Live robotic surgery

Are outcomes compromised?

Jeffrey K. Mullins, Michael S. Borofsky, Mohamad E Allaf, Sam Bhayani, Jihad H. Kaouk, Craig G. Rogers, Shahab P. Hillyer, Bartosz F. Kaczmarek, Youssef S. Tanagho, Michael D. Stifelman

Research output: Contribution to journalArticle

Abstract

To determine the outcomes of patients undergoing robotic partial nephrectomy as a live broadcast surgery compared to a cohort treated without observers. From 2007 to 2011, 39 robotic partial nephrectomies were performed as live broadcast surgery by 1 of 5 high volume surgeons. Live broadcast cases were defined as surgeries viewed by multiple visiting physicians via live teleconference in which the visitors were able to interact with the operating surgeon. Live cases were compared with 847 cases performed under standard operating procedure during the same period. Cases performed under standard operating procedure were not broadcasted. Demographic, clinicopathologic, and perioperative outcomes were compared between groups. Logistic regression analysis was performed to the test the association between live broadcast surgery and adverse perioperative outcomes. Demographic and clinicopathologic data were similar between both groups. The live broadcast surgery group experienced equivalent operative times (196.3 vs 183.8 minutes; P = .22), estimated blood loss (EBL; 187.8 vs 190.7; P = .93), warm ischemia time (WIT; 20.8 vs 18.8; P = .17), hospital length of stay (LOS; 2.8 vs 2.8 days; P = .99), positive surgical margin rate (2.6% vs 2.3%; P = .83), and rates of postoperative complications (5.1% vs 12.8%; P = .16). There were no Clavien III to V complications in the live broadcast group. Logistic regression analyses demonstrated that live broadcast surgery was not associated with any unfavorable perioperative parameter. Live robotic surgery is associated with excellent patient outcomes which compare favorably to cases done under normal operating procedures. Live robotic surgery represents a powerful educational tool which may be used without increasing patient morbidity.

Original languageEnglish (US)
Pages (from-to)602-606
Number of pages5
JournalUrology
Volume80
Issue number3
DOIs
StatePublished - Sep 2012

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Robotics
Nephrectomy
Length of Stay
Logistic Models
Regression Analysis
Demography
Telecommunications
Warm Ischemia
Operative Time
Morbidity
Physicians

ASJC Scopus subject areas

  • Urology

Cite this

Mullins, J. K., Borofsky, M. S., Allaf, M. E., Bhayani, S., Kaouk, J. H., Rogers, C. G., ... Stifelman, M. D. (2012). Live robotic surgery: Are outcomes compromised? Urology, 80(3), 602-606. https://doi.org/10.1016/j.urology.2012.03.050

Live robotic surgery : Are outcomes compromised? / Mullins, Jeffrey K.; Borofsky, Michael S.; Allaf, Mohamad E; Bhayani, Sam; Kaouk, Jihad H.; Rogers, Craig G.; Hillyer, Shahab P.; Kaczmarek, Bartosz F.; Tanagho, Youssef S.; Stifelman, Michael D.

In: Urology, Vol. 80, No. 3, 09.2012, p. 602-606.

Research output: Contribution to journalArticle

Mullins, JK, Borofsky, MS, Allaf, ME, Bhayani, S, Kaouk, JH, Rogers, CG, Hillyer, SP, Kaczmarek, BF, Tanagho, YS & Stifelman, MD 2012, 'Live robotic surgery: Are outcomes compromised?', Urology, vol. 80, no. 3, pp. 602-606. https://doi.org/10.1016/j.urology.2012.03.050
Mullins JK, Borofsky MS, Allaf ME, Bhayani S, Kaouk JH, Rogers CG et al. Live robotic surgery: Are outcomes compromised? Urology. 2012 Sep;80(3):602-606. https://doi.org/10.1016/j.urology.2012.03.050
Mullins, Jeffrey K. ; Borofsky, Michael S. ; Allaf, Mohamad E ; Bhayani, Sam ; Kaouk, Jihad H. ; Rogers, Craig G. ; Hillyer, Shahab P. ; Kaczmarek, Bartosz F. ; Tanagho, Youssef S. ; Stifelman, Michael D. / Live robotic surgery : Are outcomes compromised?. In: Urology. 2012 ; Vol. 80, No. 3. pp. 602-606.
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