Influence of surgical start time on the quality of surgery for middle and low rectal cancer: a post hoc analysis of the real trial
According to this post hoc analysis of the REAL study, for middle and low rectal cancer surgery, surgical start time could influence surgical quality by affecting surgeon fatigue. Surgeries start later in a day bring worse quality compared to those early in a day. Robotic surgery could reduce this influence to some extent, while laparoscopic surgery is more susceptible.
Authors
- Weitang Yuan (ORCID: https://orcid.org/0000-0003-2866-6261)
- Baoqing Jia (ORCID: https://orcid.org/0000-0002-7006-0741)
- Yanbing Zhou (ORCID: https://orcid.org/0000-0002-3683-1565)
- Longwei Cheng
- Fei Liang (ORCID: https://orcid.org/0000-0002-4184-7844)
- Taiyuan Li (ORCID: https://orcid.org/0000-0001-9492-1545)
- Guodong He (ORCID: https://orcid.org/0000-0001-8466-4282)
- Bo Tang (ORCID: https://orcid.org/0000-0001-6157-6095)
- Cheng Zhang (ORCID: https://orcid.org/0000-0003-3647-7241)
- Wei Zhang (ORCID: https://orcid.org/0000-0003-3094-9711)
- Ye Wei (ORCID: https://orcid.org/0000-0003-1994-5664)
- Jianmin Xu (ORCID: https://orcid.org/0000-0002-5462-8421)
- Ren Zhao (ORCID: https://orcid.org/0000-0003-1978-5912)
- Xiaoqiao Zhang (ORCID: https://orcid.org/0000-0001-7060-6030)
- Zhang Zhuojian
Institutions
- Qingdao University (CN)
- Nanchang University (CN)
- Army Medical University (CN)
- Sun Yat-sen University (CN)
- Second Military Medical University (CN)
- Shanghai Jiao Tong University (CN)
- Fudan University (CN)
- Ruijin Hospital (CN)
- Chinese PLA General Hospital (CN)
- Jilin Province Tumor Hospital (CN)
- Huadong Hospital (CN)
- Shanghai Cancer Institute (CN)
- Changhai Hospital (CN)
- Shandong Provincial Hospital (CN)
- Affiliated Hospital of Qingdao University (CN)
- Zhongshan Hospital (CN)
- The First Affiliated Hospital, Sun Yat-sen University (CN)
- General Hospital of Shenyang Military Region (CN)
- Southwest Hospital (CN)
- First Affiliated Hospital of Zhengzhou University (CN)
- Shandong First Medical University (CN)
- First Affiliated Hospital of Nanchang University (CN)
Publication Details
- Journal
- International Journal of Surgery
- Published
- 2025-04-01
- DOI
- https://doi.org/10.1097/js9.0000000000002345
- Citations
- 2
- Primary Topic
- Colorectal Cancer Surgical Treatments
- Type
- article
- Field-Weighted Citation Impact
- 2.09