Abstract
Background/Aims: We outlined the major factors for minimizing the operative time of robotic-assisted gastrectomy (RAG) during the initial learning period. Methodology: We performed correlation analysis and multivariate linear regression for detailed operation steps including preparing, docking, console and anastomosis time. Results: Forty patients underwent RAG for cancer. By Pearson analysis, case number (r = -0.313; P = 0.049) and body mass index (BMI) (r = 0.368; P = 0.019) were found to be correlated with total operation time. Multivariate linear regression with backward elimination showed that BM1 and case number significantly affected total operation time. A detailed four-step analysis showed that docking time was significantly affected by intraoperative complications. Conclusions: In conclusion, we recommend a V-shape port placement as an important surgical factor for preparation and docking time to avoid unnecessary intraoperative trial errors. In addition, selecting lower-BMI patients would be helpful in shortening the time to mastery of console, which is the most timeconsuming operative step of the robotic procedure for robotic-naive surgeons.
| Original language | English |
|---|---|
| Pages (from-to) | 2260-2265 |
| Number of pages | 6 |
| Journal | Hepato-Gastroenterology |
| Volume | 61 |
| Issue number | 136 |
| DOIs | |
| Publication status | Published - 2014 Jan 1 |
Fingerprint
Keywords
- Lower body mass index
- Operation time
- Robotic gastrectomy
- Trocar placement
ASJC Scopus subject areas
- Hepatology
- Gastroenterology
Cite this
Minimizing operative time for robotic gastrectomy in cancer : Analysis of the major factors for four detailed steps. / Hyun, Myung Han; Park, Jin Woo; Shin, Doo Sup; Cho, Jun Min; Yang, Kyung Sook; Park, Sungsoo.
In: Hepato-Gastroenterology, Vol. 61, No. 136, 01.01.2014, p. 2260-2265.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Minimizing operative time for robotic gastrectomy in cancer
T2 - Analysis of the major factors for four detailed steps
AU - Hyun, Myung Han
AU - Park, Jin Woo
AU - Shin, Doo Sup
AU - Cho, Jun Min
AU - Yang, Kyung Sook
AU - Park, Sungsoo
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Background/Aims: We outlined the major factors for minimizing the operative time of robotic-assisted gastrectomy (RAG) during the initial learning period. Methodology: We performed correlation analysis and multivariate linear regression for detailed operation steps including preparing, docking, console and anastomosis time. Results: Forty patients underwent RAG for cancer. By Pearson analysis, case number (r = -0.313; P = 0.049) and body mass index (BMI) (r = 0.368; P = 0.019) were found to be correlated with total operation time. Multivariate linear regression with backward elimination showed that BM1 and case number significantly affected total operation time. A detailed four-step analysis showed that docking time was significantly affected by intraoperative complications. Conclusions: In conclusion, we recommend a V-shape port placement as an important surgical factor for preparation and docking time to avoid unnecessary intraoperative trial errors. In addition, selecting lower-BMI patients would be helpful in shortening the time to mastery of console, which is the most timeconsuming operative step of the robotic procedure for robotic-naive surgeons.
AB - Background/Aims: We outlined the major factors for minimizing the operative time of robotic-assisted gastrectomy (RAG) during the initial learning period. Methodology: We performed correlation analysis and multivariate linear regression for detailed operation steps including preparing, docking, console and anastomosis time. Results: Forty patients underwent RAG for cancer. By Pearson analysis, case number (r = -0.313; P = 0.049) and body mass index (BMI) (r = 0.368; P = 0.019) were found to be correlated with total operation time. Multivariate linear regression with backward elimination showed that BM1 and case number significantly affected total operation time. A detailed four-step analysis showed that docking time was significantly affected by intraoperative complications. Conclusions: In conclusion, we recommend a V-shape port placement as an important surgical factor for preparation and docking time to avoid unnecessary intraoperative trial errors. In addition, selecting lower-BMI patients would be helpful in shortening the time to mastery of console, which is the most timeconsuming operative step of the robotic procedure for robotic-naive surgeons.
KW - Lower body mass index
KW - Operation time
KW - Robotic gastrectomy
KW - Trocar placement
UR - http://www.scopus.com/inward/record.url?scp=84921788654&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84921788654&partnerID=8YFLogxK
U2 - 10.5754/hge13789
DO - 10.5754/hge13789
M3 - Article
C2 - 25699364
AN - SCOPUS:84921788654
VL - 61
SP - 2260
EP - 2265
JO - Hepato-Gastroenterology
JF - Hepato-Gastroenterology
SN - 0172-6390
IS - 136
ER -