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Cirugía torácica asistida por robot en Colombia: experiencia multi-institucional

dc.contributor.advisorBuitrago, Miguel Ricardo
dc.contributor.authorBuitrago, Miguel Ricardo
dc.contributor.authorRestrepo, Juliana
dc.coverage.spatialInstituto Nacional de Cancerología, Clínica de Marly, Clínica Shaiospa
dc.coverage.temporalJulio a septiembre de 2018spa
dc.date.accessioned2020-08-19T13:05:08Z
dc.date.available2020-08-19T13:05:08Z
dc.date.issued2018-11-20
dc.identifier.urihttp://hdl.handle.net/10654/35979
dc.description.abstractIntroducción: la adopción de la cirugía video-toracoscópica asistida por robot (RVATS por sus siglas en inglés) ha aumentado en el mundo de 3.4% en el año 2010 al 17.5% en el año 2015. A pesar de esto, en América Latina, la literatura se limita a una serie de 10 pacientes llevados a lobectomía con RVATS y un caso de timectomía con RVATS en Brasil. Métodos: una serie retrospectiva de todos los casos de RVATS realizados en Bogotá, Colombia desde el 2012. Un único cirujano de tórax (RB) realizó todas las cirugías en tres instituciones: Clínica de Marly, Fundación Clínica Shaio y el Instituto Nacional de Cancerología. Se incluyeron variables preoperatorias, intraoperatorias, postoperatorias y las variables del reporte de patología. Los pacientes se analizaron en 3 grupos. resecciones pulmonares, cirugías mediastinales y otros procedimientos. Se utilizaron métodos estadísticos descriptivos para reportar la mediana y el rango interquartilico (IQR por sus siglas en inglés) de la variables continuas y número y porcentaje para las variables categóricas. La asociación entre el tiempo operatorio total y el año de la cirugía se analizó con un modelo de regresión lineal Resultados: cuarenta y siete pacientes fueron tratados con resecciones pulmonares RVATS; 72.3% (n=34) de estos paceintes fueron llevados a lobectomía. La mediana de tiempo operatorio total fue de 220 (IQR: 200 a 250) minutos, 6.4% (n=3) presentaron complicaciones intraoperatorias y el diagnóstico histológico más frecuente fue adenocarcinoma (n=24, 51.1%). De 18 paciente tratados con cirugía mediastinal con RVATS, 50.0% (n=9) fueron timectomías, la mediana del tiempo operatorio total fue de 195.5 (IQR 131 a 221) minutos y dos pacientes (11.1%) presentaron complicaciones intraoperatorias. La regresión lineal para la asociación entre el tiempo operatorio total y el año de la cirugía mostró un reducción de 10.3 minutos por cada año (p=0.006) Conclusiones: esta es la segunda serie de RVATS publicada en América Latina y la primera publicada en Colombia, con resultados comparables a otros reportes.spa
dc.description.tableofcontentsTitle page........................... 1 Abstract............................. 2 Introduction....................... 3 Methods............................ 3 Results.............................. 5 Discussion........................ 7 References....................... 10 Figures............................. 16 Tables.............................. 16spa
dc.format.mimetypeapplicaction/pdfspa
dc.language.isospaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.titleCirugía torácica asistida por robot en Colombia: experiencia multi-institucionalspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.type.localTesis/Trabajo de grado - Monografía - Especializaciónspa
dc.description.abstractenglishBackground: Robotic assisted videothoracoscopic surgery (RVATS) adoption has increased worldwide from 3.4% in 2010 to 17.5% in 2015. However, in Latin America, the literature is limited to a report of a series of 10 patients who underwent RVATS lobectomy and one case report of an RVATS thymectomy from Brazil. Methods: This is a retrospective review of all RVATS performed in Bogotá Colombia since 2012. A single thoracic surgeon (RB) performed all the operations at three institutions: Clínica de Marly, Fundación Clínica Shaio and Instituto Nacional de Cancerología. Preoperative, intraoperative, postoperative and pathology report variables were included. Patients were analyzed in three groups: robotic RVATS pulmonary resections, RVATS mediastinal surgeries and other RVATS procedures. Descriptive statistics were used to report the median and interquartile range (IQR) of the continuous variables, and number and percentage were used to describe categorical variables. The association between total operative time and the year the surgery was analyzed using a linear regression model. Results: Forty-seven patients underwent RVATS pulmonary resections; 72.3% (n=34) of these patients underwent a RVATS lobectomy. The median total operative time was 220 (IQR: 200 to 250) minutes, 6.4% (n=3) had intraoperative complications, and the most frequent histologic diagnosis was adenocarcinoma (n=24, 51.1%). Of 18 patients who underwent RVATS mediastinal surgeries, 50.0% (n=9) had RVATS thymectomy, the median total operative time was 195.5 (IQR: 131 to 221) minutes and two patients (11.1%) had intraoperative complications. The linear regression model of the association between total operative time and the year the surgery showed a 10.3 minute reduction per year (P=0.006). Conclusions: This is the second series of RVATS published in Latin America and the first published in Colombia, with comparable perioperative results to other reports.spa
dc.title.translatedRobot-assisted thoracic surgery in Colombia: a multi-institutional initial experiencespa
dc.subject.keywordsROBOT-ASSISTED THORACOSCOPIC SURGERY (RATS)spa
dc.subject.keywordsVIDEO-ASSISTED THORACOSCOPIC SURGERY (VATS)spa
dc.subject.keywordsDA VINCI SURGICAL SYSTEMspa
dc.subject.keywordsTHORACIC SURGERYspa
dc.subject.keywordsPULMONARY ADENOCARCINOMAspa
dc.publisher.programCirugía Oncológicaspa
dc.creator.degreenameEspecialista en Cirugía Oncológicaspa
dc.subject.decsCANCER-CIRUGIAspa
dc.subject.decsONCOLOGIAspa
dc.subject.decsTORAX-CIRUGIAspa
dc.subject.decsCIRUGIA MINIMAMENTE INVASIVAspa
dc.subject.decsPROCEDIMIENTOS QUIRURGICOS ROBOTICOSspa
dc.description.degreelevelEspecializaciónspa
dc.publisher.facultyFacultad de Medicinaspa
dc.type.driverinfo:eu-repo/semantics/bachelorThesisspa
dc.rights.creativecommonsAttribution-NonCommercial-NoDerivatives 4.0 Internationalspa
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dc.relation.references13. Louie BE, Wilson JL, Kim S, et al. Comparison of Video- Assisted Thoracoscopic Surgery and Robotic Approaches for Clinical Stage I and Stage II Non-Small Cell Lung Cancer Using The Society of Thoracic Surgeons Database. Ann Thorac Surg 2016;102:917-24.spa
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dc.subject.proposalCIRUGIA TORACOSCOPICA ASISTIDA POR ROBOTspa
dc.subject.proposalCIRUGIA TORACOSCOPICA ASISTIDA POR VIDEOspa
dc.subject.proposalSISTEMA DA VINCIspa
dc.subject.proposalCIRUGIA DE TORAXspa
dc.subject.proposalADENOCARCINOMA DE PULMONspa
dc.publisher.grantorUniversidad Militar Nueva Granadaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1f*
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.identifier.instnameinstname:Universidad Militar Nueva Granadaspa
dc.identifier.reponamereponame:Repositorio Institucional Universidad Militar Nueva Granadaspa
dc.identifier.repourlrepourl:https://repository.unimilitar.edu.cospa
dc.rights.localAcceso abiertospa
dc.coverage.sedeMedicinaspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2


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