic assistance. Data that were collected included robot set-up times by the operative room staff, operative times for use of robot, total operative times, and perioperative outcome. We analyzed the learning curve defined as the number of cases required to stabilize operative time to perform the various procedures. One hundred thirteen patients were treated over a 22-month period with the da Vinci Surgical System. Most procedures were hysterectomies, whereas other gynecologic procedures included supracervical hysterectomy, laparoscopic vaginal assisted hysterectomy, myomectomy, sacrocolpopexy, and oophorectomy. Tota...Continue Reading

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