Related Experiment Video
Updated: Feb 4, 2026

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
Published on: January 31, 2025
Application of rules 1 to 6 for maximizing government infrastructure utilization in laparoscopic cholecystectomy: A
Anil Kumar1, Shagufta Naaz2, Ravi Shekhar3
1Department of Trauma Surgery & Critical Care, All India Institute of Medical Sciences, Patna, India.
Abstract:
Laparoscopic cholecystectomy (LC) is the gold standard treatment for gallstone disease, but long waiting lists are common in India due to high disease prevalence and limited government resources. Therefore, it is of interest to evaluate a two-operation room (OR) model to optimise resource utilisation, in which patient preparation in one OR was overlapped with surgical steps in another OR. A total of 64 patients were operated on over three days, with an average operative time of 24.45 minutes per case; significantly more surgeries were completed in 6 hours with the new model (21.3 cases) compared to routine practice (6.3 cases in 8 hours, p <0.05). Most patients were female (98%), with a mean age of 44.8 years and operative times ranged from 9 to 55 minutes. The "1-6 rule" (1 consultant, 2 ORs, 3 assistants, 4 anaesthetists, 5 nursing/support staff and 6 hours of surgery) may be an innovative policy strategy for maximising LC efficiency in government hospitals.
Related Concept Videos
Kirchoff's Rules: Application
When applying Kirchhoff's first rule, the junction rule, label the current in each branch and decide its direction. If the chosen direction is wrong, it will have the correct magnitude, although the...
Interpreting ¹H NMR Signal Splitting: The (n + 1) Rule
Exceptions to the Octet Rule
Lewis Symbols and the Octet Rule
The Aufbau Principle and Hund's Rule
The Quotient Rule

