The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2024
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Matveev I.A.

Tyumen State Medical University of the Ministry of Health of Russia

Sipachev N.V.

Tyumen Regional Hospital No. 12

Gibert B.K.

Tyumen State Medical University of the Ministry of Health of Russia

Matveev A.I.

Regional Clinical Hospital No. 1

Frank E.M.

Multi-field Clinical Medical Center "Medical City"

Joint work of surgeon and assistant in minimally invasive video-assisted hemithyroidectomy and its effect on duration of surgeries and learning period

Authors:

Matveev I.A., Sipachev N.V., Gibert B.K., Matveev A.I., Frank E.M.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(11): 48‑52

DOI: 10.17116/hirurgia202011148

Views: 1597

Downloaded: 17

Download PDF (RU)
Contact the author
Table of contents

To cite this article:

Matveev IA, Sipachev NV, Gibert BK, Matveev AI, Frank EM. Joint work of surgeon and assistant in minimally invasive video-assisted hemithyroidectomy and its effect on duration of surgeries and learning period. Pirogov Russian Journal of Surgery. 2020;(11):48‑52. (In Russ.)
https://doi.org/10.17116/hirurgia202011148

Подписка 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Close metadata

OBJECTIVE

To analyze assistants` influence on duration of surgery and learning period in minimally invasive video-assisted hemithyroidectomy.

MATERIAL AND METHODS

The same surgeon performed 67 minimally invasive video-assisted hemithyroidectomies. Duration of surgery was analyzed in assistants with various number of interventions. Learning curves were designed using logarithmic function.

RESULTS

Eight specialists with the same professional skill assisted to surgeon. Each of these specialists performed certain number of operations. Learning period made up 19, 26 and 44 procedures for mean numbers of assistances 21, 8 and 3, respectively. Duration of surgery in the group with 21 assistances was 63.96±2.94 min, for 3 assistances — 80.53±7.07 min in each of 6 assistants (z= –2.38; p<0.017).

CONCLUSION

Constant surgeon`s assistants is a factor reducing surgery time. Higher number of operations with the same assistant has a reliable inverse correlation with surgery time and duration of learning period.

Keywords:

video-assisted hemithyroidectomies
learning curve
surgical team experience

Authors:

Matveev I.A.

Tyumen State Medical University of the Ministry of Health of Russia

Sipachev N.V.

Tyumen Regional Hospital No. 12

Gibert B.K.

Tyumen State Medical University of the Ministry of Health of Russia

Matveev A.I.

Regional Clinical Hospital No. 1

Frank E.M.

Multi-field Clinical Medical Center "Medical City"

Received:

17.12.2019

Accepted:

15.01.2020

List of references:

  1. Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients’ outcomes. J Thorac Dis. 2019;11(7):998-1008. https://doi.org/10.21037/jtd.2019.03.50
  2. Sandelin A, Kalman S, Gustafsson BA. Prerequisites for safe intraoperative nursing care and teamwork-Operating theatre nurses perspectives: A qualitative interview study. J Clin Nurs. 2019;28(13-14):2635-2643. https://doi.org/10.1111/jocn.14850
  3. Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. BMJ Open. 2019;9(9):e028280. https://doi.org/10.1136/bmjopen-2018-028280
  4. Wiegmann DA, ElBardissi AW, Dearani JA, Daly RC, Sundt TM. 3rd. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;142:658-665. 
  5. Cherkashin M.A., Berezina N.A., Kuplevatsky V.I., Serov A.V., Mefodovsky A.A. Surgical checklist in management nii hybrid operating room. Angiology and Vascular Surgery. 2016; 22 (2): 54-59 
  6. Murashko M.A., Seregina I.F., Ivanov I.V., Matytsin N.O., Minulin I.B. New requirements for medical organizations for internal quality and safety control medical activity: content, goals, prospects. Roszdravnadzor Bulletin. 2019; 6: 7-14.  https://doi.org/10.35576/2070-7940-2019-2019-6-7-147.
  7. Burt BM, ElBardissi AW, Huckman RS, Cohn LH, Cevasco MW, Rawn JD, Aranki SF, Byrne JG. Influence of experience and the surgical learning curve on long-term patient outcomes in cardiac surgery. J Thorac Cardiovasc Surg. 2015;150:1061-1068.
  8. Carty MJ, Chan R, Huckman R, Snow D and Orgill DP. A detailed analysis of the reduction mammaplasty learning curve: a statistical process model for approaching surgical performance improvement. Plastic Reconstruct Surg. 2009;124:706-714. 
  9. Catchpole KR, Giddings AE, Wilkinson M, Hirst G, Dale T, de Leval MR. Improving patient safety by identifying latent failures in successful operations. Surgery. 2007;142:102-110.  https://doi.org/10.1016/j.surg.2007.01.033
  10. Cimen HI, Atik YT, Altinova S, Adsan O, Balbay MD. Does the experience of the bedside assistant effect the results of robotic surgeons in the learning curve of robot assisted radical prostatectomy? Int Braz J Urol. 2019;45(1):54-60.  https://doi.org/10.1590/S1677-5538.IBJU.2018.0184
  11. Elbardissi AW, Duclos A, Rawn JD, Orgill DP, Carty MJ. Cumulative team experience matters more than individual surgeon experience in cardiac surgery. J Thorac Cardiovasc Surg. 2013;145(2):328-333.  https://doi.org/10.1016/j. jtcvs.2012.09.022
  12. Kania R, Hammami H, Vérillaud B, Blancal JP, Sauvaget E, Tran H, Leclerc N, Altabaa K, Herman P, Pons Y. Minimally invasive video-assisted thyroidectomy: tips and pearls for the surgical technique. Ann Otol Rhinol Laryngol. 2014;123(6):409-414. 
  13. Stepaniak PS, Vrijland WW, de Quelerij M, de Vries G, Heij C. Working With a Fixed Operating Room Team on Consecutive Similar Cases and the Effect on Case Duration and Turnover Time. Arch Surg. 2010;145(12):1165-1170. https://doi.org/10.1001/archsurg.2010.255
  14. Stepaniak PS, Heij C, Buise MP, Mannaerts GH, Smulders JF, Nienhuijs SW. Bariatric surgery with operatingroom teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration. Anesth Analg. 2012;115(6):1384-1392. https://doi.org/10.1213/ANE.0b013e31826c7fa6
  15. Nurok M, Sundt TM. 3rd, Frankel A. Teamwork and communication in the operating room: relationship to discrete outcomes and research challenges. Anesthesiol Clin. 2011;29(1):1-11.  https://doi.org/10.1016/j. anclin.2010.11.012

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.