TY - JOUR
T1 - Evaluating quality across minimally invasive platforms in colorectal surgery
AU - Keller, Deborah S.
AU - Flores-Gonzalez, Juan R.
AU - Ibarra, Sergio
AU - Madhoun, Nisreen
AU - Tahilramani, Reena
AU - Mahmood, Ali
AU - Haas, Eric M.
PY - 2016/6/1
Y1 - 2016/6/1
N2 - Introduction: There is an increasing emphasis on optimizing and measuring surgical quality. The safety and efficacy of minimally invasive techniques have been proven; however, direct comparison of outcomes across platforms has not been performed. Our goal was to compare operative times and quality across three minimally invasive platforms in colorectal surgery. Methods: A prospective database was reviewed for elective minimally invasive surgery (MIS) cases from 2008 to 2014. Patients were stratified into multiport laparoscopic, single-incision laparoscopic (SILS) or robotic-assisted laparoscopic approaches (RALS). Demographics, perioperative, and postoperative outcomes were analyzed. Multivariate regression analysis was used to predict the demographic and procedural factors and outcomes associated with each platform. The main outcome measures were operative time and surgical quality by approach. Results: A total of 1055 cases were evaluated—28.4 % LAP, 18.5 % RALS, and 53.1 % SILS. RALS had the most complex patients, pathology, and procedures. The main diagnosis for RALS was rectal cancer (49.5 %), patients predominantly underwent pelvic surgery (72.8 %), had higher rates of neoadjuvant chemoradiation (p
AB - Introduction: There is an increasing emphasis on optimizing and measuring surgical quality. The safety and efficacy of minimally invasive techniques have been proven; however, direct comparison of outcomes across platforms has not been performed. Our goal was to compare operative times and quality across three minimally invasive platforms in colorectal surgery. Methods: A prospective database was reviewed for elective minimally invasive surgery (MIS) cases from 2008 to 2014. Patients were stratified into multiport laparoscopic, single-incision laparoscopic (SILS) or robotic-assisted laparoscopic approaches (RALS). Demographics, perioperative, and postoperative outcomes were analyzed. Multivariate regression analysis was used to predict the demographic and procedural factors and outcomes associated with each platform. The main outcome measures were operative time and surgical quality by approach. Results: A total of 1055 cases were evaluated—28.4 % LAP, 18.5 % RALS, and 53.1 % SILS. RALS had the most complex patients, pathology, and procedures. The main diagnosis for RALS was rectal cancer (49.5 %), patients predominantly underwent pelvic surgery (72.8 %), had higher rates of neoadjuvant chemoradiation (p
KW - Colorectal surgery
KW - Laparoscopic surgery
KW - Minimally invasive surgery
KW - Robotic surgery
KW - Surgical outcomes
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U2 - 10.1007/s00464-015-4479-0
DO - 10.1007/s00464-015-4479-0
M3 - Article
C2 - 26416377
AN - SCOPUS:84944538250
SN - 0930-2794
VL - 30
SP - 2207
EP - 2216
JO - Surgical Endoscopy and Other Interventional Techniques
JF - Surgical Endoscopy and Other Interventional Techniques
IS - 6
ER -