Quantification of surgical workflow during robotic proctectomy.
Int J Med Robot
; 20(2): e2625, 2024 Apr.
Article
en En
| MEDLINE
| ID: mdl-38439215
ABSTRACT
BACKGROUND:
Surgical workflow assessments offer insight regarding procedure variability. We utilised an objective method to evaluate workflow during robotic proctectomy (RP).METHODS:
We annotated 31 RPs and used Spearman's correlation to measure the correlation of step time and step visit frequency with console time (CT) and total operative time (TOT).RESULTS:
Strong correlations were seen with CT and step times for inferior mesenteric vein dissection and ligation (ρ = 0.60, ρ = 0.60), lateral-to-medial splenic flexure mobilisation (SFM) (ρ = 0.63), left rectal dissection (ρ = 0.64) and mesorectal division (ρ = 0.71). CT correlated strongly with medial-to-lateral (ρ = 0.75) and supracolic SFM visit frequency (ρ = 0.65). TOT correlated strongly with initial exposure time (ρ = 0.60), and medial-to-lateral (ρ = 0.67) and supracolic SFM visit frequency (ρ = 0.65).CONCLUSION:
This study correlates surgical steps with CT and TOT through standardised annotation, providing an objective approach to quantify workflow.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Robotizados
/
Proctectomía
Límite:
Humans
Idioma:
En
Revista:
Int J Med Robot
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos