Recently, with the development of minimally invasive surgery and the development of instruments, laparoscopic and robotic surgery are increasing, and laparoscopic and robotic surgery are evolving. The association between the new surgical instruments used in each upper gastrointestinal surgery and the results has been traditionally analyzed through the learning curve, and in addition, the study aims to collect and analyze the utilization of the instrument and surgical results prospectively through surgical video analysis.
Prior to surgery, all patients subject to the study are explained and informed of the prior consent form of prior consent is delivered. During surgery, video recording is performed to check the type of surgical instrument, the time of use, and the event that occurred during surgery. After surgery, the morbidity after surgery will be monitored and recorded. Additional morbidity will be recorded one to three months after surgery.
Study Type
OBSERVATIONAL
Enrollment
1,155
gynecological, urologic, thoracic, plastic and reconstructive and ENT etc. endoscopic and laparoscopic surgical procedures
Yonsei University Health System, Severance Hospital
Seoul, South Korea
RECRUITINGcomplication
One of the most important surgical outcome, complication will be measured at 1 month after surgery
Time frame: 1 month after surgery
Surgical outcome: operative time(min)
Time frame: 1 month after surgery
Surgical outcome: bleeding(ml)
operative time(min), bleeding(ml), pain score, hospital stay(day), readmission rate(%), serum CRP(mg/L), serum Amylase(U/L), serum Lipase(U/L), Drain Amylase(U/L), Drain Lipase(U/L)
Time frame: 1 month after surgery
Surgical outcome: pain score
Visual Analogue Scale (VAS) measures pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be').
Time frame: 1 month after surgery
Surgical outcome: hospital stay(day)
Time frame: 1 month after surgery
Surgical outcome: readmission rate(%)
Time frame: 1 month after surgery
Surgical outcome: serum CRP(mg/L)
Time frame: 1 month after surgery
Surgical outcome: serum Amylase(U/L)
Time frame: 1 month after surgery
Surgical outcome: serum Lipase(U/L)
Time frame: 1 month after surgery
Surgical outcome: Drain Amylase(U/L)
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Time frame: 1 month after surgery
Surgical outcome: Drain Lipase(U/L)
Time frame: 1 month after surgery
Duration of use for each surgical instruments
Duration for each surgical instruments
Time frame: during the operation
number of use for each surgical instruments
number of use for each surgical instruments
Time frame: during the operation