The Impact of a Dedicated Robotic Team on Robotic-Assisted Sacrocolpopexy Outcomes

Background
Robotic-assisted sacrocolpopexy has been criticized for high cost. A strategy to increase operating room efficiency and decrease cost is implementation of a dedicated robotic team. Our objective was to determine if a dedicated robotic team decreases operative time.
Study Design
This institutional review board–approved retrospective cohort study included all robotic-assisted sacrocolpopexy performed from June 2010 to August 2015 by a single surgeon at 2 institutions in 1 health system. One hospital had a dedicated robotic team, whereas the other did not. To assess baseline differences, χ2 and t tests were used. Multivariable linear regression identified factors impacting operative time.
Results
Eighty-eight robotic-assisted sacrocolpopexy cases met inclusion criteria. Subjects were primarily white (92.8%) and postmenopausal (85.5%) with stage III prolapse (71.1%). Mean age was 60.6 ± 9.0 years, and BMI was 28.5 ± 5.1 kg/m2. Seventeen cases (19.3%) had a dedicated team. In the 71 cases without a dedicated team, there were 16 different surgical technologist and no advanced practice providers. Groups had similar baseline characteristics (all P> 0.05).
Mean operative time for the dedicated team was significantly less (131.8 vs 160.2 minutes, P

Source: Journal of Pelvic Medicine and Surgery - December 19, 2017 Category: Surgery Tags: Original Articles Source Type: research