{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:24:21Z","timestamp":1760059461243,"version":"build-2065373602"},"reference-count":48,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T00:00:00Z","timestamp":1750204800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"\u201cVictor Babes\u201d University of Medicine and Pharmacy, Timisoara, Romania"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>Background\/Objectives: Operating rooms represent valuable and pivotal units of any hospital. Therefore, their management affects healthcare service delivery through rescheduling, staff shortage\/overtime, cost inefficiency, and patient dissatisfaction, among others. To optimize scheduling, we aim to assess preoperative evaluation criteria that influence the prediction of surgery duration for gastric cancer (GC) patients. In GC, radical surgery with curative intent is the ideal treatment. Nevertheless, the intervention sometimes must be palliative if the patient\u2019s status and tumor staging prove too advanced. Methods: A 6-year retrospective cohort study was performed in a tertiary care hospital, including all cases diagnosed with GC (ICD-10 code C16), confirmed through histopathology, and undergoing surgical treatment (N = 108). Results: The results of our study confirm male predominance (63.89%) among GC surgery candidates while bringing new perspectives on patient evaluation criteria and choice of surgical intervention (curative\u2014Group 1, palliative\u2014Group 2). Surgery duration, including anesthesiology (175.19 [95% CI (157.60\u2013192.77)] min), shows a direct correlation with the number of lymph nodes dissected (Surgical duration [min] = 10.67 \u00d7 No. of lymph nodes removed \u2212 32.25). Interestingly, the aggressiveness of the tumor based on histological grade (highly differentiated being generally less aggressive than poorly differentiated) shows differential correlation with surgery duration among curative and palliative surgery candidates. Similarly, TNM staging indicates the need for a longer surgical duration (pTNM stage IIA, IIB, and IIIA) for curative interventions in patients with less advanced stages, as opposed to shorter surgery duration for palliative interventions (pTNM stage IIIC and IV). Conclusions: The study quantitatively presents the resources needed for the optimal surgical treatment of different groups of GC patients, as the disease coding systems in use regard the treatment of each pathology as \u201cstandard\u201d in terms of patient management. The results obtained are anchored in the global perspectives of surgical outcomes and aim to improve the management of operating room scheduling, staff, and resources.<\/jats:p>","DOI":"10.3390\/cancers17122038","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T09:36:00Z","timestamp":1750239360000},"page":"2038","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictive Factors Aiding in the Estimation of Intraoperative Resources in Gastric Cancer Oncologic Surgery"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6528-7733","authenticated-orcid":false,"given":"Alexandru","family":"Blidi\u0219el","sequence":"first","affiliation":[{"name":"Department of Surgery I\u2013Clinic of Surgical Semiotics & Thoracic Surgery, Center for Hepato-Biliary and Pancreatic Surgery, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihai-C\u0103t\u0103lin","family":"Ro\u0219u","sequence":"additional","affiliation":[{"name":"Clinical County Emergency Hospital of Arad, Andrenyi Karoly Str., No. 2-4, 310037 Arad, Romania"},{"name":"Faculty of Medicine, \u201cVasile Goldis\u201d Western University of Arad, Liviu Rebreanu Str., No. 86, 310045 Arad, Romania"},{"name":"Doctoral School of Medicine, \u201cVasile Goldis\u201d Western University of Arad, Liviu Rebreanu Str., No. 86, 310045 Arad, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5219-5466","authenticated-orcid":false,"given":"Andreea-Adriana","family":"Neam\u021bu","sequence":"additional","affiliation":[{"name":"Clinical County Emergency Hospital of Arad, Andrenyi Karoly Str., No. 2-4, 310037 Arad, Romania"},{"name":"Department of Toxicology, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania"},{"name":"Research Centre for Pharmaco-Toxicological Evaluation, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania"},{"name":"\u201cPius Brinzeu\u201d Clinical County Emergency Hospital of Timisoara, 300723 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bogdan Dan","family":"Totolici","sequence":"additional","affiliation":[{"name":"Clinical County Emergency Hospital of Arad, Andrenyi Karoly Str., No. 2-4, 310037 Arad, Romania"},{"name":"Faculty of Medicine, \u201cVasile Goldis\u201d Western University of Arad, Liviu Rebreanu Str., No. 86, 310045 Arad, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u0103zvan-Ovidiu","family":"Pop-Moldovan","sequence":"additional","affiliation":[{"name":"\u201cPius Brinzeu\u201d Clinical County Emergency Hospital of Timisoara, 300723 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrei","family":"Ardelean","sequence":"additional","affiliation":[{"name":"Clinical County Emergency Hospital of Arad, Andrenyi Karoly Str., No. 2-4, 310037 Arad, Romania"},{"name":"Faculty of Medicine, \u201cVasile Goldis\u201d Western University of Arad, Liviu Rebreanu Str., No. 86, 310045 Arad, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentin-Cristian","family":"Iovin","sequence":"additional","affiliation":[{"name":"Department of Surgery I\u2013Clinic of Surgical Semiotics & Thoracic Surgery, Center for Hepato-Biliary and Pancreatic Surgery, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania"},{"name":"Doctoral School Department, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6451-7461","authenticated-orcid":false,"given":"Ionu\u021b Flaviu","family":"Faur","sequence":"additional","affiliation":[{"name":"Doctoral School of Medicine, \u201cVasile Goldis\u201d Western University of Arad, Liviu Rebreanu Str., No. 86, 310045 Arad, Romania"},{"name":"\u201cPius Brinzeu\u201d Clinical County Emergency Hospital of Timisoara, 300723 Timisoara, Romania"},{"name":"X Department of General Surgery, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina Adriana","family":"Dehelean","sequence":"additional","affiliation":[{"name":"Department of Toxicology, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania"},{"name":"Research Centre for Pharmaco-Toxicological Evaluation, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6877-3718","authenticated-orcid":false,"given":"Sorin Adalbert","family":"Dema","sequence":"additional","affiliation":[{"name":"Department of Oncology, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania"},{"name":"Department of Radiotherapy, Emergency City Hospital, 300595 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4766-5945","authenticated-orcid":false,"given":"Carmen","family":"Neam\u021bu","sequence":"additional","affiliation":[{"name":"Clinical County Emergency Hospital of Arad, Andrenyi Karoly Str., No. 2-4, 310037 Arad, Romania"},{"name":"Faculty of Dentistry, \u201cVasile Goldis\u201d Western University of Arad, Liviu Rebreanu Str., No. 86, 310045 Arad, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"ref_1","first-page":"1061","article-title":"Operating room scheduling with surgical team: A new approach with constraint programming and goal programming","volume":"31","author":"Eren","year":"2022","journal-title":"Cent. 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