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Interoperative efficiency in minimally invasive surgery suites.
Surg Endosc. 2009 Oct; 23(10):2332-7.SE

Abstract

BACKGROUND

Performing minimally invasive surgery (MIS) in a conventional operating room (OR) requires additional specialized equipment otherwise stored outside the OR. Before the procedure, the OR team must collect, prepare, and connect the equipment, then take it away afterward. These extra tasks pose a thread to OR efficiency and may lengthen turnover times. The dedicated MIS suite has permanently installed laparoscopic equipment that is operational on demand. This study presents two experiments that quantify the superior efficiency of the MIS suite in the interoperative period.

METHODS

Preoperative setup and postoperative breakdown times in the conventional OR and the MIS suite in an experimental setting and in daily practice were analyzed. In the experimental setting, randomly chosen OR teams simulated the setup and breakdown for a standard laparoscopic cholecystectomy (LC) and a complex laparoscopic sigmoid resection (LS). In the clinical setting, the interoperative period for 66 LCs randomly assigned to the conventional OR or the MIS suite were analyzed.

RESULTS

In the experimental setting, the setup and breakdown times were significantly shorter in the MIS suite. The difference between the two types of OR increased for the complex procedure: 2:41 min for the LC (p < 0.001) and 10:47 min for the LS (p < 0.001). In the clinical setting, the setup and breakdown times as a whole were not reduced in the MIS suite. Laparoscopic setup and breakdown times were significantly shorter in the MIS suite (mean difference, 5:39 min; p < 0.001).

CONCLUSION

Efficiency during the interoperative period is significantly improved in the MIS suite. The OR nurses' tasks are relieved, which may reduce mental and physical workload and improve job satisfaction and patient safety. Due to simultaneous tasks of other disciplines, an overall turnover time reduction could not be achieved.

Authors+Show Affiliations

Department of Surgery, Leeuwarden Medical Center, P.O. Box 888, 8901 BR, Leeuwarden, The Netherlands. marc.van.det@znb.nlNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19263159

Citation

van Det, M J., et al. "Interoperative Efficiency in Minimally Invasive Surgery Suites." Surgical Endoscopy, vol. 23, no. 10, 2009, pp. 2332-7.
van Det MJ, Meijerink WJ, Hoff C, et al. Interoperative efficiency in minimally invasive surgery suites. Surg Endosc. 2009;23(10):2332-7.
van Det, M. J., Meijerink, W. J., Hoff, C., & Pierie, J. P. (2009). Interoperative efficiency in minimally invasive surgery suites. Surgical Endoscopy, 23(10), 2332-7. https://doi.org/10.1007/s00464-009-0335-4
van Det MJ, et al. Interoperative Efficiency in Minimally Invasive Surgery Suites. Surg Endosc. 2009;23(10):2332-7. PubMed PMID: 19263159.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Interoperative efficiency in minimally invasive surgery suites. AU - van Det,M J, AU - Meijerink,W J H J, AU - Hoff,C, AU - Pierie,J P E N, Y1 - 2009/03/05/ PY - 2008/08/14/received PY - 2009/01/02/accepted PY - 2008/12/02/revised PY - 2009/3/6/entrez PY - 2009/3/6/pubmed PY - 2010/2/13/medline SP - 2332 EP - 7 JF - Surgical endoscopy JO - Surg Endosc VL - 23 IS - 10 N2 - BACKGROUND: Performing minimally invasive surgery (MIS) in a conventional operating room (OR) requires additional specialized equipment otherwise stored outside the OR. Before the procedure, the OR team must collect, prepare, and connect the equipment, then take it away afterward. These extra tasks pose a thread to OR efficiency and may lengthen turnover times. The dedicated MIS suite has permanently installed laparoscopic equipment that is operational on demand. This study presents two experiments that quantify the superior efficiency of the MIS suite in the interoperative period. METHODS: Preoperative setup and postoperative breakdown times in the conventional OR and the MIS suite in an experimental setting and in daily practice were analyzed. In the experimental setting, randomly chosen OR teams simulated the setup and breakdown for a standard laparoscopic cholecystectomy (LC) and a complex laparoscopic sigmoid resection (LS). In the clinical setting, the interoperative period for 66 LCs randomly assigned to the conventional OR or the MIS suite were analyzed. RESULTS: In the experimental setting, the setup and breakdown times were significantly shorter in the MIS suite. The difference between the two types of OR increased for the complex procedure: 2:41 min for the LC (p < 0.001) and 10:47 min for the LS (p < 0.001). In the clinical setting, the setup and breakdown times as a whole were not reduced in the MIS suite. Laparoscopic setup and breakdown times were significantly shorter in the MIS suite (mean difference, 5:39 min; p < 0.001). CONCLUSION: Efficiency during the interoperative period is significantly improved in the MIS suite. The OR nurses' tasks are relieved, which may reduce mental and physical workload and improve job satisfaction and patient safety. Due to simultaneous tasks of other disciplines, an overall turnover time reduction could not be achieved. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/19263159/Interoperative_efficiency_in_minimally_invasive_surgery_suites_ L2 - https://doi.org/10.1007/s00464-009-0335-4 DB - PRIME DP - Unbound Medicine ER -