Preliminary application experiences of a multi-disciplinary teamwork
(MDT) pattern using in the robotic-assisted gynaecological surgery
Abstract
Abstract: Objective Patients’ demographics, perioperative data and
reasons of using MDT pattern were all analyzed to report preliminary
application experiences of an MDT pattern using in the robotic-assisted
gynaecological surgery at a single institution. Design Retrospective and
descriptive study. Setting Tertiary referral center with one surgical
team. Population All the 39 patients who have undergone robotic-assisted
MDT gynaecological surgeries from 2018 to 2021 in Chinese PLA General
Hospital. Methods Various types of robotic-assisted MDT gynaecological
surgeries were carried out by the Da Vinci SI Surgical System. Patients’
demographics, perioperative data and reasons of applying MDT surgeries
were described. Main Outcome Measures Patients’ demographics,
perioperative data and reasons of applying MDT surgeries. Results Most
patients undergone robotic-assisted MDT gynaecological surgeries have at
least one abdominal surgery before. The operation cost and hospital
expense were higher than common laparoscopy. Hospital stays ranged from
7 to 42 days. General surgery department and urological surgery
department were the top two familiar departments involved in
robotic-assisted MDT gynaecological surgeries. Only 4 cases appeared
intraoperative complications in these surgeries. However, postoperative
infection needed to be closely monitored. Conclusions It was indicated
that robotic-assisted MDT gynaecological surgeries applied in severe
diseases could provide both safety and precision, and the pattern was
proved to demonstrate the concept of patient-centered and holistic
treatment. Simultaneously, the MDT pattern could cultivate teamwork in
various departments in the hospital, thus it was beneficial to both
patients and hospitals. Keywords Multi-Disciplinary Teamwork;
Robotic-Assisted Surgery; Minimally Invasive Surgery; Gynaecology