Mortality Rates in Benign Laparoscopic and Robotic Gynecologic Surgery: A Systematic Review and Meta-analysis

Behbehani, Sadikah; Suárez-Salvador, Elena; Buras, Matthew R.; Magtibay, Paul M.; Magrina, Javier F.

doi:10.1016/j.jmig.2019.10.005

Cited by 10 publications

(14 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Methodsmentioning

confidence: 99%

“…Operative mortality from any minimally invasive gynecological surgery (laparoscopy and RALS) is extremely low (1 of 6456 procedures) [ 15 , 23 ]. The procedure-associated mortality of CLS is quoted at 0.02% (0.01–0.03%), which can be translated into an estimated risk of death of 1 in 6512 (1 : 3971–1 : 10680) laparoscopies [ 23 ]. Major vascular injuries (MVI) are responsible for 74–82% of all laparoscopy-associated fatalities, followed by (not recognized) intestinal injuries [ 14 – 27 ].…”

Section: Methodsmentioning

confidence: 99%

“…Major vascular injuries (MVI) are responsible for 74–82% of all laparoscopy-associated fatalities, followed by (not recognized) intestinal injuries [ 14 – 27 ]. The mortality rate of RALS is 1 out of 5430 procedures, although the available data are less robust [ 23 ]. The mortality of conventional laparoscopic hysterectomy (LH) is 0.01% (0.01–0.02%), corresponding to 1 : 6799 (1 : 4109–1 : 11249) procedures.…”

Section: Methodsmentioning

confidence: 99%

“…The mortality of conventional laparoscopic hysterectomy (LH) is 0.01% (0.01–0.02%), corresponding to 1 : 6799 (1 : 4109–1 : 11249) procedures. The highest mortality amongst non-oncological laparoscopic procedures is associated with sacrocolpopexy, reaching 0.07% (0–5.65%), that is 1 : 1343 (1 : 18–1 : 107855) interventions [ 23 ].…”

Section: Methodsmentioning

confidence: 99%

“…The mortality data, pooled from [ 23 , 24 ] and stratified by procedure and indication, are presented in Table VII .…”

Section: Methodsmentioning

confidence: 99%

See 4 more Smart Citations

Complications in laparoscopic and robotic-assisted surgery: definitions, classifications, incidence and risk factors - an up-to-date review.

Watrowski

Kostov

Alkatout

2021

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

Almost all gynecological and general-surgical operations are – or can be – performed laparoscopically. In comparison to an abdominal approach, the minimally invasive access offers several advantages; however, laparoscopy (both conventional and robotic-assisted) can be associated with a number of approach-specific complications. Although the majority of them are related to the laparoscopic entry, adverse events may also occur due to the presence of pneumoperitoneum or the use of laparoscopic instruments. Unfortunately, a high proportion of complications (especially affecting the bowel and ureter) remain unrecognized during surgery. This narrative review provides comprehensive up-to-date information about definitions, classifications, risk factors and incidence of surgical complications in conventional and robotic-assisted laparoscopy, with a special focus on gynecology. The topic is discussed from various perspectives, e.g. in the context of stage of surgery, injured organs, involved instruments, and in relation to malpractice claims.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…The mortality data, pooled from [ 23 , 24 ] and stratified by procedure and indication, are presented in Table VII .…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Complications in laparoscopic and robotic-assisted surgery: definitions, classifications, incidence and risk factors - an up-to-date review.

Watrowski

Kostov

Alkatout

2021

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

show abstract

Comparative Study of Complications and Incision Esthetic Satisfaction Between Single-Port Laparoscopy and Traditional Laparoscopy in Benign Gynecological Surgery

Chen,

Li,

Lai

et al. 2024

Journal of Investigative Surgery

View full text Add to dashboard Cite

Safe Implementation of a Next-Generation Surgical Robot

et al. 2023

View full text Add to dashboard Cite

Objective: To present the first report of data from the Versius Surgical Registry, a prospective, multicenter data registry with ongoing collection across numerous surgical indications, developed to accompany the Versius Robotic Surgical System into clinical practice. Background: A data registry can be utilized to minimize risk to patients by establishing the safety and effectiveness of innovative medical devices and generating a thorough evidence base of real-world data.Methods: Surgical outcome data were collected and inputted through a secure online platform. Preoperative data included patient age, sex, body mass index, surgical history, and planned procedures. Intraoperative data included operative time, complications during surgery, conversion from robot-assisted surgery to an alternative surgical technique, and blood loss. Postoperative outcome data included length of hospital stay, complications following surgery, serious adverse events, return to the operating room, readmission to the hospital, and mortality within 90 days of surgery.Results: This registry analysis included 2083 cases spanning general, colorectal, hernia, gynecologic, urological, and thoracic indications. A considerable number of cases were recorded for cholecystectomy (n = 539), anterior resection (n = 162), and total laparoscopic hysterocolpectomy (n = 324) procedures. The rates of conversion to an alternative technique, serious adverse events, and 90-day mortality were low for all procedures across all surgical indications. Conclusions:We report the large-scale analysis of the first 2083 cases recorded in this surgical registry, with substantial data collected for cholecystectomies, anterior resections, and total laparoscopic hysterectomies. The extensive surgical outcome data reported here provide realworld evidence for the safe implementation of the surgical robot into clinical practice.

show abstract

Mortality Rates in Benign Laparoscopic and Robotic Gynecologic Surgery: A Systematic Review and Meta-analysis

Cited by 10 publications

References 50 publications

Complications in laparoscopic and robotic-assisted surgery: definitions, classifications, incidence and risk factors - an up-to-date review.

Complications in laparoscopic and robotic-assisted surgery: definitions, classifications, incidence and risk factors - an up-to-date review.

Comparative Study of Complications and Incision Esthetic Satisfaction Between Single-Port Laparoscopy and Traditional Laparoscopy in Benign Gynecological Surgery

Safe Implementation of a Next-Generation Surgical Robot

Contact Info

Product

Resources

About