Room Size Influences Flow in Robotic-Assisted Surgery.
Room Size Influences Flow in Robotic-Assisted Surgery.
复制标题
DOI：
10.3390/ijerph18157984
复制
发表时间：
2021-07-28
影响因子：
--
通讯作者：
Catchpole K
中科院分区：
文献类型：
--
作者：
Kanji F;Cohen T;Alfred M;Caron A;Lawton S;Savage S;Shouhed D;Anger JT;Catchpole K
将外科技术引入现有手术室（OR）可能会对员工和基础设施提出新的要求。尽管机器人辅助手术（RAS）中的设备的物理尺寸很大，但很少考虑工作空间的影响。本研究旨在探讨手术室大小对RAS期间发生手术流中断（FD）的环境原因的影响。2019年7月至2021年1月期间，在两家学术医院观察到五十六例RAS手术，涉及普外科、泌尿外科和妇科外科专业。多元回归分析表明，在对接前阶段，房间大小有显著影响（t = 2.170，df = 54，β = 0.017，p = 0.035），其中FD率随着房间大小的增加而增加，（t =-2.488，df = 54，β =-0.017，p = 0.016），其中FD率随着房间大小的减小而增加。还证实了部位的显著影响（对接前阶段：p = 0.000和对接阶段：p = 0.000）。这项研究的结果表明，将手术机器人引入手术领域涉及迄今为止尚未认识到的空间挑战。虽然新技术可能为患者安全带来好处，但在整合之前考虑技术需求非常重要。
The introduction of surgical technology into existing operating rooms (ORs) can place novel demands on staff and infrastructure. Despite the substantial physical size of the devices in robotic-assisted surgery (RAS), the workspace implications are rarely considered. This study aimed to explore the impact of OR size on the environmental causes of surgical flow disruptions (FDs) occurring during RAS. Fifty-six RAS procedures were observed at two academic hospitals between July 2019 and January 2021 across general, urologic, and gynecologic surgical specialties. A multiple regression analysis demonstrated significant effects of room size in the pre-docking phase (t = 2.170, df = 54, β = 0.017, p = 0.035) where the rate of FDs increased as room size increased, and docking phase (t = −2.488, df = 54, β = −0.017, p = 0.016) where the rate of FDs increased as room size decreased. Significant effects of site (pre-docking phase: p = 0.000 and docking phase: p = 0.000) were also demonstrated. Findings from this study demonstrate hitherto unrecognized spatial challenges involved with introducing surgical robots into the operating domain. While new technology may provide benefits towards patient safety, it is important to consider the needs of the technology prior to integration.
登录
查看更多内容
影响因子：
2.6
作者：
Souders CP;Catchpole KR;Wood LN;Solnik JM;Avenido RM;Strauss PL;Eilber KS;Anger JT
通讯作者：
Anger JT
影响因子：
--
作者：
Khaleghi A;Mohammadi MR;Pirzad Jahromi G;Zarafshan H
通讯作者：
Zarafshan H
DOI：
10.1007/s00464-015-4671-2
发表时间：
2016-09-01
影响因子：
3.1
作者：
Catchpole, Ken;Perkins, Colby;Anger, Jennifer T.
通讯作者：
Anger, Jennifer T.
影响因子：
2.2
作者：
Taaffe, Kevin;Joseph, Anjali;Reeves, Scott T.
通讯作者：
Reeves, Scott T.
DOI：
10.1177/193758671400800105
发表时间：
2014-09-01
影响因子：
2.2
作者：
Persson, Johanna;Dalholm, Elisabeth Hornyanszky;Johansson, Gerd
通讯作者：
Johansson, Gerd