PURPOSE: To determine the most efficient technique for performing a colectomy, we used the methodology of time-motion analysis. METHODS: The efficiency of five hand-assisted and six regular laparoscopic colectomies and one open colectomy, performed by four surgeons in three different hospitals, was measured. The open colectomy was analyzed as a reference procedure. RESULTS AND CONCLUSIONS: The hand-assisted laparoscopic technique was the most efficient. Hand-assisted laparoscopy was therefore less time consuming than laparoscopic surgery. Open surgery was the fastest technique, because the time for every surgical motion is a factor of three shorter than for the two laparoscopic techniques.
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PURPOSE: To determine the most efficient technique for performing a colectomy, we used the methodology of time-motion analysis. METHODS: The efficiency of five hand-assisted and six regular laparoscopic colectomies and one open colectomy, performed by four surgeons in three different hospitals, was measured. The open colectomy was analyzed as a reference procedure. RESULTS AND CONCLUSIONS: The hand-assisted laparoscopic technique was the most efficient. Hand-assisted laparoscopy was therefore less time consuming than laparoscopic surgery. Open surgery was the fastest technique, because the time for every surgical motion is a factor of three shorter than for the two laparoscopic techniques.
Authors: Nishanthan Mahesan; Sirazum M Choudhury; M Shamim Khan; Declan G Murphy; Prokar Dasgupta Journal: Ann R Coll Surg Engl Date: 2011-04 Impact factor: 1.891