Wong J C-H, Yau K K, Chung C C-C, Siu W T, Li M K-W
Department of Surgery, Pamela Youde Nethersole Eastern Hospital, HKSAR, China.
Surg Endosc. 2006 Aug;20(8):1252-6. doi: 10.1007/s00464-005-0762-9. Epub 2006 Jul 24.
A newly constructed Endoscopic-Laparoscopic operating room (Endo-Lap OR) started to operate in our department in January 2005. A prospective study was conducted to evaluate its feasibility, efficacy, and safety, as well as the staff's satisfaction.
From January 2005 to September 2005, all patients undergoing operation in this Endo-Lap OR were included in the study. The patient's diagnosis, types of operating procedures, incidents of operating failure (either due to the hardware or the software of Endo-Lap OR) that led to a delay in the patient's transfer or that extended the total operating time were recorded. In addition, questionnaires regarding staff satisfaction with the new operating room were distributed to nurses, anesthetists, and surgeons.
A total of 640 cases were included in the study period, 245 cases of open surgery, 282 cases of laparoscopic surgery, 82 cases of endoscopic surgery, 17 cases of video-assisted thoracoscopic surgery, and 14 cases of combined endoscopic-laparoscopic surgery. There were no reported incidents of operating failure related to hardware or software problems. The overall staff satisfaction was excellent.
The integration of endoscopic and laparoscopic surgery into this newly constructed Endo-Lap OR is feasible and safe. The running of the operating room was smooth and it received a high level of acceptance and satisfaction from different staff members.
2005年1月，我科新建的内镜-腹腔镜手术室（Endo-Lap OR）开始投入使用。开展了一项前瞻性研究，以评估其可行性、有效性、安全性以及工作人员的满意度。
2005年1月至2005年9月，所有在该内镜-腹腔镜手术室接受手术的患者均纳入本研究。记录患者的诊断、手术类型、导致患者转运延迟或延长总手术时间的手术失败事件（因内镜-腹腔镜手术室的硬件或软件问题）。此外，还向护士、麻醉师和外科医生发放了关于工作人员对新手术室满意度的问卷。
研究期间共纳入640例病例，其中开放手术245例，腹腔镜手术282例，内镜手术82例，电视胸腔镜手术17例，内镜-腹腔镜联合手术14例。未报告与硬件或软件问题相关的手术失败事件。工作人员总体满意度很高。
将内镜手术和腹腔镜手术整合到这个新建的内镜-腹腔镜手术室是可行且安全的。手术室运行顺畅，得到了不同工作人员的高度认可和满意。
