کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278617 1611498 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Detecting performance variance in complex surgical procedures: analysis of a step-wise technique for laparoscopic right hepatectomy
ترجمه فارسی عنوان
تشخیص واریانس عملکرد در روشهای جراحی پیچیده: تجزیه و تحلیل یک روش گام به گام برای هپاتکتومی سمت راست لاپاروسکوپی
کلمات کلیدی
هپاتکتومی سمت راست لاپاروسکوپی، روش گام به گام، واریانس، ابزارهای بهره وری ساخت
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundLaparoscopic right hepatectomy (LRH) is a technically challenging operation. Our aim is to evaluate a standardized technique of LRH and determine variances in performance.MethodsThe procedure was deconstructed into 7 major step-wise components. All LRH followed the same surgical sequence, and used the same devices and operating room set-up. Thirty randomly selected video recordings of the procedure underwent intraoperative time analysis. The variances measured by standard deviation of each step were calculated (mean in minutes ± standard deviation).ResultsMean total operative time was 114 ± 25 min. The steps with the least variance were inferior vena cava dissection (8 ± 3) and right hepatic vein ligation (9 ± 5). The longest and also the step with the greatest variance was parenchymal transection (35 ± 12).ConclusionsLRH can be performed consistently using a standardized step-wise technique. Parenchymal transection had most variation, and this could be explained by intrinsic liver factors. Surgical performance improvement should begin with deconstructing the operation into definable steps to identify areas for change.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 209, Issue 2, February 2015, Pages 418–423
نویسندگان
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