A novel approach to quantifying surgical workflow in robotic-assisted lobectomy. (Record no. 13049)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03565nam a22004337a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 230815s20232023 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 1478-5951 |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | 10.1002/rcs.2546 [doi] |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| PMID | 37466244 |
| 245 ## - TITLE STATEMENT | |
| Title | A novel approach to quantifying surgical workflow in robotic-assisted lobectomy. |
| 251 ## - Source | |
| Source | The International Journal Of Medical Robotics + Computer Assisted Surgery: MRCAS. :e2546, 2023 Jul 19 |
| 252 ## - Abbreviated Source | |
| Abbreviated source | Int J Med Robot. :e2546, 2023 Jul 19 |
| 253 ## - Journal Name | |
| Journal name | The international journal of medical robotics + computer assisted surgery : MRCAS |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Year | 2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Manufacturer | FY2024 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Publication date | 2023 Jul 19 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
| Publication status | aheadofprint |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
| Medline status | Publisher |
| 266 ## - Date added to catalog | |
| Date added to catalog | 2023-08-15 |
| 520 ## - SUMMARY, ETC. | |
| Abstract | CONCLUSION: This pilot demonstrates the feasibility of objectively quantifying workflow between RL tasks and introduces entropy as a new metric of task-transition complexity. These innovative measures of surgical workflow enable detailed characterization of a given surgery and might indicate behaviour that impacts case progression. We discuss how these measures can serve as a foundation and be combined with relevant clinical information to better understand factors influencing surgical inefficiency. Copyright © 2023 John Wiley & Sons Ltd. |
| 520 ## - SUMMARY, ETC. | |
| Abstract | INTRODUCTION: Understanding surgical workflow is critical for optimizing efficiencies and outcomes; however, most research evaluating workflow is impacted by observer subjectivity, limiting its reproducibility, scalability, and actionability. To address this, we developed a novel approach to quantitatively describe workflow within robotic-assisted lobectomy (RL). We demonstrate the utility of this approach by analysing features of surgical workflow that correlate with procedure duration. |
| 520 ## - SUMMARY, ETC. | |
| Abstract | METHODS: RL was deconstructed into 12 tasks by expert thoracic surgeons. Task start and stop times were annotated across videos of 10 upper RLs (5 right and 5 left). Markov Networks were used to estimate both the likelihood of transitioning from one task to another and each task-transition entropy (i.e. complexity). Associations between the frequency with which each task was revisited intraoperatively and procedure duration were assessed using Pearson's correlation coefficient. |
| 520 ## - SUMMARY, ETC. | |
| Abstract | RESULTS: Entropy calculations identified fissure dissection and hilar node dissection as tasks with especially complex transitions, while mediastinal lymph node dissection and division of pulmonary veins were less complex. The number of transitions to three tasks significantly correlated with case duration (fissure dissection (R = 0.69, p = 0.01), dissect arteries (R = 0.59, p = 0.03), and divide arteries (R = 0.63, p = 0.03)). |
| 546 ## - LANGUAGE NOTE | |
| Language note | English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | IN PROCESS -- NOT YET INDEXED |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Indexing | Automated |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
| Institution | MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | MedStar General Surgery Residency |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | MedStar Georgetown University Hospital/MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | Surgery/Thoracic Surgery |
| 657 ## - INDEX TERM--FUNCTION | |
| Medline publication type | Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Lazar, John F |
| Institution Code | MWHC |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Metchik, Ariana |
| Institution Code | MGUH |
| Program | MedStar General Surgery Residency |
| Degree | MD |
| Resident year | Resident PGY 5 |
| 790 ## - Authors | |
| All authors | Bhattacharyya K, Jarc A, Lazar JF, Metchik A, Oh D, Yousaf S |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| DOI | <a href="https://dx.doi.org/10.1002/rcs.2546">https://dx.doi.org/10.1002/rcs.2546</a> |
| Public note | https://dx.doi.org/10.1002/rcs.2546 |
| 858 ## - ORCID | |
| Name | https://orcid.org/0000-0003-4810-8582 |
| ORCID text | Lazar, John F |
| Orcid | <a href="https://orcid.org/0000-0003-4810-8582">https://orcid.org/0000-0003-4810-8582</a> |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Journal Article |
| Item type description | Article |
No items available.