Bedside assistant’s seniority has no influence on perioperative outcomes
and postoperative complications expecting a shorter operative time in
robotic-assisted laparoscopic radical hysterectomy (RALH) for patients
diagnosed with cervical cancer: a single-center retrospective
case-control study
Abstract
Objective: We aimed to explore the relationship between the bedside
assistant’s seniority in RALH for cervical cancer and perioperative
outcomes and postoperative complications. Design: Retrospective,
Single-center, Case-control study Setting: The First Affiliated Hospital
of Guangxi Medical University Population: A total of 76 patients
diagnosed with FIGO stage IA- IIA cervical cancer received
robotic-assisted radical hysterectomy with pelvic lymphadenectomy
between January 2020 and January 2022. Methods: The enrolled objects
were divided into three groups, according to the length of time the
bedside assistant involving in gynecological work, which was ≤ 5 years
(group 1), 5-10 years (group 2), and ≥ 10 years (group 1). Dates of
operative time, estimated blood loss, length of stay and postoperative
complications were analyzed by SPSS. Main outcome measures: The total
operation time was calculated from the preparation time to closure time.
Results: A statistically significant difference was observed among the
data of operative time (P=0.002). Pairwise comparison between group 3
and group 1, 2 noted that there were significant differences. The
operative time of group 3 was shorter than group 1 and group 2 (p=0.001,
p=0.002 respectively). However, no significant differences were observed
in terms of the length of stay (P=0.398), estimated blood loss
(P=0.314), postoperative complications within 42 days (P=0.444), and
postoperative complications after 42 days (P=0.223) between these three
groups were not statistically significant. Conclusion: BA’s experience
had no positive influence on perioperative surgical outcomes and
postoperative complications, except for a shorter operative time only
when they incorporated into gynecology ≥ ten years.