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The learning curve of robot-assisted laparoscopic aortofemoral bypass grafting for aortoiliac occlusive disease

Result description

Background: Our objective was to assess the learning curve of robot-assisted laparoscopic aortofemoral bypass grafting in a group of 40 patients. Methods: Learning curve estimations were used for anastomosis, clamping, and operative time assessment. Forconversion rate evaluation the cumulative summation (CUSUM) technique was used. Results: We created 21 aortofemoral and 19 aortobifemoral bypasses. The median proximal anastomosis time was 23 minutes, clamping time 60 minutes and operative time 295 minutes. Secondary patency was 100%. Data showed a typical short learning curve for robotic proximal anastomosis. The operative time learning curve confirmed the procedure?s complexity. Acceptable conversion rate set at 5% was achieved. Conclusions: Anastomosis creation, one of the main difficulties of laparoscopic bypass grafting, has been overcome. The endoscopic dissection of the aortoiliac segment remains the most difficult part of the operation.

Keywords

Robot-assisted vascular surgeryAortoiliac occlusive diseaseLearning curve

The result's identifiers

Alternative languages

  • Result language

    angličtina

  • Original language name

    The learning curve of robot-assisted laparoscopic aortofemoral bypass grafting for aortoiliac occlusive disease

  • Original language description

    Background: Our objective was to assess the learning curve of robot-assisted laparoscopic aortofemoral bypass grafting in a group of 40 patients. Methods: Learning curve estimations were used for anastomosis, clamping, and operative time assessment. Forconversion rate evaluation the cumulative summation (CUSUM) technique was used. Results: We created 21 aortofemoral and 19 aortobifemoral bypasses. The median proximal anastomosis time was 23 minutes, clamping time 60 minutes and operative time 295 minutes. Secondary patency was 100%. Data showed a typical short learning curve for robotic proximal anastomosis. The operative time learning curve confirmed the procedure?s complexity. Acceptable conversion rate set at 5% was achieved. Conclusions: Anastomosis creation, one of the main difficulties of laparoscopic bypass grafting, has been overcome. The endoscopic dissection of the aortoiliac segment remains the most difficult part of the operation.

  • Czech name

  • Czech description

Classification

  • Type

    Jx - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

  • CEP classification

    FJ - Surgery including transplantology

  • OECD FORD branch

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2011

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Journal of Vascular Surgery

  • ISSN

    0741-5214

  • e-ISSN

  • Volume of the periodical

    53

  • Issue of the periodical within the volume

    2

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    7

  • Pages from-to

    414-420

  • UT code for WoS article

    000286911900021

  • EID of the result in the Scopus database

Basic information

Result type

Jx - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

Jx

CEP

FJ - Surgery including transplantology

Year of implementation

2011