Minimizing Operative Time for Robotic Gastrectomy in Cancer: Analysis of the Major Factors for Four Detailed Steps
- Authors
- Hyun, Myung-Han; Park, Jin-Woo; Shin, Doo-Sup; Cho, Jun-Min; Yang, Kyung-Sook; Park, Sungsoo
- Issue Date
- 11월-2014
- Publisher
- H G E UPDATE MEDICAL PUBLISHING S A
- Keywords
- Operation time; Robotic gastrectomy; Trocar placement; Lower body mass index
- Citation
- HEPATO-GASTROENTEROLOGY, v.61, no.136, pp.2260 - 2265
- Indexed
- SCIE
SCOPUS
- Journal Title
- HEPATO-GASTROENTEROLOGY
- Volume
- 61
- Number
- 136
- Start Page
- 2260
- End Page
- 2265
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/96859
- DOI
- 10.5754/hge13789
- ISSN
- 0172-6390
- 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 BMI 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 time-consuming operative step of the robotic procedure for robotic-naive surgeons.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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