目的：分析某三级甲等医院达芬奇机器人手术运营效率的影响因素，为提高机器人手术效率提供依据。 方法：采集某院 2018 年 1 月—2020 年 12 月开展的达芬奇机器人手术运行数据，分析首台手术开始时间、接台时间、 手术时间占进出手术室总时间的比例、机器人专用手术间利用率等指标。结果：共采集到达芬奇机器人手术运营数 据 1843 例，首台手术平均开始时间为 09：25，准点率为 21.7%，平均接台时间为（71±21）min，平均手术时间为（175± 77）min，平均机器人手术时间为（123±59）min，机器人专用手术间日均手术 2.9 台 /d，临时停台率为 18.9%，夜 间手术占手术总量 21.9%。结论：达芬奇机器人手术的运营效率受多因素影响，提高首台手术准点开台率、缩短接 台时间、降低临时停台率对提高机器人手术效率和专用手术间利用率至关重要。

Objective: To analyze the factors that affecting the operational efficiency of Da Vinci robotic surgery in a level A tertiary hospital, and to provide theoretical basis for improving the operational efficiency of robotic surgery. Methods: The data of Da Vinci robotic surgeries performed in this hospital from January 2018 to December 2020 were collected, and the indicators such as the start time of the first surgery, the turnaround time, the operative time, the percentage of operative time to the total operative time, and the utilization rate of the dedicated operating room for robotic surgery were analyzed. Results: 1843 cases of robotic surgery were collected, the average start time of the first case was 09: 25, with ontime rate of 21.7%. The average turnaround time was (71±21) min, the average operative time was (175±77) min, the average operative time of robotic surgery was (123±59) min, 2.9 cases were completed per day in the special operating room for robotic surgery, 18.9% cases of robotic surgery were canceled, 21.9% cases of robotic surgery were completed at night. Conclusion: The operational efficiency of Da Vinci robotic surgery was affected by many factors. Improving the on-time opening rate of the first surgery, shortening the turnaround time and reducing the temporary stop rate are essential to improve the efficiency of robotic surgery and the utilization rate of the special operating room.

收稿日期：2022-03-08  录用日期：2023-04-20 

Received Date: 2022-03-08  Accepted Date: 2023-04-20 

基金项目：重庆市科卫联合医学科研项目（2020FYYX003） 

Foundation Item: Chongqing Medical Scientific Research Project (Joint project of Chongqing Health Commission and Science and Technology Bureau) (2020FYYX003) 

通讯作者：肖明朝，Email：xmz.2004@163.com 

Corresponding Author: XIAO Mingzhao, Email: xmz.2004@163.com 

引用格式：宋晓波，肖明朝，易凤琼，等 . 达芬奇机器人手术运营效率影响因素分析 [J]. 机器人外科学杂志（中英文），2024，5（1）： 45-49. 

Citation: SONG X B, XIAO M Z, YI F Q, et al. Analysis on factors affecting operational efficiency in Da Vinci robotic surgery [J]. Chinese Journal of Robotic Surgery, 2024, 5(1): 45-49.

[1] Wasielewski A. Guideline implementation: minimally invasive surgery, Part 1[J]. AORN Journal, 2017, 106(1): 50-59.

[2] Corcione A, Angelini P, Bencini L, et al. Joint consensus on abdominal robotic surgery and anesthesia from a task force of the SIAARTI and SIC[J]. Minerva Anestesiologica, 2018, 84(10): 1189-1208. 

[3] Truong M, Kim J H, Scheib S, et al. Advantages of robotics in benign gynecologic surgery[J]. Curr Opin Obstet Gynecol, 2016, 28(4): 304-310.

[4] 尹军 , 刘相花 , 唐海英 , 等 . 手术机器人的研究进 展及其在临床中的应用 [J]. 医疗卫生装备 , 2017, 38(11): 97-100. 

[5] 靳川伟 , 马云涛 , 杨婧 . 达芬奇机器人手术系统 “3+X”模式在胃癌根治术中的应用现状 [J]. 机器 人外科学杂志 ( 中英文 ), 2021, 2(6): 492-499. 

[6] Roh C K, Choi S, Seo W J, et al. Comparison of surgical outcomes between integrated robotic and conventional laparoscopic surgery for distal gastrectomy: a propensity score matching analysis[J]. Sci Rep, 2020, 10(1): 485. 

[7] 谢金亮 , 付敬 , 罗婷婷 , 等 . 医院手术室运营效率分析及改进策略探讨 [J]. 中国医院管理 , 2014, 34(4): 39-40. 

[8] 陈汝雪 , 欧阳晶 , 谢倩 , 等 . 综合干预对首台手术 开台时间管理成效分析 [J]. 中国医院管理 , 2015, 35(5): 33-34. 

[9] 余佩武 , 陈凛 , 郝迎学 , 等 . 机器人胃癌手术专家共识 (2015 版 )[J]. 中华消化外科杂志 , 2016, 15(1): 7-11. 

[10] 党笑 , 柏蒙 , 张泽昊 , 等 . 降低腔镜手术患者接台 延迟率 [J]. 中国卫生质量管理 , 2020, 27(6): 103- 106. 

[11] Scalea T M, Carco D, Reece M, et al. Effect of a novel financial incentive program on operating room efficiency[J].JAMA Surg, 2014, 149(9): 920-924. 

[12] 李娜 , 于秀荣 , 李秀丽 , 等 . 达芬奇机器人辅助下妇科手术体位的安全管理 [J]. 中华腔镜外科杂志 ( 电子版 ), 2016, 9(3): 190-192. 

[13] Giedelman C, Moschovas M C, Bhat S, et al. Establishing a successful robotic surgery program and improving operating room efficiency: literature review and our experience report[J]. J Robot Surg, 2021, 15(3): 435-442. 

[14] Lee D J, Ding J, Guzzo T J. Improving operating room efficiency [J]. Curr Urol Rep, 2019, 20(6): 28. 

[15] Investor Presentation Q3 2019 [EB/OL].[2019-10-20]. https: //isrg.intuitive.com/static-files/880bf027-e866- 4c32-b910-5332467cd8dc. 

[16] Feldstein J, Schwander B, Roberts M, et al. Cost of ownership assessment for a Da Vinci robot based on US real-world data[J]. The International Journal of Medical Robotics and Computer Assisted Surgery, 2019, 15(5): e2023.