Docking of the da Vinci Si Surgical System® with single‐site technology
- 25 January 2013
- journal article
- research article
- Published by Wiley in International Journal of Medical Robotics and Computer Assisted Surgery
- Vol. 9 (1), 12-16
- https://doi.org/10.1002/rcs.1481
Abstract
Background Strategies to spare operating room (OR) times are crucial to limiting the costs involved in robotic surgery. Among other factors, the pre‐operative set‐up and docking phases have been incriminated at first to be time consuming. The docking process on the standard multiport da Vinci Surgical System has not been shown to significantly prolong the overall OR time. This study aims to analyse whether the length of the docking process on the new da Vinci Si Surgical System with Single‐Site™ technology remains acceptable. Methods We prospectively analysed all of the robotic single‐incision cholecystectomies performed at our institution for docking and operating times during 2011–2012. The docking task load was assessed each time in a self‐administered fashion by the docking surgeon using the NASA TLX visual scale. Results Sixty‐four robotic single‐incision cholecystectomies were included and analysed. The mean operative time was 78 min. Two surgeons with previous robotic surgery experience and a group of three less experienced robotic surgeons were responsible for docking the system. They performed 45, 10 and nine dockings, respectively. The overall mean docking time was 6.4 min with no significant difference between the groups. The docking process represented approximately 8% of the operating time. The surgeon with the most procedures showed significant progress in his docking times. The different task load parameters did not show a statistical difference between the three groups, with the exception of the frustration parameter, which was higher in the group of less experienced surgeons. There were significant correlations between docking times and the assessment of the various task load parameters. Conclusion The docking process for a robotic single‐incision cholecystectomy is learned rapidly and does not significantly increase the overall OR time. Copyright © 2013 John Wiley & Sons, Ltd.Keywords
This publication has 19 references indexed in Scilit:
- Use, Costs and Comparative Effectiveness of Robotic Assisted, Laparoscopic and Open Urological SurgeryJournal of Urology, 2012
- Comparative Effectiveness of Robotic Versus Laparoscopic Hysterectomy for Endometrial CancerJournal of Clinical Oncology, 2012
- A Clinical Approach to Technology Assessment: How Do We and How Should We Choose the Right Treatment?Seminars in Radiation Oncology, 2012
- Single-site robotic cholecystectomy (SSRC) versus single-incision laparoscopic cholecystectomy (SILC): comparison of learning curves. First European experienceSurgical Endoscopy, 2011
- Robotic single-incision laparoscopic cholecystectomyJournal of Robotic Surgery, 2011
- Reducing Cost of Surgery by Avoiding Complications: the Model of Robotic Roux-en-Y Gastric BypassObesity Surgery, 2011
- Measuring workload of ICU nurses with a questionnaire survey: the NASA Task Load Index (TLX)IIE Transactions on Healthcare Systems Engineering, 2011
- Higher Mental Workload is Associated With Poorer Laparoscopic Performance as Measured by the NASA-TLX ToolSimulation in healthcare : journal of the Society for Simulation in Healthcare, 2010
- Set‐up and docking of the da Vinci® surgical system: prospective analysis of initial experienceInternational Journal of Medical Robotics and Computer Assisted Surgery, 2010
- Robotic Cholecystectomy: Learning Curve, Advantages, and LimitationsJournal of Surgical Research, 2006