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

J 2011

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

NOVOTNÝ, Tomáš, Martin DVOŘÁK a Robert STAFFA

Základní údaje

Originální název

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

Autoři

NOVOTNÝ, Tomáš (203 Česká republika, garant, domácí), Martin DVOŘÁK (203 Česká republika, domácí) a Robert STAFFA (203 Česká republika, domácí)

Vydání

Journal of Vascular Surgery, New York, NY, Mosby-Elsevier, 2011, 0741-5214

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 3.153

Kód RIV

RIV/00216224:14110/11:00051752

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1016/j.jvs.2010.09.007

UT WoS

000286911900021

Klíčová slova anglicky

Robot-assisted vascular surgery; Aortoiliac occlusive disease; Learning curve

Příznaky

Mezinárodní význam

Změněno: 12. 4. 2012 09:27, Mgr. Michal Petr

Anotace

V originále

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. For conversion 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.

Citovat

NOVOTNÝ, Tomáš, Martin DVOŘÁK a Robert STAFFA. The learning curve of robot-assisted laparoscopic aortofemoral bypass grafting for aortoiliac occlusive disease. Journal of Vascular Surgery. New York, NY: Mosby-Elsevier, 2011, roč. 53, č. 2, s. 414-420. ISSN 0741-5214. Dostupné z: https://dx.doi.org/10.1016/j.jvs.2010.09.007.

@article{921452,
   author = {Novotný, Tomáš and Dvořák, Martin and Staffa, Robert},
   article_location = {New York, NY},
   article_number = {2},
   doi = {http://dx.doi.org/10.1016/j.jvs.2010.09.007},
   keywords = {Robot-assisted vascular surgery; Aortoiliac occlusive disease; Learning curve},
   language = {eng},
   issn = {0741-5214},
   journal = {Journal of Vascular Surgery},
   title = {The learning curve of robot-assisted laparoscopic aortofemoral bypass grafting for aortoiliac occlusive disease},
   volume = {53},
   year = {2011}
}

TY  - JOUR
ID  - 921452
AU  - Novotný, Tomáš - Dvořák, Martin - Staffa, Robert
PY  - 2011
TI  - The learning curve of robot-assisted laparoscopic aortofemoral bypass grafting for aortoiliac occlusive disease
JF  - Journal of Vascular Surgery
VL  - 53
IS  - 2
SP  - 414-420
EP  - 414-420
PB  - Mosby-Elsevier
SN  - 07415214
KW  - Robot-assisted vascular surgery
KW  - Aortoiliac occlusive disease
KW  - Learning curve
N2  - 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. For conversion 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.
ER  -

NOVOTNÝ, Tomáš, Martin DVOŘÁK a Robert STAFFA. The learning curve of robot-assisted laparoscopic aortofemoral bypass grafting for aortoiliac occlusive disease. \textit{Journal of Vascular Surgery}. New York, NY: Mosby-Elsevier, 2011, roč.~53, č.~2, s.~414-420. ISSN~0741-5214. Dostupné z: https://dx.doi.org/10.1016/j.jvs.2010.09.007.

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