E-Posters-Comparison of Clinical Outcomes in Robotic Assisted Sacrocolpopexies with the DaVinci S and DaVinci Xi

Comparison of Clinical Outcomes in Robotic Assisted Sacrocolpopexies with the DaVinci S and DaVinci Xi - Jessica Li, MD

Pdf Summary

This study conducted a retrospective chart review of patients who underwent robotic assisted sacrocolpopexies at Stamford Hospital from January 2012 to September 2017. The most common combination of procedures was a robotic assisted sacrocolpopexy with a total vaginal hysterectomy and a transobturator sling. The primary outcome measure was operating time, and secondary outcomes included length of stay, infection rates, readmission rates, and complications requiring additional procedures. The study compared the outcomes between two models of the Da Vinci robotic system - the Da Vinci S and Da Vinci Xi. The primary outcome of operating time was lower in the Da Vinci Xi group, but not statistically significant. All other secondary outcomes were also not statistically significant. The study acknowledged confounders such as surgeon experience and patient characteristics. The study concluded that there was no appreciable difference between the two robot models in patient outcomes. The introduction highlighted the increasing use of robotic technology in gynecologic surgery and the different models of the Da Vinci platform. The study aimed to determine if there were measurable differences between using the Da Vinci S and Da Vinci Xi system in urogynecology. The background section provided information on the benefits of minimally invasive surgery and the adoption of robotic technology in gynecologic procedures. In conclusion, the study found no significant difference in patient outcomes when using the Da Vinci S or Da Vinci Xi model for robotic assisted sacrocolpopexies. The authors emphasized the importance of basing changes in technology on data rather than marketing, especially considering the significant cost associated with the newer Da Vinci Xi model.

Keywords

retrospective chart review

robotic assisted sacrocolpopexies

Stamford Hospital

combination of procedures

operating time

secondary outcomes

Da Vinci robotic system

patient outcomes

urogynecology

minimally invasive surgery