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Impact of robotic-assisted surgery on length of hospital stay in Paris public hospitals: a retrospective analysis.
Blanc, Thomas; Capito, Carmen; Lambert, Edward; Mordant, Pierre; Audenet, François; de la Taille, Alexandre; Peycelon, Matthieu; Cattan, Pierre; Assouad, Jalal; Penna, Christophe; Borghese, Bruno; Roupret, Morgan.
Afiliación
  • Blanc T; Department of Pediatric Surgery and Urology, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75743, Paris Cedex 15, France. thomas.blanc@aphp.fr.
  • Capito C; Assistance Publique-Hôpitaux de Paris, Paris, France. thomas.blanc@aphp.fr.
  • Lambert E; Université Paris Cité, Paris, France. thomas.blanc@aphp.fr.
  • Mordant P; Department of Pediatric Surgery and Urology, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75743, Paris Cedex 15, France.
  • Audenet F; Assistance Publique-Hôpitaux de Paris, Paris, France.
  • de la Taille A; Assistance Publique-Hôpitaux de Paris, Paris, France.
  • Peycelon M; Sorbonne University, GRC 5 Predictive Onco-Uro, AP-HP, Urology, Pitie-Salpetriere Hospital, Paris, France.
  • Cattan P; J-ERUS/YAU Academic Urologists Working Group on Robot-Assisted Surgery, Paris, France.
  • Assouad J; Assistance Publique-Hôpitaux de Paris, Paris, France.
  • Penna C; Université Paris Cité, Paris, France.
  • Borghese B; Inserm, Physiopathologie et épidémiologie des maladies respiratoires, Paris, France.
  • Roupret M; Department of Vascular Surgery, Thoracic Surgery, and Lung Transplantation, Hôpital Bichat, INSERM 1152, Paris, France.
J Robot Surg ; 18(1): 332, 2024 Sep 04.
Article en En | MEDLINE | ID: mdl-39230755
ABSTRACT
The number of available hospital beds is decreasing in many countries. Reducing the length of hospital stay (LOS) and increasing bed turnover could improve patient flow. We evaluated whether robot-assisted surgery (RAS) had a beneficial impact on the LOS in a French hospital trust with a long-established robotic program (Assistance Publique-Hôpitaux de Paris, AP-HP). We extracted data from "Programme de Médicalisation des Systèmes d'Information" to determine the median LOS for adults in our trust after RAS versus laparoscopy and open surgery in 2021-2022 for eight target procedures, and compared data nationally and at similar academic centres (same database). We also calculated the number of hospitalisation days 'saved' using RAS. Overall, 9326 target procedures were performed at AP-HP 3864 (41.4%) RAS, 2978 (31.9%) laparoscopies, and 2484 (26.6%) open surgeries. The median LOS for RAS was lower than laparoscopy and open surgery for all procedures, apart from hysterectomy and colectomy (equivalent to laparoscopy). Results for urological procedures at AP-HP reflected national values. The equivalent of 5390 hospitalisation days was saved in 2021-2022 using RAS instead of open surgery or laparoscopy at AP-HP; of these, 86% represented hospitalisation days saved using RAS in urological procedures. Using RAS instead of open surgery or laparoscopy (particularly in urological procedures) reduced the median LOS and may save thousands of hospitalisation days every year. This should help to increase patient turnover and facilitate patient flow.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Procedimientos Quirúrgicos Robotizados / Hospitales Públicos / Tiempo de Internación Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: J Robot Surg Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Procedimientos Quirúrgicos Robotizados / Hospitales Públicos / Tiempo de Internación Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: J Robot Surg Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido