Impact quantification of the daVinci telemanipulator system on surgical workflow using resource impact profiles
Background It has yet to be determined whether surgical assist systems benefit surgical workflow. This question should be answered qualitatively and quantitatively and must be supported by evidence gathered from structured and rigorous analyses. Methods A method is presented to quantify the benefits...
Gespeichert in:
| Veröffentlicht in: | The international journal of medical robotics + computer assisted surgery 2011-06, Vol.7 (2), p.156-164 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 164 |
|---|---|
| container_issue | 2 |
| container_start_page | 156 |
| container_title | The international journal of medical robotics + computer assisted surgery |
| container_volume | 7 |
| creator | Neumuth, T Krauss, A Meixensberger, J Muensterer, OJ |
| description | Background
It has yet to be determined whether surgical assist systems benefit surgical workflow. This question should be answered qualitatively and quantitatively and must be supported by evidence gathered from structured and rigorous analyses.
Methods
A method is presented to quantify the benefits of the daVinci telemanipulator system to surgical workflow. Based on the modeling of surgical processes, resource impact profiles (RIPs) were generated. RIPs are statistical mean intervention courses for a sample of surgical process models that were performed using a specific surgical assist system as a resource. A total of 12 laparoscopic and 12 telemanipulator‐supported Nissen fundoplications were modeled and analyzed to quantify the impact of the surgical assist system.
Results
Few statistically significant benefits of the system to surgical workflow were found. It was found that the daVinci system is not superior to the conventional laparoscopic strategy if the surgeon follows the same workflow.
Conclusions
RIPs are a valuable method to estimate the impact of a surgical assist system on the surgical workflow. For the use case investigated, changes in workflow may be necessary to fully benefit from the advantages of using a telemanipulator in Nissen fundoplications. Conversely, the telemanipulator may only reach its full potential in more complex operations. Copyright © 2011 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/rcs.383 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_868374975</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>868374975</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3873-a676aebb4c91ffbcef3ade477a1133caa303d42fcf8d31d9756c227d6c992f1a3</originalsourceid><addsrcrecordid>eNp9kctO5DAQRS3EiNcg_gB5BxIK40diJ0vUPCXEIGYG2FnVjg2GJG7sRE3_PUZhmhWsqhanTkn3IrRDySElhP0KOh7ykq-gDZrLMisqcb-63Au6jjZjfCIkL3KRr6F1RrkgspIbyF-0M9A9fhmg6511GnrnO-wt7h8NruHWddrh3jSmhc7NhgZ6H3BcxN60OIFxCA_pqMFzH55t4-d4iK57wMFEPwRtsBv9s-Cta0z8iX5YaKLZ_phb6N_pyd_JeXb5--xicnSZaV5KnoGQAsx0muuKWjvVxnKoTS4lUMq5BuCE1zmz2pY1p3UlC6EZk7XQVcUsBb6F9kZvevwymNir1kVtmgY644eoSlFymae7RO5_S1LCKatkxdinVAcfYzBWzYJrISwSpN57UKkHlXpI5O6HdJi2pl5y_4NPwMEIzFMqi6886mbyZ9RlI-1S7q9LGsKzEpLLQt1dnany-vhYkiuhJvwN03qjJw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1031297922</pqid></control><display><type>article</type><title>Impact quantification of the daVinci telemanipulator system on surgical workflow using resource impact profiles</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Neumuth, T ; Krauss, A ; Meixensberger, J ; Muensterer, OJ</creator><creatorcontrib>Neumuth, T ; Krauss, A ; Meixensberger, J ; Muensterer, OJ</creatorcontrib><description>Background
It has yet to be determined whether surgical assist systems benefit surgical workflow. This question should be answered qualitatively and quantitatively and must be supported by evidence gathered from structured and rigorous analyses.
Methods
A method is presented to quantify the benefits of the daVinci telemanipulator system to surgical workflow. Based on the modeling of surgical processes, resource impact profiles (RIPs) were generated. RIPs are statistical mean intervention courses for a sample of surgical process models that were performed using a specific surgical assist system as a resource. A total of 12 laparoscopic and 12 telemanipulator‐supported Nissen fundoplications were modeled and analyzed to quantify the impact of the surgical assist system.
Results
Few statistically significant benefits of the system to surgical workflow were found. It was found that the daVinci system is not superior to the conventional laparoscopic strategy if the surgeon follows the same workflow.
Conclusions
RIPs are a valuable method to estimate the impact of a surgical assist system on the surgical workflow. For the use case investigated, changes in workflow may be necessary to fully benefit from the advantages of using a telemanipulator in Nissen fundoplications. Conversely, the telemanipulator may only reach its full potential in more complex operations. Copyright © 2011 John Wiley & Sons, Ltd.</description><identifier>ISSN: 1478-5951</identifier><identifier>ISSN: 1478-596X</identifier><identifier>EISSN: 1478-596X</identifier><identifier>DOI: 10.1002/rcs.383</identifier><identifier>PMID: 21360797</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Computer simulation ; Equipment Design ; Estimates ; fundoplication ; health care evaluation mechanisms ; Humans ; Laparoscopy - instrumentation ; Laparoscopy - methods ; Mathematical models ; Microsurgery - instrumentation ; Microsurgery - methods ; Outcome and Process Assessment (Health Care) ; process assessment (health care) ; robotics ; Robotics - instrumentation ; Robotics - methods ; Samples ; Software ; Strategy ; Surgeons ; Surgery ; surgical equipment ; Surgical Procedures, Operative - methods ; Telemedicine - methods ; Treatment Outcome ; Workflow</subject><ispartof>The international journal of medical robotics + computer assisted surgery, 2011-06, Vol.7 (2), p.156-164</ispartof><rights>Copyright © 2011 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3873-a676aebb4c91ffbcef3ade477a1133caa303d42fcf8d31d9756c227d6c992f1a3</citedby><cites>FETCH-LOGICAL-c3873-a676aebb4c91ffbcef3ade477a1133caa303d42fcf8d31d9756c227d6c992f1a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Frcs.383$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Frcs.383$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21360797$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Neumuth, T</creatorcontrib><creatorcontrib>Krauss, A</creatorcontrib><creatorcontrib>Meixensberger, J</creatorcontrib><creatorcontrib>Muensterer, OJ</creatorcontrib><title>Impact quantification of the daVinci telemanipulator system on surgical workflow using resource impact profiles</title><title>The international journal of medical robotics + computer assisted surgery</title><addtitle>Int. J. Med. Robotics Comput. Assist. Surg</addtitle><description>Background
It has yet to be determined whether surgical assist systems benefit surgical workflow. This question should be answered qualitatively and quantitatively and must be supported by evidence gathered from structured and rigorous analyses.
Methods
A method is presented to quantify the benefits of the daVinci telemanipulator system to surgical workflow. Based on the modeling of surgical processes, resource impact profiles (RIPs) were generated. RIPs are statistical mean intervention courses for a sample of surgical process models that were performed using a specific surgical assist system as a resource. A total of 12 laparoscopic and 12 telemanipulator‐supported Nissen fundoplications were modeled and analyzed to quantify the impact of the surgical assist system.
Results
Few statistically significant benefits of the system to surgical workflow were found. It was found that the daVinci system is not superior to the conventional laparoscopic strategy if the surgeon follows the same workflow.
Conclusions
RIPs are a valuable method to estimate the impact of a surgical assist system on the surgical workflow. For the use case investigated, changes in workflow may be necessary to fully benefit from the advantages of using a telemanipulator in Nissen fundoplications. Conversely, the telemanipulator may only reach its full potential in more complex operations. Copyright © 2011 John Wiley & Sons, Ltd.</description><subject>Computer simulation</subject><subject>Equipment Design</subject><subject>Estimates</subject><subject>fundoplication</subject><subject>health care evaluation mechanisms</subject><subject>Humans</subject><subject>Laparoscopy - instrumentation</subject><subject>Laparoscopy - methods</subject><subject>Mathematical models</subject><subject>Microsurgery - instrumentation</subject><subject>Microsurgery - methods</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>process assessment (health care)</subject><subject>robotics</subject><subject>Robotics - instrumentation</subject><subject>Robotics - methods</subject><subject>Samples</subject><subject>Software</subject><subject>Strategy</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>surgical equipment</subject><subject>Surgical Procedures, Operative - methods</subject><subject>Telemedicine - methods</subject><subject>Treatment Outcome</subject><subject>Workflow</subject><issn>1478-5951</issn><issn>1478-596X</issn><issn>1478-596X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctO5DAQRS3EiNcg_gB5BxIK40diJ0vUPCXEIGYG2FnVjg2GJG7sRE3_PUZhmhWsqhanTkn3IrRDySElhP0KOh7ykq-gDZrLMisqcb-63Au6jjZjfCIkL3KRr6F1RrkgspIbyF-0M9A9fhmg6511GnrnO-wt7h8NruHWddrh3jSmhc7NhgZ6H3BcxN60OIFxCA_pqMFzH55t4-d4iK57wMFEPwRtsBv9s-Cta0z8iX5YaKLZ_phb6N_pyd_JeXb5--xicnSZaV5KnoGQAsx0muuKWjvVxnKoTS4lUMq5BuCE1zmz2pY1p3UlC6EZk7XQVcUsBb6F9kZvevwymNir1kVtmgY644eoSlFymae7RO5_S1LCKatkxdinVAcfYzBWzYJrISwSpN57UKkHlXpI5O6HdJi2pl5y_4NPwMEIzFMqi6886mbyZ9RlI-1S7q9LGsKzEpLLQt1dnany-vhYkiuhJvwN03qjJw</recordid><startdate>201106</startdate><enddate>201106</enddate><creator>Neumuth, T</creator><creator>Krauss, A</creator><creator>Meixensberger, J</creator><creator>Muensterer, OJ</creator><general>John Wiley & Sons, Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SC</scope><scope>7SP</scope><scope>7TB</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>JQ2</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>7X8</scope></search><sort><creationdate>201106</creationdate><title>Impact quantification of the daVinci telemanipulator system on surgical workflow using resource impact profiles</title><author>Neumuth, T ; Krauss, A ; Meixensberger, J ; Muensterer, OJ</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3873-a676aebb4c91ffbcef3ade477a1133caa303d42fcf8d31d9756c227d6c992f1a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Computer simulation</topic><topic>Equipment Design</topic><topic>Estimates</topic><topic>fundoplication</topic><topic>health care evaluation mechanisms</topic><topic>Humans</topic><topic>Laparoscopy - instrumentation</topic><topic>Laparoscopy - methods</topic><topic>Mathematical models</topic><topic>Microsurgery - instrumentation</topic><topic>Microsurgery - methods</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>process assessment (health care)</topic><topic>robotics</topic><topic>Robotics - instrumentation</topic><topic>Robotics - methods</topic><topic>Samples</topic><topic>Software</topic><topic>Strategy</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>surgical equipment</topic><topic>Surgical Procedures, Operative - methods</topic><topic>Telemedicine - methods</topic><topic>Treatment Outcome</topic><topic>Workflow</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Neumuth, T</creatorcontrib><creatorcontrib>Krauss, A</creatorcontrib><creatorcontrib>Meixensberger, J</creatorcontrib><creatorcontrib>Muensterer, OJ</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Neumuth, T</au><au>Krauss, A</au><au>Meixensberger, J</au><au>Muensterer, OJ</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact quantification of the daVinci telemanipulator system on surgical workflow using resource impact profiles</atitle><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle><addtitle>Int. J. Med. Robotics Comput. Assist. Surg</addtitle><date>2011-06</date><risdate>2011</risdate><volume>7</volume><issue>2</issue><spage>156</spage><epage>164</epage><pages>156-164</pages><issn>1478-5951</issn><issn>1478-596X</issn><eissn>1478-596X</eissn><abstract>Background
It has yet to be determined whether surgical assist systems benefit surgical workflow. This question should be answered qualitatively and quantitatively and must be supported by evidence gathered from structured and rigorous analyses.
Methods
A method is presented to quantify the benefits of the daVinci telemanipulator system to surgical workflow. Based on the modeling of surgical processes, resource impact profiles (RIPs) were generated. RIPs are statistical mean intervention courses for a sample of surgical process models that were performed using a specific surgical assist system as a resource. A total of 12 laparoscopic and 12 telemanipulator‐supported Nissen fundoplications were modeled and analyzed to quantify the impact of the surgical assist system.
Results
Few statistically significant benefits of the system to surgical workflow were found. It was found that the daVinci system is not superior to the conventional laparoscopic strategy if the surgeon follows the same workflow.
Conclusions
RIPs are a valuable method to estimate the impact of a surgical assist system on the surgical workflow. For the use case investigated, changes in workflow may be necessary to fully benefit from the advantages of using a telemanipulator in Nissen fundoplications. Conversely, the telemanipulator may only reach its full potential in more complex operations. Copyright © 2011 John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>21360797</pmid><doi>10.1002/rcs.383</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1478-5951 |
| ispartof | The international journal of medical robotics + computer assisted surgery, 2011-06, Vol.7 (2), p.156-164 |
| issn | 1478-5951 1478-596X 1478-596X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_868374975 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Computer simulation Equipment Design Estimates fundoplication health care evaluation mechanisms Humans Laparoscopy - instrumentation Laparoscopy - methods Mathematical models Microsurgery - instrumentation Microsurgery - methods Outcome and Process Assessment (Health Care) process assessment (health care) robotics Robotics - instrumentation Robotics - methods Samples Software Strategy Surgeons Surgery surgical equipment Surgical Procedures, Operative - methods Telemedicine - methods Treatment Outcome Workflow |
| title | Impact quantification of the daVinci telemanipulator system on surgical workflow using resource impact profiles |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-06T10%3A36%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20quantification%20of%20the%20daVinci%20telemanipulator%20system%20on%20surgical%20workflow%20using%20resource%20impact%20profiles&rft.jtitle=The%20international%20journal%20of%20medical%20robotics%20+%20computer%20assisted%20surgery&rft.au=Neumuth,%20T&rft.date=2011-06&rft.volume=7&rft.issue=2&rft.spage=156&rft.epage=164&rft.pages=156-164&rft.issn=1478-5951&rft.eissn=1478-596X&rft_id=info:doi/10.1002/rcs.383&rft_dat=%3Cproquest_cross%3E868374975%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1031297922&rft_id=info:pmid/21360797&rfr_iscdi=true |