Research ExplorerPublicationsDefining benchmarks for robotic-assisted low anterior rectum...

Defining benchmarks for robotic-assisted low anterior rectum resection in low-morbid patients: a multicenter analysis

Standard

Defining benchmarks for robotic-assisted low anterior rectum resection in low-morbid patients: a multicenter analysis. / Egberts, Jan-Hendrik; Kersebaum, Jan-Niclas; Mann, Benno; Aselmann, Heiko; Hirschburger, Markus; Graß, Julia; Becker, Thomas; Izbicki, Jakob; Perez, Daniel.

In: INT J COLORECTAL DIS, Vol. 36, No. 9, 09.2021, p. 1945-1953.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Egberts, J-H, Kersebaum, J-N, Mann, B, Aselmann, H, Hirschburger, M, Graß, J, Becker, T, Izbicki, J & Perez, D 2021, 'Defining benchmarks for robotic-assisted low anterior rectum resection in low-morbid patients: a multicenter analysis', INT J COLORECTAL DIS, vol. 36, no. 9, pp. 1945-1953. https://doi.org/10.1007/s00384-021-03988-6

APA

Egberts, J-H., Kersebaum, J-N., Mann, B., Aselmann, H., Hirschburger, M., Graß, J., Becker, T., Izbicki, J., & Perez, D. (2021). Defining benchmarks for robotic-assisted low anterior rectum resection in low-morbid patients: a multicenter analysis. INT J COLORECTAL DIS, 36(9), 1945-1953. https://doi.org/10.1007/s00384-021-03988-6

Vancouver

Egberts J-H, Kersebaum J-N, Mann B, Aselmann H, Hirschburger M, Graß J et al. Defining benchmarks for robotic-assisted low anterior rectum resection in low-morbid patients: a multicenter analysis. INT J COLORECTAL DIS. 2021 Sep;36(9):1945-1953. https://doi.org/10.1007/s00384-021-03988-6

Bibtex

@article{f7819193497549b4b36970e0a8872ae4,
title = "Defining benchmarks for robotic-assisted low anterior rectum resection in low-morbid patients: a multicenter analysis",
abstract = "PURPOSE: To define the best possible outcomes for robotic-assisted low anterior rectum resection (RLAR) using total mesorectal excision (TME) in low-morbid patients, performed by expert robotic surgeons in German robotic centers. The benchmark values were derived from these results.METHODS: The data was retrospectively collected from five German expert centers. After patient exclusion (prior surgery, extended surgery, no prior anastomosis, hand-sewn anastomosis), the benchmark cohort was defined (n = 226). The median with interquartile range was first calculated for the individual centers. The 75th percentile of the median results was defined as the benchmark cutoff and represents the {"}perfect{"} achievable outcome. This applied to all benchmark values apart from lymph node yield, where the cutoff was defined as the 25th percentile (more lymph nodes are better).RESULTS: The benchmark values for conversion and intraoperative complication rates were ≤ 4.0% and ≤ 1.4%, respectively. For postoperative complications, the benchmark was ≤ 28% for {"}any{"} and ≤ 18.0% for major complications. The R0 and complete TME rate benchmarks were both 100%, with a lymph node yield of > 18. The benchmark for rate of anastomotic insufficiency was < 12.5% and 90-day mortality was 0%. Readmission rates should not exceed 4%.CONCLUSION: This outcome analysis of patients with low comorbidity undergoing RLAR may serve as a reference to evaluate surgical performance in robotic rectum resection.",
keywords = "Benchmarking, Humans, Laparoscopy, Postoperative Complications, Proctectomy, Rectal Neoplasms/surgery, Rectum/surgery, Retrospective Studies, Robotic Surgical Procedures/adverse effects, Treatment Outcome",
author = "Jan-Hendrik Egberts and Jan-Niclas Kersebaum and Benno Mann and Heiko Aselmann and Markus Hirschburger and Julia Gra{\ss} and Thomas Becker and Jakob Izbicki and Daniel Perez",
note = "{\textcopyright} 2021. The Author(s).",
year = "2021",
month = sep,
doi = "10.1007/s00384-021-03988-6",
language = "English",
volume = "36",
pages = "1945--1953",
journal = "INT J COLORECTAL DIS",
issn = "0179-1958",
publisher = "Springer",
number = "9",

}

RIS

TY - JOUR

T1 - Defining benchmarks for robotic-assisted low anterior rectum resection in low-morbid patients: a multicenter analysis

AU - Egberts, Jan-Hendrik

AU - Kersebaum, Jan-Niclas

AU - Mann, Benno

AU - Aselmann, Heiko

AU - Hirschburger, Markus

AU - Graß, Julia

AU - Becker, Thomas

AU - Izbicki, Jakob

AU - Perez, Daniel

N1 - © 2021. The Author(s).

PY - 2021/9

Y1 - 2021/9

N2 - PURPOSE: To define the best possible outcomes for robotic-assisted low anterior rectum resection (RLAR) using total mesorectal excision (TME) in low-morbid patients, performed by expert robotic surgeons in German robotic centers. The benchmark values were derived from these results.METHODS: The data was retrospectively collected from five German expert centers. After patient exclusion (prior surgery, extended surgery, no prior anastomosis, hand-sewn anastomosis), the benchmark cohort was defined (n = 226). The median with interquartile range was first calculated for the individual centers. The 75th percentile of the median results was defined as the benchmark cutoff and represents the "perfect" achievable outcome. This applied to all benchmark values apart from lymph node yield, where the cutoff was defined as the 25th percentile (more lymph nodes are better).RESULTS: The benchmark values for conversion and intraoperative complication rates were ≤ 4.0% and ≤ 1.4%, respectively. For postoperative complications, the benchmark was ≤ 28% for "any" and ≤ 18.0% for major complications. The R0 and complete TME rate benchmarks were both 100%, with a lymph node yield of > 18. The benchmark for rate of anastomotic insufficiency was < 12.5% and 90-day mortality was 0%. Readmission rates should not exceed 4%.CONCLUSION: This outcome analysis of patients with low comorbidity undergoing RLAR may serve as a reference to evaluate surgical performance in robotic rectum resection.

AB - PURPOSE: To define the best possible outcomes for robotic-assisted low anterior rectum resection (RLAR) using total mesorectal excision (TME) in low-morbid patients, performed by expert robotic surgeons in German robotic centers. The benchmark values were derived from these results.METHODS: The data was retrospectively collected from five German expert centers. After patient exclusion (prior surgery, extended surgery, no prior anastomosis, hand-sewn anastomosis), the benchmark cohort was defined (n = 226). The median with interquartile range was first calculated for the individual centers. The 75th percentile of the median results was defined as the benchmark cutoff and represents the "perfect" achievable outcome. This applied to all benchmark values apart from lymph node yield, where the cutoff was defined as the 25th percentile (more lymph nodes are better).RESULTS: The benchmark values for conversion and intraoperative complication rates were ≤ 4.0% and ≤ 1.4%, respectively. For postoperative complications, the benchmark was ≤ 28% for "any" and ≤ 18.0% for major complications. The R0 and complete TME rate benchmarks were both 100%, with a lymph node yield of > 18. The benchmark for rate of anastomotic insufficiency was < 12.5% and 90-day mortality was 0%. Readmission rates should not exceed 4%.CONCLUSION: This outcome analysis of patients with low comorbidity undergoing RLAR may serve as a reference to evaluate surgical performance in robotic rectum resection.

KW - Benchmarking

KW - Humans

KW - Laparoscopy

KW - Postoperative Complications

KW - Proctectomy

KW - Rectal Neoplasms/surgery

KW - Rectum/surgery

KW - Retrospective Studies

KW - Robotic Surgical Procedures/adverse effects

KW - Treatment Outcome

U2 - 10.1007/s00384-021-03988-6

DO - 10.1007/s00384-021-03988-6

M3 - SCORING: Journal article

C2 - 34244856

VL - 36

SP - 1945

EP - 1953

JO - INT J COLORECTAL DIS

JF - INT J COLORECTAL DIS

SN - 0179-1958

IS - 9

ER -