Reducing the Time Before the Console in Robotic-Assisted Laparoscopic Hysterectomy
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- HOSHINO Kaori
- Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Japan.
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- KURITA Tomoko
- Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Japan.
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- TOHYAMA Atsushi
- Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Japan.
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- KINJO Yasuyuki
- Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Japan.
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- NISHIMURA Kazuaki
- Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Japan.
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- HARADA Hiroshi
- Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Japan.
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- UEDA Taeko
- Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Japan.
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- KAGAMI Seiji
- Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Japan.
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- YOSHINO Kiyoshi
- Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Japan.
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- MATSUURA Yusuke
- Department of Nursing of Human Broad Development, School of Health Sciences, University of Occupational and Environmental Health, Japan.
Bibliographic Information
- Other Title
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- ロボット支援下手術におけるコンソール開始までの時間短縮の工夫とその成果
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.
Journal
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- Journal of UOEH
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Journal of UOEH 46 (1), 37-43, 2024-03-01
The University of Occupational and Environmental Health, Japan