{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T13:25:06Z","timestamp":1740144306194,"version":"3.37.3"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T00:00:00Z","timestamp":1621209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T00:00:00Z","timestamp":1621209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005713","name":"Technische Universit\u00e4t M\u00fcnchen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005713","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J CARS"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>The SARS-CoV-2 pandemic has almost stopped all elective surgical treatment throughout the world. As operating room (OR) capacities are reduced everywhere to ensure availability of intensive care capacities, especially low-complex surgical procedures are often postponed. These include totally implantable central-venous access ports which are important for the oncologic treatment of cancer patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In our study, we investigated the potential of an outpatient surgical centre (OSC) in terms of workflow effectiveness compared to the central operating room complex (COR) of a university hospital using low-complex surgical procedures as an example. Data of 524 consecutive patients who received a Port-a-cath procedure (422 implantations (80.5%) and 102 explantations (19.5%)) in our department between February 2019 and February 2020 were evaluated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 277 patients were operated in outpatient surgical centre (OSC), and 247 patients received the procedure in the central OR (COR) complex. Grade II and III complications according to the Clavien\u2013Dindo classification occurred in 5.2% (OSC) and 7.3% (COR) of patients. Incision-to-suture time was significantly quicker in the OSC group (36 vs. 42\u00a0min., <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.032). Total OR time (01:08 vs. 01:20\u00a0h) and preparation-to-incision time were also shorter in the OSC group (12 vs. 17\u00a0min., <jats:italic>p\u2009<\/jats:italic>&lt;\u20090.002).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>In order to ensure effective OR utilization especially in times of the corona pandemic, the use of smaller decentralized OR units, e.g., outpatient surgical centres, for performing low-complex surgical cases is beneficial. Our study revealed shorter total OR and preparation-to-incision times.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11548-021-02392-3","type":"journal-article","created":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T05:02:43Z","timestamp":1621227763000},"page":"1357-1359","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effective operating room (OR) utilization by performing low-complex surgical procedures during the 2020 corona pandemic"],"prefix":"10.1007","volume":"16","author":[{"given":"Thomas","family":"Vogel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dina","family":"Schippers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balqees","family":"Aldarweesh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"Pergolini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Stollreiter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"Wagner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Wilhelm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helmut","family":"Friess","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6474-0759","authenticated-orcid":false,"given":"Michael","family":"Kranzfelder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,5,17]]},"reference":[{"key":"2392_CR1","first-page":"157","volume":"91","author":"D Cucinotta","year":"2020","unstructured":"Cucinotta D, Vanelli M (2020) WHO declares COVID-19 a pandemic. Acta Bio Medica Atenei Parmensis 91:157","journal-title":"Acta Bio Medica Atenei Parmensis"},{"issue":"11","key":"2392_CR2","doi-asserted-by":"publisher","first-page":"1450","DOI":"10.1002\/bjs.11747","volume":"107","author":"Welsh Surgical Research Initiative (WSRI) Collaborative","year":"2020","unstructured":"Welsh Surgical Research Initiative (WSRI) Collaborative (2020) Surgery during the COVID-19 pandemic: operating room suggestions from an international Delphi process. British J Surg 107(11):1450\u20131458. https:\/\/doi.org\/10.1002\/bjs.11747","journal-title":"British J Surg"},{"key":"2392_CR3","doi-asserted-by":"publisher","first-page":"950","DOI":"10.1097\/SLA.0000000000003705","volume":"272","author":"FJ H\u00fcttner","year":"2020","unstructured":"H\u00fcttner FJ, Bruckner T, Hackbusch M, Weitz J, Bork U, Kotschenreuther P, Heupel O, K\u00fcmmel S, Schlitt HJ, Mattulat M (2020) Primary open versus closed implantation strategy for totally implantable venous access ports: the multicentre randomized Controlled PORTAS-3 trial (DRKS 00004900). Ann Surg 272:950\u2013960","journal-title":"Ann Surg"},{"key":"2392_CR4","first-page":"529","volume":"9","author":"H Bender","year":"2004","unstructured":"Bender H, Waschke K, Schleppers A (2004) Tischlein wechsle dich: Sind Wechselzeiten ein Ma\u00df f\u00fcr ein effektives OP-Management. Anaesthesiol Intensivmed 9:529\u2013535","journal-title":"Anaesthesiol Intensivmed"},{"issue":"3","key":"2392_CR5","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1007\/s00142-020-00377-z","volume":"33","author":"J H\u00f6her","year":"2020","unstructured":"H\u00f6her J (2020) Ambulantes operieren in der corona-pandemie. Arthroskopie 33(3):216\u2013220. https:\/\/doi.org\/10.1007\/s00142-020-00377-z","journal-title":"Arthroskopie"},{"key":"2392_CR6","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1177\/112972980901000105","volume":"10","author":"M Maurer","year":"2009","unstructured":"Maurer M, Beck A, Hamm B, Gebauer B (2009) Central venous port catheters: evaluation of patients\u2019 satisfaction with implantation under local anesthesia. J Vasc Access 10:27\u201332","journal-title":"J Vasc Access"}],"container-title":["International Journal of Computer Assisted Radiology and Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11548-021-02392-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11548-021-02392-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11548-021-02392-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T12:36:03Z","timestamp":1626870963000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11548-021-02392-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,17]]},"references-count":6,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["2392"],"URL":"https:\/\/doi.org\/10.1007\/s11548-021-02392-3","relation":{},"ISSN":["1861-6410","1861-6429"],"issn-type":[{"type":"print","value":"1861-6410"},{"type":"electronic","value":"1861-6429"}],"subject":[],"published":{"date-parts":[[2021,5,17]]},"assertion":[{"value":"11 January 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 April 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"For this type of study formal consent is not required. This article does not contain any studies with human participants performed by any of the authors.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}