Surgery Advances in Gynecologic Tumors: The Evolution and Outcomes of Robotic Surgery for Gynecologic Cancers in a Tertiary Center.
David KniginYoav BrezinovShannon SalvadorSusie LauWalter Henri GotliebPublished in: Current oncology (Toronto, Ont.) (2024)
The integration of innovation into routine clinical practice is faced with many challenges. In 2007, we received the mandate to evaluate how the introduction of a robotic program in gynecologic oncology affected patient-centered care by studying its impact on clinical outcomes and hospital resource utilization. Here we summarize the history and experience of developing a robotic surgery program for gynecologic cancers over 16 years. Analysis of the data indicates that robotic surgery improved perioperative patient clinical parameters, decreased blood loss, complications, and hospital stay, maintained the oncologic outcome, and is cost-effective, resulting in it becoming the dominant surgical approach in gynecologic oncology in a tertiary cancer care institution.
Keyphrases
- endometrial cancer
- clinical practice
- palliative care
- quality improvement
- healthcare
- minimally invasive
- prostate cancer
- electronic health record
- coronary artery bypass
- rectal cancer
- robot assisted
- big data
- young adults
- skeletal muscle
- coronary artery disease
- acute kidney injury
- radical prostatectomy
- machine learning
- chronic pain
- deep learning
- data analysis