Time management in the operating room: an analysis of the dedicated minimally invasive surgery suite.

• Authors: Kenneth C. Hsiao, Emory University; Zurab Machaidze, Emory University; John G Pattaras, Emory University
• Journal Title: JSLS, Journal of the Society of Laparoendoscopic Surgeons
• Volume: Volume 8, Number 4
• Publisher: Society of Laparoendoscopic Surgeons | 2004-01-01, Pages 300-303
• Type of Work: Article | Final Publisher PDF
• Subjects: Health Sciences, General
• Keywords: Efficiency, Organizational; Ergonomics; Humans; Minimally Invasive Surgical Procedures; Operating Rooms; Retrospective Studies; Time Factors; Time Management; Urologic Surgical Procedures

Abstract

BACKGROUND: Dedicated minimally invasive surgery suites are available that contain specialized equipment to facilitate endoscopic surgery. Laparoscopy performed in a general operating room is hampered by the multitude of additional equipment that must be transported into the room. The objective of this study was to compare the preparation times between procedures performed in traditional operating rooms versus dedicated minimally invasive surgery suites to see whether operating room efficiency is improved in the specialized room. METHODS: The records of 50 patients who underwent laparoscopic procedures between September 2000 and April 2002 were retrospectively reviewed. Twenty-three patients underwent surgery in a general operating room and 18 patients in an minimally invasive surgery suite. Nine patients were excluded because of cystoscopic procedures undergone prior to laparoscopy. Various time points were recorded from which various time intervals were derived, such as preanesthesia time, anesthesia induction time, and total preparation time. A 2-tailed, unpaired Student t test was used for statistical analysis. RESULTS: The mean preanesthesia time was significantly faster in the minimally invasive surgery suite (12.2 minutes) compared with that in the traditional operating room (17.8 minutes) (P=0.013). Mean anesthesia induction time in the minimally invasive surgery suite (47.5 minutes) was similar to time in the traditional operating room (45.7 minutes) (P=0.734). The average total preparation time for the minimally invasive surgery suite (59.6 minutes) was not significantly faster than that in the general operating room (63.5 minutes) (P=0.481). CONCLUSION: The amount of time that elapses between the patient entering the room and anesthesia induction is statically shorter in a dedicated minimally invasive surgery suite. Laparoscopic surgery is performed more efficiently in a dedicated minimally invasive surgery suite versus a traditional operating room.