Cargando…
An interdisciplinary team-training protocol for robotic gynecologic surgery improves operating time and costs: analysis of a 4-year experience in a university hospital setting
Main aim of this study is to assess the effect of a structured, interdisciplinary, surgical, team-training protocol in robotic gynecologic surgery, with the gradual integration of an advanced nurse practitioner. Data from all robotic surgical procedures were prospectively acquired. The surgical team...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer London
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8863701/ https://www.ncbi.nlm.nih.gov/pubmed/33606159 http://dx.doi.org/10.1007/s11701-021-01209-4 |
_version_ | 1784655287141007360 |
---|---|
author | Vigo, Francesco Egg, Rosalind Schoetzau, Adreas Montavon, Celine Brezak, Midhat Heinzelmann-Schwarz, Viola Kavvadias, Tilemachos |
author_facet | Vigo, Francesco Egg, Rosalind Schoetzau, Adreas Montavon, Celine Brezak, Midhat Heinzelmann-Schwarz, Viola Kavvadias, Tilemachos |
author_sort | Vigo, Francesco |
collection | PubMed |
description | Main aim of this study is to assess the effect of a structured, interdisciplinary, surgical, team-training protocol in robotic gynecologic surgery, with the gradual integration of an advanced nurse practitioner. Data from all robotic surgical procedures were prospectively acquired. The surgical team consisted of one experienced surgeon and two surgical fellows and the scrub nurse team from three advance nurse practitioners, specialized in robotic surgery. The training was performed in a four-phase manner over 4 years and included theoretical training, hands-on training and team-communication skills enhancement. Scrub nurses increasingly adopted an active role during surgery. For a period of 4 years, 175 patients could be included in the analysis. All of them underwent a robotic gynecologic procedure. Mean docking time decreased from 45.3 to 27.3 min (p < 0.001), mean operating time from 235 to 179 min (p = 0.0071) and costs per case from 17,891 to 14,731 Swiss Francs (p = 0.035). There were no statistically significant changes in perioperative complications and conversions to laparotomy. An interdisciplinary long-term training protocol for high specialized robotic surgery within a “fixed” team with the gradually addition of an advanced study nurse improves the efficacy of the procedure in terms of time and costs. Although the surgery is performed quicker, the same performance and quality of surgical care could be reached. |
format | Online Article Text |
id | pubmed-8863701 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer London |
record_format | MEDLINE/PubMed |
spelling | pubmed-88637012022-03-02 An interdisciplinary team-training protocol for robotic gynecologic surgery improves operating time and costs: analysis of a 4-year experience in a university hospital setting Vigo, Francesco Egg, Rosalind Schoetzau, Adreas Montavon, Celine Brezak, Midhat Heinzelmann-Schwarz, Viola Kavvadias, Tilemachos J Robot Surg Original Article Main aim of this study is to assess the effect of a structured, interdisciplinary, surgical, team-training protocol in robotic gynecologic surgery, with the gradual integration of an advanced nurse practitioner. Data from all robotic surgical procedures were prospectively acquired. The surgical team consisted of one experienced surgeon and two surgical fellows and the scrub nurse team from three advance nurse practitioners, specialized in robotic surgery. The training was performed in a four-phase manner over 4 years and included theoretical training, hands-on training and team-communication skills enhancement. Scrub nurses increasingly adopted an active role during surgery. For a period of 4 years, 175 patients could be included in the analysis. All of them underwent a robotic gynecologic procedure. Mean docking time decreased from 45.3 to 27.3 min (p < 0.001), mean operating time from 235 to 179 min (p = 0.0071) and costs per case from 17,891 to 14,731 Swiss Francs (p = 0.035). There were no statistically significant changes in perioperative complications and conversions to laparotomy. An interdisciplinary long-term training protocol for high specialized robotic surgery within a “fixed” team with the gradually addition of an advanced study nurse improves the efficacy of the procedure in terms of time and costs. Although the surgery is performed quicker, the same performance and quality of surgical care could be reached. Springer London 2021-02-19 2022 /pmc/articles/PMC8863701/ /pubmed/33606159 http://dx.doi.org/10.1007/s11701-021-01209-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Vigo, Francesco Egg, Rosalind Schoetzau, Adreas Montavon, Celine Brezak, Midhat Heinzelmann-Schwarz, Viola Kavvadias, Tilemachos An interdisciplinary team-training protocol for robotic gynecologic surgery improves operating time and costs: analysis of a 4-year experience in a university hospital setting |
title | An interdisciplinary team-training protocol for robotic gynecologic surgery improves operating time and costs: analysis of a 4-year experience in a university hospital setting |
title_full | An interdisciplinary team-training protocol for robotic gynecologic surgery improves operating time and costs: analysis of a 4-year experience in a university hospital setting |
title_fullStr | An interdisciplinary team-training protocol for robotic gynecologic surgery improves operating time and costs: analysis of a 4-year experience in a university hospital setting |
title_full_unstemmed | An interdisciplinary team-training protocol for robotic gynecologic surgery improves operating time and costs: analysis of a 4-year experience in a university hospital setting |
title_short | An interdisciplinary team-training protocol for robotic gynecologic surgery improves operating time and costs: analysis of a 4-year experience in a university hospital setting |
title_sort | interdisciplinary team-training protocol for robotic gynecologic surgery improves operating time and costs: analysis of a 4-year experience in a university hospital setting |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8863701/ https://www.ncbi.nlm.nih.gov/pubmed/33606159 http://dx.doi.org/10.1007/s11701-021-01209-4 |
work_keys_str_mv | AT vigofrancesco aninterdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT eggrosalind aninterdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT schoetzauadreas aninterdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT montavonceline aninterdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT brezakmidhat aninterdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT heinzelmannschwarzviola aninterdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT kavvadiastilemachos aninterdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT vigofrancesco interdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT eggrosalind interdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT schoetzauadreas interdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT montavonceline interdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT brezakmidhat interdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT heinzelmannschwarzviola interdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting AT kavvadiastilemachos interdisciplinaryteamtrainingprotocolforroboticgynecologicsurgeryimprovesoperatingtimeandcostsanalysisofa4yearexperienceinauniversityhospitalsetting |