Analysis of the value of visualization technology in surgical item counting during robotic-assisted pancreatic cancer surgery

Objective To evaluate the application of visualization technology in surgical item counting during robotic-assisted pancreatic cancer surgery. Methods A retrospective analysis was conducted on robot-assisted pancreatic cancer surgeries performed at a tertiary hospital in Shanghai from December 2023 to December 2024. Patients were divided into a control group (conventional counting method) and an observation group (visual counting using counting boards, counting bags, and sterile magnetic needle boxes). The two groups were compared in terms of counting efficiency, counting accuracy, environmental contamination rate, needle-stick injury rate, and healthcare staff satisfaction. Results Among 268 collected surgical nursing records, 261 were included in statistical analysis (control group: 129 cases; observation group: 132 cases). The observation group demonstrated significantly shorter counting time, lower recount rate due to item discrepancies and reduced inventory interruption rate compared to the control group (all P＜0. 01). Additionally, the observation group exhibited higher surgeon participation in counting (P＜0. 05), shorter abdominal closure time (P＜0. 01), reduced environmental contamination rate(P＜0. 01), and decreased needle-stick injury incidence (P＜0. 05) compared to the control group. Conclusion In robot-assisted pancreatic cancer surgery, visual counting of surgical items reduces adverse events and improves workflow efficiency, demonstrating significant clinical value for widespread adoption. (目的 探讨机器人辅助胰腺癌手术中应用可视化技术清点手术物品的价值。方法 回顾上海某三甲医院2023年12月-2024年12月行机器人辅助下胰腺癌手术, 依据术中是否采取手术物品可视化清点分为对照组和观察组。对照组采用常规清点方法, 观察组采用可视化清点板、悬挂式清点袋和无菌磁吸式针盒进行清点。比较两种方法在手术物品清点效率及准确性, 环境污染率、针刺伤发生率等方面的应用效果。结果 共收集268例手术护理相关资料, 其中261例纳入统计分析, 对照组129例, 观察组132例。观察组的清点时长、物品清点错误复点率和清点中断率均低于对照组(P＜0. 01); 观察组手术医生参与清点率高于对照组(P＜0. 05); 观察组关腹时长短于对照组(P＜0. 01); 观察组环境污染率低于对照组(P＜0. 01), 观察组针刺伤发生率低于对照组(P＜0. 05)。结论 在机器人辅助胰腺癌手术中, 采用手术物品可视化清点措施可减少不良事件发生, 提高工作效率, 值得应用推广。)