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
Result code in IS VaVaI
Alternative codes found
RIV/00159816:_____/11:#0000607
Result on the web
DOI - Digital Object Identifier
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
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Czech description
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Classification
Type
Jx - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)
CEP classification
FJ - Surgery including transplantology
OECD FORD branch
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Result continuities
Project
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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
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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
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Basic information
Result type
Jx - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)
CEP
FJ - Surgery including transplantology
Year of implementation
2011