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2020, Number 2

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Rev Mex Cir Endoscop 2020; 21 (2)

First 230 cases in robotic assisted general surgery by a single surgical group in Mexico

Kuri OJA, Solórzano AJJ, Aguirre GMP, Galeana NFI, Luján MKI

Language: Spanish
References: 30
Page: 79-85
PDF size: 191.63 Kb.


ABSTRACT

Objectives: Robotic surgery is becoming more available every day and, in some cases, it surpasses other surgical approaches with better results for patients. The present study describes the experience of a single surgical group in general surgery, in two private tertiary hospitals in Mexico City. Material and methods: From January 2016 to August 2020, 230 patients with different diseases underwent robotic surgery within the specialty of general surgery, the surgeries were performed by a single qualified surgeon. Surgical results were recorded in a database. Results: 230 patients underwent robotic surgery, 44% (102) were women and 56% (128) were men with a mean age of 56.5 years with a range of 19-88 years. Hiatal surgery was the most performed in this period, with 100 surgeries (43.5% of the total), followed by inguinal plasties with 98 (42.6%), ventral plasties 13 (5.7%), colectomies 10 (4.3%), cholecystectomies 4 (1.7%), gastrectomies 3 (1.4%), resection of duodenal lesion 1 (0.4%) and restitution of intestinal transit with resection of colovaginal fistula 1 (0.4%). The mean surgical time was 178.4 min. There was only one conversion to open surgery and no major complications were reported with a morbidity of 4.7%. Conclusions: Robotic surgery is being performed successfully in Mexico and with results comparable to international centers of excellence and there is a timeline in the robotic surgeon's experience that allows, as he accumulates a number of instances and experience in the surgical team, to increase the complexity of his cases. In Mexico, the evolution of minimally invasive surgery is present, remaining at the forefront of surgical management.


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