Docking of the da Vinci Si Surgical System® with single-site technology
Docking of the da Vinci Si Surgical System® with single-site technology
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DOI：
10.1002/rcs.1481
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发表时间：
2013-03-01
影响因子：
2.5
通讯作者：
Hagen, Monika E.
中科院分区：
文献类型：
--
作者：
Iranmanesh, Pouya;Morel, Philippe;Hagen, Monika E.
背景节省手术室（OR）时间的策略对于限制机器人手术的成本至关重要。除其他因素外，术前设置和对接阶段最初被认为是耗时的。标准多端口da芬奇手术系统的对接过程未显示出显著延长总体手术时间。本研究旨在分析采用单部位技术的新型da芬奇Si手术系统的对接过程长度是否仍然可接受。方法我们前瞻性分析了2011 - 2012年在我们机构进行的所有机器人单切口胆囊切除术的对接和手术时间。对接任务负荷评估每次在一个自我管理的方式由对接外科医生使用NASA TLX视觉量表。结果纳入并分析了64例机器人单切口胆囊切除术。平均手术时间78 min。两名具有先前机器人手术经验的外科医生和一组三名经验较少的机器人外科医生负责对接系统。它们分别进行了45次、10次和9次对接。总体平均对接时间为6.4 min，两组之间无显著差异。对接过程约占操作时间的8%。手术次数最多的外科医生在对接时间方面取得了显著进步。不同的任务负荷参数在三组之间没有显示出统计学差异，但挫折参数除外，该参数在经验较少的外科医生组中较高。对接时间和各种任务负荷参数的评估之间有显着的相关性。结论机器人单切口胆囊切除术的对接过程学习迅速，不会显著增加整体手术时间。版权所有（c）2013约翰威利父子有限公司
Background Strategies to spare operating room (OR) times are crucial to limiting the costs involved in robotic surgery. Among other factors, the pre-operative set-up and docking phases have been incriminated at first to be time consuming. The docking process on the standard multiport da Vinci Surgical System has not been shown to significantly prolong the overall OR time. This study aims to analyse whether the length of the docking process on the new da Vinci Si Surgical System with Single-Site technology remains acceptable. Methods We prospectively analysed all of the robotic single-incision cholecystectomies performed at our institution for docking and operating times during 20112012. The docking task load was assessed each time in a self-administered fashion by the docking surgeon using the NASA TLX visual scale. Results Sixty-four robotic single-incision cholecystectomies were included and analysed. The mean operative time was 78min. Two surgeons with previous robotic surgery experience and a group of three less experienced robotic surgeons were responsible for docking the system. They performed 45, 10 and nine dockings, respectively. The overall mean docking time was 6.4min with no significant difference between the groups. The docking process represented approximately 8% of the operating time. The surgeon with the most procedures showed significant progress in his docking times. The different task load parameters did not show a statistical difference between the three groups, with the exception of the frustration parameter, which was higher in the group of less experienced surgeons. There were significant correlations between docking times and the assessment of the various task load parameters. Conclusion The docking process for a robotic single-incision cholecystectomy is learned rapidly and does not significantly increase the overall OR time. Copyright (c) 2013 John Wiley & Sons, Ltd.