Dedicated bedside assistance improves operative efficiency in robotic colorectal surgery: A retrospective comparative...

Area of Science:

• Colorectal Surgery
• Minimally Invasive Surgery
• Surgical Robotics

Background:

• The impact of dedicated bedside assistance (DBA) on robotic colorectal surgery outcomes remains unclear.
• Evaluating DBA's role in enhancing operative efficiency and surgical performance is crucial.

Purpose of the Study:

• To assess the effectiveness of dedicated bedside assistance (DBA) in improving operative efficiency.
• To determine if DBA enhances overall surgical performance in robotic colorectal procedures.

Main Methods:

• Retrospective analysis of 148 robotic proctectomy and sigmoidectomy cases (2021-2024).
• Comparison of cases with and without dedicated bedside assistance.
• Analysis of intraoperative metrics and postoperative outcomes.

Main Results:

• DBA significantly reduced operation, console, and non-console times in rectal procedures.
• Efficiency gains were observed across most clinical subgroups with DBA.
• Workflow improvements noted in sigmoid surgeries, despite similar total operative times.

Conclusions:

• Dedicated bedside assistance markedly enhances intraoperative efficiency in robotic colorectal surgery.
• The benefits of DBA are most significant in technically demanding rectal procedures.
• Skilled bedside support streamlines workflow and reduces console time in complex surgeries.