[Reducing the Time Before the Console in Robotic-Assisted Laparoscopic Hysterectomy].

Q3 Medicine
Kaori Hoshino, Tomoko Kurita, Atsushi Tohyama, Yasuyuki Kinjo, Kazuaki Nishimura, Hiroshi Harada, Taeko Ueda, Seiji Kagami, Kiyoshi Yoshino, Yusuke Matsuura
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引用次数: 0

Abstract

Robotic-assisted surgery enables precise manipulations with magnified vision, stereoscopic vision, and forceps with multi-joint functions. It requires unique procedures such as position setting, port placement, roll-in, and docking, which lead to prolonged operation and anesthesia time. Five conditions described below were established at our institution to reduce the time to the initiation of console: (1) changing the patients' position from the flat lithotomy position to the spread legs position; (2) attaching a Hasson cone to hold the umbilical cannula stable; (3) changing the cannula's obturator (inner tube) from blunt to bladeless; (4) fixing the team, and (5) conducting regular docking training. These outcomes were examined in this study. The study included 77 patients who underwent robotic-assisted total hysterectomy for benign uterine disease and stage IA uterine cancer at our individual institution between April 2019 and July 2022. We compared the median time from anesthesia to console initiation between the first half group (cases 1-40) and the second half group (cases 41-77). The former required 91.5 (53-131) minutes, whereas the latter required 59 (37-126) minutes. Appropriate equipment selection and team education can reduce the time to console initiation.

[缩短机器人辅助腹腔镜子宫切除术中控制台前的时间]。
机器人辅助手术可利用放大视觉、立体视觉和具有多关节功能的镊子进行精确操作。它需要独特的程序,如位置设置、端口放置、卷入和对接,导致手术和麻醉时间延长。我院制定了以下五项条件,以缩短启动控制台的时间:(1)将患者体位从平卧位改为张开双腿位;(2)安装哈森锥以固定脐部套管;(3)将套管的钝头(内管)从钝头改为无头;(4)固定团队;(5)定期进行对接培训。本研究对这些结果进行了检验。该研究纳入了2019年4月至2022年7月期间在我院接受机器人辅助全子宫切除术治疗良性子宫疾病和IA期子宫癌的77例患者。我们比较了前半部分组(1-40 例)和后半部分组(41-77 例)从麻醉到控制台启动的中位时间。前者需要 91.5(53-131)分钟,后者需要 59(37-126)分钟。适当的设备选择和团队教育可以缩短启动控制台的时间。
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
Journal of UOEH
Journal of UOEH Medicine-Medicine (all)
CiteScore
1.30
自引率
0.00%
发文量
35
期刊介绍: Published quarterly: 1 annual volume consisted of 4 numbers. Issued on the 1st of March, June, September and December, respectively.
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