Minimizing operative time for robotic gastrectomy in cancer: analysis of the major factors for four detailed steps.
Journal Article (Journal Article)
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.
- Hyun, M-H; Park, J-W; Shin, D-S; Cho, J-M; Yang, K-S; Park, S
- November 2014
Volume / Issue
- 61 / 136
Start / End Page
- 2260 - 2265
International Standard Serial Number (ISSN)