Analysis of Robotic Performance Times to Improve Operative Efficiency

作者:Geller Elizabeth J*; Lin Feng Chang; Matthews Catherine A
来源:Journal of Minimally Invasive Gynecology, 2013, 20(1): 43-48.
DOI:10.1016/j.jmig.2012.08.774

摘要

Study Objective: To estimate the efficiency of procedural steps in robotic sacrocolpopexy and concomitant hysterectomy.
Design: Retrospective study (Canadian Task Force classification II-2).
Setting: University hospital.
Patients: One hundred forty-seven patients who underwent robotic-assisted procedures from November 2007 through December 2010.
Interventions: Robotic-assisted sacrocolpopexy. Sixty patients (40.8%) underwent concomitant hysterectomy; 37 (25.2%), mid-urethral sling placement; and 7 (4.8%), concomitant colporrhaphy.
Measurements and Main Results: Comparison of the first 20 procedures with the subsequent 127 demonstrated that there was considerable improvement in time of cuff closure (p = .04); sacral dissection (p = .004); anterior (p = .006), posterior, (p = .003), and sacral (p = .003) mesh attachment; peritoneal closure (p < .001); total docked time (p = .02); and total incision time (p < .001).
Conclusion: Robotic efficiency improves over a short learning period, with greatest differences in intracorporeal suturing and overall times. Identifying these steps may aid surgeons and learners in improving overall efficiency and establishing benchmarks for performance.

  • 出版日期2013-2

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