Out by 3:30-A Study in Robotic Bariatric Surgery Efficiency
Out by 3:30-A Study in Robotic Bariatric Surgery Efficiency
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DOI：
10.1089/bari.2014.0009
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发表时间：
2014-06-01
影响因子：
0.3
通讯作者：
Patel, Ankit D.
中科院分区：
文献类型：
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作者：
Urrego, Hernan;Sanni, Aliu;Patel, Ankit D.
简介：很少有人关注提高机器人手术的效率。本研究的目的是证明机器人 (RSG) 和腹腔镜袖状胃切除术 (LSG) 之间效率低下的领域，并表明机器人可以有效地融入减肥手术实践中。方法：我们回顾性地识别了 25 个连续的 LSG 和 RSG，并比较术前（患者进入手术室 (OR) 到皮肤切口）、术中（切口到皮肤闭合）和术后（皮肤闭合到手术室外）时间。对 RSG 与 LSG 进行方差分析，并分析连续病例的周转时间。结果：LSG 与 RSG 的平均术前、手术和术后时间分别为 42 +/- 8 与 46 +/- 1、88 +/- 19 与 119 +/- 32、以及 13 +/- 7.6 与 11 +/- 5 分钟。 LSG 和 RSG 手术时间之间存在统计学显着性差异 (p < 0.001)，但术前 (p = 0.164) 和术后 (p = 0.395) 时间之间没有显着性。结论：机器人手术持续时间较长的主要原因是手术时间，而不是术前或术后时间。配备专门的机器人团队的 RSG 可以高效执行，因此可以在下午 3 点 30 分之前完成连续 3 个 RSG。米。一天之内。
Introduction: Little focus has been placed on improving the efficiency of robotic surgery. The aim of this study is to demonstrate areas of inefficiency between robotic (RSG) and laparoscopic sleeve gastrectomy (LSG) and show that the robot can be effectively integrated into a bariatric surgery practice.Methods: We retrospectively identified 25 consecutive LSG and RSG and compared preoperative (patient enters operating room (OR) to skin incision), operative (incision to skin closure), and postoperative (skin closure to out of OR) times. Analysis of variance comparing RSG versus LSG was performed, and turnover times for consecutive cases were analyzed.Results: The mean preoperative, operative, and postoperative times for LSG versus RSG are 42 +/- 8 versus 46 +/- 1, 88 +/- 19 versus 119 +/- 32, and 13 +/- 7.6 versus 11 +/- 5 minutes respectively. There is a statistically significant difference between LSG and RSG operative times (p < 0.001), but there was no significance between preoperative (p = 0.164) and postoperative (p = 0.395) times.Conclusion: The primary contributor to longer duration of a robotic case is the operative time, not preoperative or postoperative times. RSG with a dedicated robotic team can be efficiently performed so that three consecutive RSG can be completed by 3: 30 p. m. in a day.