Quantification of surgical workflow during robotic proctectomy

IF 2.3 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-03-04 DOI:10.1002/rcs.2625

Mishal Gillani, Manali Rupji, Courtney L. Devin, Lilia A. Purvis, Terrah J. Paul Olson, Anthony Jarc, Mallory C. Shields, Yuan Liu, Seth A. Rosen

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引用次数: 0

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.

查看原文本刊更多论文

机器人直肠切除术的手术流程量化。

背景：手术工作流程评估有助于深入了解手术的可变性。我们采用了一种客观的方法来评估机器人直肠切除术（RP）的工作流程：我们对 31 例 RP 进行了注释，并使用斯皮尔曼相关性测量了步骤时间和步骤访问频率与控制台时间 (CT) 和总手术时间 (TOT) 的相关性：肠系膜下静脉剥离和结扎术（ρ = 0.60，ρ = 0.60）、从外侧到内侧的脾曲移动术（SFM）（ρ = 0.63）、左直肠剥离术（ρ = 0.64）和直肠系膜分割术（ρ = 0.71）的CT和步骤时间之间存在很强的相关性。CT 与内侧到外侧（ρ = 0.75）和结肠上 SFM 访问频率（ρ = 0.65）密切相关。TOT与初始曝光时间（ρ = 0.60）、内侧到外侧（ρ = 0.67）和结肠上SFM就诊频率（ρ = 0.65）密切相关：本研究通过标准化注释将手术步骤与 CT 和 TOT 相关联，提供了量化工作流程的客观方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.