Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastrointest Surg. Apr 27, 2026; 18(4): 116399
Published online Apr 27, 2026. doi: 10.4240/wjgs.v18.i4.116399
Published online Apr 27, 2026. doi: 10.4240/wjgs.v18.i4.116399
Standardized instrument setup shortens operating time and reduces interruptions in laparoscopic gastrointestinal surgery: A single-centre randomized control trial
Yuan-Zhen Tan, Min Yang, Department of Anesthesiology, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, Hubei Province, China
Author contributions: Tan YZ is responsible for research design, data processing, and paper writing; Yang M is responsible for coordinating research, revising final drafts, and academic communication. The authors all acknowledge the final draft.
Institutional review board statement: The procedures for both T1 and T2 surveys adhered to the Declaration of Helsinki, and ethical principles for medical, psychological, and sociological research involving human participants. The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture Research Ethics Committee approved the study protocol.
Clinical trial registration statement: This randomized controlled trial remained unregistered pre-initiation per its clinical design features.
Informed consent statement: All the individuals who participated in this study provided their written informed consent prior to study enrolment.
Conflict-of-interest statement: The authors declare no conflicts of interest.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: No additional data are available.
Corresponding author: Min Yang, Research Fellow, Department of Anesthesiology, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, No. 158 Wuyang Avenue, Enshi 445000, Hubei Province, China. 574423227@qq.com
Received: December 2, 2025
Revised: January 7, 2026
Accepted: February 6, 2026
Published online: April 27, 2026
Processing time: 142 Days and 21.3 Hours
Revised: January 7, 2026
Accepted: February 6, 2026
Published online: April 27, 2026
Processing time: 142 Days and 21.3 Hours
Core Tip
Core Tip: This study demonstrated that an operating room nurse-led standardized instrument setup (SIS) model significantly enhanced the efficiency of laparoscopic gastrointestinal surgery. Compared to the traditional experience-based approach, the SIS reduced operating room occupancy time, unplanned interruptions, and instrument handover errors, while improving patient outcomes and lowering the cognitive load for surgeons and scrub nurses. This nurse-driven, standardized protocol optimizes workflow and team collaboration and offers a reproducible model for improving surgical safety and efficiency.