机器人结直肠手术的结构化培训路径：英国五个中心的短期成果

IF 2.9 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Colorectal Disease Pub Date : 2024-09-17 DOI:10.1111/codi.17179

Mehmet Ali Koc, Maria Sofia Thomas, Sofoklis Mavrantonis, Sofoklis Panteleimonitis, Mick Harper, Chaudri Sanjay, Samson Tou, Ahmed Shakil, Golam Farooq, Mukhtar Ahmad, Tahseen Qureshi, Amjad Parvaiz

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引用次数: 0

摘要

目的本研究旨在评估英国五家结直肠中心通过结构化、标准化培训路径实施机器人结直肠手术的短期疗效。方法开展了一项多中心回顾性观察研究，涉及 2015 年至 2019 年期间接受机器人结直肠切除术的 523 名连续患者。所有参与研究的中心都遵循了欧洲机器人结直肠外科学会的培训路径。研究收集并分析了患者数据，包括人口统计学、手术细节、术后结果和病理结果。患者的中位年龄为 64.7 岁，大多数患者（70%）为男性。平均体重指数为 27.4 kg/m2，89.7%的患者因恶性肿瘤接受手术。转为开放手术的总体比例为4.2%。住院时间中位数为6天，无30天死亡病例。再次入院率和再次手术率分别为8.8%和7.3%。直肠切除术的吻合口漏率为4.1%，结肠切除术的吻合口漏率为3.9%。结论通过实施结构化、标准化的培训路径，英国参与研究的结直肠中心实现了安全有效的机器人结直肠手术路径，并取得了良好的短期肿瘤学和临床效果。要评估机器人手术在结直肠手术中的广泛影响，还需要对长期和功能性结果进行进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Structured training pathway for robotic colorectal surgery: Short-term outcomes from five UK centres

Aim

The aim of this study was to assess the short-term outcomes of robotic colorectal surgery implemented through a structured, standardized training pathway in five colorectal centres in the United Kingdom.

Method

A multicentre retrospective observational study was conducted, involving 523 consecutive patients who underwent robotic colorectal resection between 2015 and 2019. All participating centres followed the European Academy of Robotic Colorectal Surgery training pathway. Patient data, including demographics, operative details, postoperative outcomes and pathology results, were collected and analysed.

Results

The study included 447 rectal resections and 76 colonic operations. The median age of the patients was 64.7 years, with the majority of patients (70%) being men. The mean body mass index was 27.4 kg/m², and 89.7% of the patients underwent surgery for malignancy. The overall conversion rate to open surgery was 4.2%. The median length of stay was 6 days and there was no 30-day mortality. The readmission and reoperation rates were 8.8% and 7.3%, respectively. The anastomotic leak rate was 4.1% for rectal resections and 3.9% for colonic resections. Pathological examination showed a positive circumferential resection margin rate of 2.6%.

Conclusion

Through the implementation of a structured, standardized training pathway, the participating colorectal centres in the UK achieved safe and effective robotic colorectal surgery pathways with favourable short-term oncological and clinical outcomes. Further studies examining long-term and functional outcomes are needed to assess the broader impact of robotic surgery in colorectal procedures.

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来源期刊

Colorectal Disease 医学-胃肠肝病学

CiteScore

6.10

自引率

11.80%

发文量

406

审稿时长

1.5 months

期刊介绍： Diseases of the colon and rectum are common and offer a number of exciting challenges. Clinical, diagnostic and basic science research is expanding rapidly. There is increasing demand from purchasers of health care and patients for clinicians to keep abreast of the latest research and developments, and to translate these into routine practice. Technological advances in diagnosis, surgical technique, new pharmaceuticals, molecular genetics and other basic sciences have transformed many aspects of how these diseases are managed. Such progress will accelerate. Colorectal Disease offers a real benefit to subscribers and authors. It is first and foremost a vehicle for publishing original research relating to the demanding, rapidly expanding field of colorectal diseases. Essential for surgeons, pathologists, oncologists, gastroenterologists and health professionals caring for patients with a disease of the lower GI tract, Colorectal Disease furthers education and inter-professional development by including regular review articles and discussions of current controversies. Note that the journal does not usually accept paediatric surgical papers.