Mean operating room times differ by 50% among hospitals in different countries for laparoscopic cholecystectomy and lung lobectomy

Dexter, Franklin; Davis, Melinda; Halbeis, Christoph B. Egger; Marjamaa, Riita; Marty, J.; McIntosh, Catherine; Nakata, Yoshinori; Thenuwara, Kokila; Sawa, Tomohiro; Vigoda, Michael M.

doi:10.1007/s00540-006-0501-y

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“…Especially in cases with high risk of conversion to an open procedure, operating theatre conditions and allied health personnel competency have impact on operation time and on the succesfull completion of the surgery laparoscopically. The mean operating room times differ by 50% among hospitals in different countries for LC is also confirmed by Dexter et al [3]. The longer operation time will cause more exposure to the anesthetic drugs, prolongation of hospital stay and an increase in cost of surgery.In our study we aimed to determine the impact of operating room nurses who served as the first assistance in LC surgery on operation time experience.…”

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confidence: 63%

The Impact of Nurse’s Experience on Operation Time in Laparoscopic Cholecystectomy

Kozanhan¹

2015

Ann Clin Anal Med

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ÖzetAmaç: Çalışmamızda hemşire tecrübesinin laparoskopik kolesistektomi ameliyatının süresi üzerine etkisini belirlemeyi amaçladık. Gereç ve Yöntem: Konya Eğitim ve Araştırma Hastanesi genel cerrahi ameliyathanesinde, on yıl-dan daha fazla laparoskopik ameliyat tecrübesi olan, bir genel cerrahi uzmanının, Ocak 2010-2013 tarihleri arasında yaptığı laparoskopik kolesistektomi vakalarının dosyaları geriye dönük olarak tarandı. Ultrasonografide safra kesesinde taş ve/veya polipi olduğu için ameliyat edilen hastalar çalışmaya alındı. Hastaların yaş, cins, safra kesesi patolojisi, ASA skoru, ameliyatı asiste eden hemşire ve ameliyat süresine ait bilgiler elde edildi. Ameliyatı asiste eden hemşireler, laparoskopik ameliyat tecrübesi 10 yıldan fazla olan tecrübeli dört hemşire (grup 1), 5 yıldan az tecrübesi olan dört hemşire (grup 2) olarak iki gruba ayrıldı. Veriler Excel ortamında kaydedildi, istatistiki hesaplama için SPSS 18.0 programı kullanıldı. P<0.05 anlamlı kabul edildi. Bulgular: Çalışmamıza dahil edilen 197 hastanın 38(%19) i erkek, 159(%81) u kadın, 17(%9) si 65 yaş üstünde, 180(%91) i altında olup, yaş ortalaması 46,7±13,8 idi. Tecrübeli hemşireler 104(%53) ameliyatı, az tecrübeli hemşireler 93(%47) ameliyatı asiste etmişlerdi. Tüm ameliyatlar için ortalama ameliyat süresi 63,2±20,1 dakika idi. Bu süre tecrübeli hemşire grubunda 51,5±9,0 dakika, az tecrübeli hemşire grubunda 73,0±5,6 dakika olarak tespit edildi. Aradaki fark anlamlı (P<0.05) idi. ASA kriterleri ve hasta yaşının ameliyat süresi üzeri-ne etkisi olmakla birlikte aradaki fark (P>0.05) anlamlı değildi. Tartışma: Laparoskopik kolesistektomide ameliyat hemşiresinin tecrübeli olması ameliyat süresini kısaltmaktadır. Anahtar KelimelerLaparoskopik Kolesistektomi; Hemşire Tecrübesi; Ameliyat Süresi Abstract Aim: The objective of the present study is to determine the impact of nurses experience's on operation time in laparoscopic cholecystectomy(LC). Material and Method: Data collected retrospectively in Konya Training and Research Hospital, by reviewing the files of LC cases, between January 2010-2013, operated by general surgeon whom has more than ten years of experience in laparoscopic surgery. Patients who has gallbladder polyps and/or gallstones on ultrasonography were included in the study. Age, sex, gall bladder pathology, ASA score, duration of surgery and surgical nurse who assisted surgery were obtained from hospital automation system. Nurses were divided into two groups, (group 1) having more than 10 years of experience in laparoscopic surgery, (group 2) having less than 5 years experience in laparoscopic surgery. Statistical analysis was performed using SPSS v.18.0. P value less than 0.05 was considered statistically significant. Results: 197 patients included in the study, 38(19%) were male, 159(81%) were female, 17(9%) were above 65 years of age, 180(91%) were under 65 years of age, mean age of patients was 46,7±13,8 years. 104(%53) patients' operation was assisted by experienced nurses while 93(%47) patients' operation was assisted by l...

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confidence: 63%

The Impact of Nurse’s Experience on Operation Time in Laparoscopic Cholecystectomy

Kozanhan¹

2015

Ann Clin Anal Med

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“…15 Average operative times for each procedure were estimated using data from our institution, and we supplemented procedure data not currently performed at our institution with average procedure times from published series. [16][17][18][19][20][21] The number of cylinders and CO 2 emissions were calculated from these data.…”

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confidence: 99%

Environmental Impact of Minimally Invasive Surgery in the United States: An Estimate of the Carbon Dioxide Footprint

Power

Silberstein

Ghoneim

et al. 2012

Journal of Endourology

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Purpose: To attempt to quantitate the carbon footprint of minimally invasive surgery (MIS) through approximated scope 1 to 3 CO 2 emissions to identify its potential role in global warming. Patients and Methods: To estimate national usage, we determined the number of inpatient and outpatient MIS procedures using International Classification of Diseases, ninth revision-clinical modification codes for all MIS procedures in a 2009 sample collected in national databases. Need for surgery was considered essential, and therefore traditional open surgery was used as the comparator. Scope 1 (direct) CO 2 emissions resulting from CO 2 gas used for insufflation were based on both escaping procedural CO 2 and metabolic CO 2 eliminated via respiration. Scopes 2 and 3 (indirect) emissions related to capture, compression, and transportation of CO 2 to hospitals and the disposal of single-use equipment not used in open surgery were calculated. Results: The total CO 2 emissions were calculated to be 355,924 tonnes/year. For perspective, if MIS in the United States was considered a country, it would rank 189th on the United Nations 2008 list of countries' carbon emissions per year. Limitations include the inability to account for uncertainty using the various models and tools for approximating CO 2 emissions. Conclusion: CO 2 emission of MIS in the United States may have a significant environmental impact. This is the first attempt to quantify CO 2 emissions related to MIS in the United States. Strategies for reduction, while maintaining high quality medical care, should be considered.

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Mean operating room times differ by 50% among hospitals in different countries for laparoscopic cholecystectomy and lung lobectomy

Abstract: The online version of the original article can be found at http://dx

Cited by 2 publications

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The Impact of Nurse’s Experience on Operation Time in Laparoscopic Cholecystectomy

The Impact of Nurse’s Experience on Operation Time in Laparoscopic Cholecystectomy

Environmental Impact of Minimally Invasive Surgery in the United States: An Estimate of the Carbon Dioxide Footprint

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