Perfil clínico-epidemiológico-cirúrgico dos pacientes submetidos a operações robóticas no hospital de clínicas de Passo Fundo-RS

Abstract

Introduction: Robotic surgery stands out for its precision in complex procedures and anatomically difficult-to-access areas. In this context, the objective was to outline the clinical-epidemiological-surgical profile of patients who underwent robotic surgeries in a tertiary hospital. Methods: This was a cross-sectional study that included all patients who underwent robotic surgeries between March 2023 and May 2024. Data collected from electronic medical records included sociodemographic profile, risk factors, indication, type of surgery, and outcomes, which were analyzed descriptively using absolute (n) and relative (%) frequencies for categorical variables, and mean and standard deviation for numerical variables. Results: The typical patient profile was male, elderly, white, married, retired, with primary education, from other cities in the state, and with private health insurance. Most had comorbidities, with systemic arterial hypertension as the main risk factor. Regarding robotic surgeries, the main indications were in the fields of urology and general surgery, with prostate malignant neoplasm and gastroesophageal reflux being the most frequent. Hospital stays were brief, with low occurrence of complications, intensive care admissions, and readmissions. There were few conversions to other techniques and a very small number of deaths. Conclusion: The applicability of robotic surgery was evident in cases of varying complexity, particularly in urology and general surgery, and among individuals with pre existing comorbidities. The approach proved to be safe and effective, as indicated by the low rates of complications, short hospital stays, and isolated cases of conversion and death, reinforcing its potential to optimize patient care