title: [Multidisciplinary development of robotic surgery in a University Tertiary Hospital: Organization and outcomes].
abstract: BACKGROUND
  Da Vinci system (Intuitive Surgical) is a surgical telemanipulator providing many technical advantages over conventional laparoscopic approach (3-D vision, ergonomics, highly precise movements, endowrist instrumentation...) and it is currently applied to several specialties throughout the world since 2000. The first Spanish public hospital incorporating this robotic technology was Hospital Clinico San Carlos (HCSC) in Madrid, in July 2006. We present the multidisciplinary organization and clinical, research and training outcomes of the Robotic Surgery Plan developed in the HCSC.
  
  
  METHODS
  Starting from joint management and joint scrub nurses team, General and Digestive Surgery, Urology and Gynaecology Departments were progressively incorporated into the Robotic Surgery Plan, with several procedures increasing in complexity. A number of intra and extra-hospital teaching and information activities were planned to report on the Robotic Surgery Plan.
  
  
  RESULTS
  Between July 2006 and July 2008, 306 patients were operated on: 169 by General Surgery, 107 by Urology and 30 by Gynaecology teams. The outcomes showed feasibility and a short learning curve. The educational plan included residents and staff interested in robotic technology application.
  
  
  CONCLUSIONS
  The structured and gradual incorporation of robotic surgery throughout the PCR-HCSC has made it easier to learn, to share designed infrastructure, to coordinate information activities and multidisciplinary collaboration. This preliminary experience has shown the efficiency of an adequate organization and motivated team.
authors.affiliation: Servicio de Cirugía I, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, España. ortosh@hotmail.com
authors.forename: Elena
authors.initials: E
authors.lastname: Ortiz Oshiro
authors.forename: Angel
authors.initials: A
authors.lastname: Ramos Carrasco
authors.forename: Jesús
authors.initials: J
authors.lastname: Moreno Sierra
authors.forename: Cristina
authors.initials: C
authors.lastname: Pardo Martínez
authors.forename: Isabel
authors.initials: I
authors.lastname: Galante Romo
authors.forename: Fernando
authors.initials: F
authors.lastname: Bullón Sopelana
authors.forename: Pluvio
authors.initials: P
authors.lastname: Coronado Martín
authors.forename: Iván
authors.initials: I
authors.lastname: Mansilla García
authors.forename: María
authors.initials: M
authors.lastname: Escudero Mate
authors.forename: José A
authors.initials: JA
authors.lastname: Vidart Aragón
authors.forename: Angel
authors.initials: A
authors.lastname: Silmi Moyano
authors.forename: Jesús
authors.initials: J
authors.lastname: Alvarez Fernández-Represa
mesh_terms: D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D017063:Outcome Assessment, Health Care; D012371:Robotics; D013503:Surgery Department, Hospital / Q000458:organization & administration*