Identification and Categorization of Technical Errors and Hazard Zones of Robotic Versus Laparoscopic Total Gastrectomy for Gastric Cancer

作者：Zhuoyu Jia, Shougen Cao, Daosheng Wang, Changshi Tang, Xiaojie Tan, Shanglong Liu, Xiaodong Liu, Zequn Li, Yulong Tian, Zhaojian Niu, Benjie Tang, Yanbing Zhou · 发表于：Annals of Surgery · 年份：2024 · DOI：10.1097/sla.0000000000006585 · 被引用次数：11 · 研究领域：Gastric Cancer Management and Outcomes、Colorectal Cancer Surgical Treatments、Minimally Invasive Surgical Techniques

OBJECTIVE: The current research aimed to conduct a detailed analysis of intraoperative surgical performance, short-term outcomes, identify and categorize technical errors, and hazard zones enacted during total gastrectomy performed robotically and laparoscopically by surgeons. Prospective research is needed to determine whether the technical advantages of robotic surgery translate to patient outcomes. BACKGROUND: At present, a growing number of clinical studies have demonstrated that the quality of intraoperative surgical performance has a direct impact on the clinical outcomes of the patient. The current research aimed to conduct a detailed analysis of intraoperative surgical performance and short-term outcomes, and identify and categorize technical errors, and hazard zones enacted during total gastrectomy performed robotically and laparoscopically by surgeons. METHODS: Eighty-two patients were recruited and participated in this study, with 40 cases undergoing RTG and 42 cases for LTG. Patients undergoing RTG and LTG were recruited and randomized into the study. Six consultant/attending surgeons participated in this study and all surgical procedures were recorded. The unedited surgical video recordings were handed over to third-party experts for granular analysis of the procedures using objective clinical human reliability analysis for the quality of intraoperative performance, technical errors, and intraoperative complications. RESULTS: The technical errors enacted and iden...