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Implantation d’un programme de chirurgie robotique gynécologique : leçons à retenir des 100 premières procédures

Abstract : Introduction: The objective of this work is to report the first 6 months of a robotic program in a surgical gynecological team, trained in advanced laparoscopy, in terms of operating times, complication rate, analgesic consumption and average duration of hospitalization. Methods: This is a prospective observational study, intended to treat. Results: During the study period, 98 women underwent laparoscopic robot assisted surgery. The average BMI was 27.2 kg/m2 (± 7). Malignant diseases accounted for 41% of operative indications. Comparing the first 30 procedures to the last 30 procedures, there is a significant decrease in docking times: 14.7 min (± 7.0) vs 8.9 min (± 5.0), P = 0.009. There is also a trend towards a decrease in operative times for hysterectomy: 151.9 min (± 56.2) vs 113 min (± 51.4), P = 0.08. The rates of complications were not significantly different at the beginning and end of inclusion during the study (10.0% vs 16.7%). Conclusion: The implementation of a robotic surgery program in a gynecological surgery department does not lead to an increase in complications for the patients, including for the first procedures. The learning curve mainly allows a reduction in the robot's installation time.
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R. Gest, K. Nyangoh Timoh, M.C. Chmielewski, H. Sardain, F. Foucher, et al.. Implantation d’un programme de chirurgie robotique gynécologique : leçons à retenir des 100 premières procédures. Gynécologie Obstétrique Fertilité & Sénologie, Elsevier, 2019, 47 (12), pp.825-830. ⟨10.1016/j.gofs.2019.09.016⟩. ⟨hal-02492895⟩

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