Comparison of efficiencies of three techniques for colon surgery

To determine the most efficient technique for performing a colectomy, we used the methodology of time-motion analysis. 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...

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Bibliographic Details
Published inJournal of laparoendoscopic & advanced surgical techniques. Part A Vol. 10; no. 1; p. 47
Main Authors Sjoerdsma, W, Meijer, D W, Jansen, A, den Boer, K T, Grimbergen, C A
Format Journal Article
LanguageEnglish
Published United States 01.02.2000
Subjects
Colectomy - methods
Dissection - methods
Humans
Laparoscopy - methods
Time and Motion Studies
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Summary:To determine the most efficient technique for performing a colectomy, we used the methodology of time-motion analysis. 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. 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.
ISSN:1092-6429
DOI:10.1089/lap.2000.10.47