{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:15:09Z","timestamp":1772118909706,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T00:00:00Z","timestamp":1709510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010477","name":"Intuitive Surgical","doi-asserted-by":"publisher","award":["53680"],"award-info":[{"award-number":["53680"]}],"id":[{"id":"10.13039\/100010477","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30CA138292"],"award-info":[{"award-number":["P30CA138292"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Surgical workflow assessments offer insight regarding procedure variability. We utilised an objective method to evaluate workflow during robotic proctectomy (RP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We annotated 31 RPs and used Spearman's correlation to measure the correlation of\n                      <jats:italic>step time<\/jats:italic>\n                      and\n                      <jats:italic>step visit frequency<\/jats:italic>\n                      with console time (CT) and total operative time (TOT).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Strong correlations were seen with CT and\n                      <jats:italic>step times<\/jats:italic>\n                      for inferior mesenteric vein dissection and ligation (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.60,\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.60), lateral\u2010to\u2010medial splenic flexure mobilisation (SFM) (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.63), left rectal dissection (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.64) and mesorectal division (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.71). CT correlated strongly with medial\u2010to\u2010lateral (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.75) and supracolic SFM\n                      <jats:italic>visit frequency<\/jats:italic>\n                      (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.65). TOT correlated strongly with initial exposure\n                      <jats:italic>time<\/jats:italic>\n                      (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.60), and medial\u2010to\u2010lateral (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.67) and supracolic SFM\n                      <jats:italic>visit frequency<\/jats:italic>\n                      (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.65).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study correlates surgical steps with CT and TOT through standardised annotation, providing an objective approach to quantify workflow.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.2625","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T00:49:00Z","timestamp":1709599740000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Quantification of surgical workflow during robotic proctectomy"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8870-9628","authenticated-orcid":false,"given":"Mishal","family":"Gillani","sequence":"first","affiliation":[{"name":"Department of Surgery Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manali","family":"Rupji","sequence":"additional","affiliation":[{"name":"Biostatistics Shared Resource Winship Cancer Institute Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Courtney L.","family":"Devin","sequence":"additional","affiliation":[{"name":"Department of Surgery Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilia A.","family":"Purvis","sequence":"additional","affiliation":[{"name":"Research Division Intuitive Surgical  Norcross Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terrah J.","family":"Paul Olson","sequence":"additional","affiliation":[{"name":"Department of Surgery Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Jarc","sequence":"additional","affiliation":[{"name":"Research Division Intuitive Surgical  Norcross Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mallory C.","family":"Shields","sequence":"additional","affiliation":[{"name":"Research Division Intuitive Surgical  Norcross Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Bioinformatics Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth A.","family":"Rosen","sequence":"additional","affiliation":[{"name":"Department of Surgery Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,4]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Surgical Workflow Recognition: From Analysis of Challenges to Architectural Study","author":"Czempiel T","year":"2022"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010021\u201008792\u20105"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010022\u201012062\u20106"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2018.06.078"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000288"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001518"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2018.0035"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2018.05.080"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/00031348231161767"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001557"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.756522"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2546"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2018.1512"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14599"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1101\/gr.092759.109"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000114"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.12.040"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11102\u2010021\u201001162\u20103"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010014\u20103979\u20107"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695\u2010018\u20103219\u20107"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000008276"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893\u2010022\u201001466\u20106"}],"container-title":["The International Journal of Medical Robotics and Computer Assisted Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.2625","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,21]],"date-time":"2024-09-21T12:22:49Z","timestamp":1726921369000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcs.2625"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,4]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1002\/rcs.2625"],"URL":"https:\/\/doi.org\/10.1002\/rcs.2625","archive":["Portico"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3462719\/v1","asserted-by":"object"}]},"ISSN":["1478-5951","1478-596X"],"issn-type":[{"value":"1478-5951","type":"print"},{"value":"1478-596X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,4]]},"assertion":[{"value":"2023-11-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2625"}}