From Da Vinci Si to Da Vinci Xi: realistic times in draping and docking the robot.

From Da Vinci Si to Da Vinci Xi: realistic times in draping and docking the robot.
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DOI:
10.1007/s11701-020-01057-8
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发表时间:
2020-12
影响因子:
2.3
通讯作者:
Broeders IAMJ
Broeders IAMJ
中科院分区:
医学3区
文献类型:
--
作者:
van der Schans EM;Hiep MAJ;Consten ECJ;Broeders IAMJ

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机器人辅助手术被认为是耗时的,部分原因是准备机器人需要额外的时间。本研究的目的是提供 Da Vinci Xi 立体裁剪和对接的真实时间,并分析经验丰富的团队从 Si 到 Xi 过渡的学习曲线。这项前瞻性研究是在一家拥有大量普外科、泌尿科和妇科机器人辅助手术的医院进行的。 Xi 实施后的前 6 周内,从患者进入手术室到外科医生坐在控制台后面的时间都被精确记录。总共执行并记录了 65 个程序。分别在 21 例和 18 例后达到机器人悬垂和对接过程的学习曲线。完成学习曲线后的平均时间为铺盖 5 分钟和对接 7 分钟,与学习曲线完成前的平均时间有统计学差异(p 值 < 0.01)。在专门的团队中,准备习所需的额外时间甚至可以减少到对接所需的时间。因此,设置机器人对手术室总时间的影响应该是有限的。
Robot-assisted surgery is assumed to be time consuming partially due to extra time needed in preparing the robot. The objective of this study was to give realistic times in Da Vinci Xi draping and docking and to analyse the learning curve in the transition from the Si to the Xi in an experienced team. This prospective study was held in a hospital with a high volume of robot-assisted surgery in general surgery, urology and gynaecology. Times from the moment patients entered the operating room until the surgeon took place behind console were precisely recorded during the first 6 weeks after the implementation of the Xi. In total, 65 procedures were performed and documented. The learning curve for the process of draping and docking the robot was reached after 21 and 18 cases, respectively. Mean times after completion of the learning curve were 5 min for draping and 7 min for docking and were statistically different from mean times before completion of the learning curve (p values < 0.01). In dedicated teams netto extra time needed for preparing the Xi can even be reduced to just the time needed for docking. Thus, setting up the robot should have limited impact on overall time spent in the operation room.
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