Alarcon A, Berguer R
Department of Surgery, Central University of Ecuador, Quito, Equador.
Surg Endosc. 1996 Sep;10(9):916-9. doi: 10.1007/BF00188483.
The clutter of equipment and lines in today's operating room (O.R.) is increasing. Endoscopic surgical procedures are particularly afflicted by this problem because they require additional equipment. Increasing O.R. crowding may present unnecessary hazards to traffic and adversely affect the performance of the surgical team. The purpose of this study is to provide a quantitative summary of the furniture, equipment, cables, and tubes present during open and laparoscopic operations.
We prospectively studied an unselected series of general surgical open (OP, n = 10) and laparoscopic (LAP, n = 10) operations performed at a major university teaching hospital. We recorded the location of all furniture and equipment as well as the source, course, and destination of all cables and tubes in the O.R. Cables and tubes touching the surgeon or the assistant were particularly noted. Results are expressed as median values for each group.
The percent of O.R. space occupied increased from OP = 36% to LAP = 41% (p < 0.002). The median number of cables and tubes present increased from OP = 27 to LAP = 34 (p < 0.0002), with the number of these lines touching a member of the surgical team increasing from OP = 2 to LAP = 6 (p < 0.0003).
We conclude that there is a significant trend toward increasing O.R. crowding during laparoscopic surgery. Innovative designs will be needed to reduce clutter in the O.R. of the future.
当今手术室中设备和线路杂乱的情况日益增加。内镜手术尤其受此问题困扰，因为它们需要额外的设备。手术室日益拥挤可能给交通带来不必要的风险，并对手术团队的操作产生不利影响。本研究的目的是对开放手术和腹腔镜手术过程中出现的家具、设备、电缆和管道进行定量总结。
我们前瞻性地研究了在一所大型大学教学医院进行的一系列未经筛选的普通外科开放手术（OP，n = 10）和腹腔镜手术（LAP，n = 10）。我们记录了手术室中所有家具和设备的位置，以及所有电缆和管道的来源、走向和目的地。特别记录了接触外科医生或助手的电缆和管道。结果以每组的中位数表示。
手术室空间占用百分比从开放手术的36%增加到腹腔镜手术的41%（p < 0.002）。电缆和管道的中位数从开放手术的27根增加到腹腔镜手术的34根（p < 0.0002），这些线路接触手术团队成员的数量从开放手术的2根增加到腹腔镜手术的6根（p < 0.0003）。
我们得出结论，腹腔镜手术期间手术室拥挤有显著增加的趋势。未来需要创新设计来减少手术室的杂乱。
