{"id":"https://openalex.org/W3211023850","doi":"https://doi.org/10.1145/3472813.3472823","title":"Application of the Lean Six Sigma approach to the study of the LOS of patients who undergo laparoscopic cholecystectomy at the San Giovanni di Dio and Ruggi d'Aragona University Hospital","display_name":"Application of the Lean Six Sigma approach to the study of the LOS of patients who undergo laparoscopic cholecystectomy at the San Giovanni di Dio and Ruggi d'Aragona University Hospital","publication_year":2021,"publication_date":"2021-05-14","ids":{"openalex":"https://openalex.org/W3211023850","doi":"https://doi.org/10.1145/3472813.3472823","mag":"3211023850"},"language":"en","primary_location":{"id":"doi:10.1145/3472813.3472823","is_oa":false,"landing_page_url":"https://doi.org/10.1145/3472813.3472823","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2021 5th International Conference on Medical and Health Informatics","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008501370","display_name":"Teresa Angela Trunfio","orcid":"https://orcid.org/0000-0003-0929-567X"},"institutions":[{"id":"https://openalex.org/I4210117450","display_name":"Federico II University Hospital","ror":"https://ror.org/02jr6tp70","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210117450","https://openalex.org/I71267560"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Teresa Angela Trunfio","raw_affiliation_strings":["University Hospital of Naples 'Federico II', Naples, Italy"],"affiliations":[{"raw_affiliation_string":"University Hospital of Naples 'Federico II', Naples, Italy","institution_ids":["https://openalex.org/I4210117450"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062557189","display_name":"Arianna Scala","orcid":"https://orcid.org/0000-0001-9735-5227"},"institutions":[{"id":"https://openalex.org/I71267560","display_name":"University of Naples Federico II","ror":"https://ror.org/05290cv24","country_code":"IT","type":"education","lineage":["https://openalex.org/I71267560"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Arianna Scala","raw_affiliation_strings":["University of Naples, Italy"],"affiliations":[{"raw_affiliation_string":"University of Naples, Italy","institution_ids":["https://openalex.org/I71267560"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004204609","display_name":"Anna Borrelli","orcid":"https://orcid.org/0000-0002-2633-8507"},"institutions":[{"id":"https://openalex.org/I4210134772","display_name":"Ospedali Riuniti San Giovanni di Dio e Ruggi d'Aragona","ror":"https://ror.org/04etf9p48","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210134772"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Anna Borrelli","raw_affiliation_strings":["\"San Giovanni di Dio e Ruggi d'Aragona\" University Hospital, Salerno, Italy"],"affiliations":[{"raw_affiliation_string":"\"San Giovanni di Dio e Ruggi d'Aragona\" University Hospital, Salerno, Italy","institution_ids":["https://openalex.org/I4210134772"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033234745","display_name":"Michele Sparano","orcid":null},"institutions":[{"id":"https://openalex.org/I4210134772","display_name":"Ospedali Riuniti San Giovanni di Dio e Ruggi d'Aragona","ror":"https://ror.org/04etf9p48","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210134772"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Michele Sparano","raw_affiliation_strings":["\"San Giovanni di Dio e Ruggi d'Aragona\" University Hospital, Salerno, Italy"],"affiliations":[{"raw_affiliation_string":"\"San Giovanni di Dio e Ruggi d'Aragona\" University Hospital, Salerno, Italy","institution_ids":["https://openalex.org/I4210134772"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051405884","display_name":"Maria Triassi","orcid":"https://orcid.org/0000-0002-9420-9571"},"institutions":[{"id":"https://openalex.org/I71267560","display_name":"University of Naples Federico II","ror":"https://ror.org/05290cv24","country_code":"IT","type":"education","lineage":["https://openalex.org/I71267560"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Maria Triassi","raw_affiliation_strings":["University of Naples, Italy"],"affiliations":[{"raw_affiliation_string":"University of Naples, Italy","institution_ids":["https://openalex.org/I71267560"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5030272556","display_name":"Giovanni Improta","orcid":"https://orcid.org/0000-0002-9485-1687"},"institutions":[{"id":"https://openalex.org/I71267560","display_name":"University of Naples Federico II","ror":"https://ror.org/05290cv24","country_code":"IT","type":"education","lineage":["https://openalex.org/I71267560"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Giovanni Improta","raw_affiliation_strings":["University of Naples, Italy"],"affiliations":[{"raw_affiliation_string":"University of Naples, Italy","institution_ids":["https://openalex.org/I71267560"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5008501370"],"corresponding_institution_ids":["https://openalex.org/I4210117450"],"apc_list":null,"apc_paid":null,"fwci":11.6338,"has_fulltext":false,"cited_by_count":47,"citation_normalized_percentile":{"value":0.98442095,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":91,"max":100},"biblio":{"volume":null,"issue":null,"first_page":"50","last_page":"54"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.9577000141143799,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.9577000141143799,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.9164999723434448,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/convalescence","display_name":"Convalescence","score":0.9047306776046753},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.8055151104927063},{"id":"https://openalex.org/keywords/laparoscopic-cholecystectomy","display_name":"Laparoscopic cholecystectomy","score":0.7745506763458252},{"id":"https://openalex.org/keywords/cholecystectomy","display_name":"Cholecystectomy","score":0.6386620998382568},{"id":"https://openalex.org/keywords/general-surgery","display_name":"General surgery","score":0.4794170558452606},{"id":"https://openalex.org/keywords/university-hospital","display_name":"University hospital","score":0.47906622290611267},{"id":"https://openalex.org/keywords/surgery","display_name":"Surgery","score":0.3989963233470917}],"concepts":[{"id":"https://openalex.org/C2777945365","wikidata":"https://www.wikidata.org/wiki/Q1891441","display_name":"Convalescence","level":2,"score":0.9047306776046753},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8055151104927063},{"id":"https://openalex.org/C2987287001","wikidata":"https://www.wikidata.org/wiki/Q638774","display_name":"Laparoscopic cholecystectomy","level":2,"score":0.7745506763458252},{"id":"https://openalex.org/C2776641081","wikidata":"https://www.wikidata.org/wiki/Q638774","display_name":"Cholecystectomy","level":2,"score":0.6386620998382568},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.4794170558452606},{"id":"https://openalex.org/C3017595490","wikidata":"https://www.wikidata.org/wiki/Q17006263","display_name":"University hospital","level":2,"score":0.47906622290611267},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3989963233470917}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1145/3472813.3472823","is_oa":false,"landing_page_url":"https://doi.org/10.1145/3472813.3472823","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2021 5th International Conference on Medical and Health Informatics","raw_type":"proceedings-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.6399999856948853,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":24,"referenced_works":["https://openalex.org/W2047366475","https://openalex.org/W2074745524","https://openalex.org/W2158524674","https://openalex.org/W2164475572","https://openalex.org/W2336020488","https://openalex.org/W2742936021","https://openalex.org/W2758975722","https://openalex.org/W2766398381","https://openalex.org/W2794121838","https://openalex.org/W2954637183","https://openalex.org/W2968695270","https://openalex.org/W2970722156","https://openalex.org/W2972278290","https://openalex.org/W2986936634","https://openalex.org/W3004587016","https://openalex.org/W3107637452","https://openalex.org/W3108233638","https://openalex.org/W3109014789","https://openalex.org/W3109104261","https://openalex.org/W3109155736","https://openalex.org/W3112684837","https://openalex.org/W3133957411","https://openalex.org/W3153366054","https://openalex.org/W4205318208"],"related_works":["https://openalex.org/W2007150010","https://openalex.org/W2395175269","https://openalex.org/W3122611275","https://openalex.org/W2353081048","https://openalex.org/W2129098417","https://openalex.org/W39486375","https://openalex.org/W2412018713","https://openalex.org/W4320078173","https://openalex.org/W2327987911","https://openalex.org/W2408311005"],"abstract_inverted_index":{"Cholecystectomy":[0],"can":[1],"be":[2],"performed":[3],"laparoscopically":[4],"or":[5],"laparotomically,":[6],"but":[7],"in":[8,86,101],"uncomplicated":[9],"cases,":[10],"laparoscopic":[11,47],"cholecystectomy":[12,48],"is":[13,22,49,62],"considered":[14],"the":[15,39,42,69,73,76,87,102,111,125],"standard":[16],"procedure.":[17],"In":[18],"fact,":[19],"this":[20],"typology":[21],"associated":[23],"with":[24],"a":[25,64],"significantly":[26],"shorter":[27],"hospital":[28,44],"stay":[29,45,108],"and":[30,53,78],"convalescence":[31],"compared":[32],"to":[33,38,67,94],"classic":[34],"open":[35],"surgery.":[36],"According":[37],"medical":[40],"literature,":[41],"postoperative":[43],"after":[46],"generally":[50],"between":[51],"3":[52,60],"5":[54],"days.":[55],"The":[56],"\"Post-operative":[57],"hospitalization":[58],"within":[59],"days\"":[61],"therefore":[63],"correct":[65],"indicator":[66],"verify":[68],"good":[70],"performance":[71],"of":[72,81,84,104,107,122,127],"structures.":[74],"Using":[75],"clinical":[77],"demographic":[79],"data":[80],"two":[82],"groups":[83],"patients":[85],"two-year":[88],"period":[89],"2016-2017":[90],"it":[91],"was":[92],"possible":[93],"show":[95],"an":[96],"improvement":[97],"by":[98,110],"about":[99],"50%":[100],"reduction":[103],"post-operative":[105],"length":[106],"(LOS)":[109],"University":[112],"Hospital":[113],"\"San":[114],"Giovanni":[115],"di":[116],"Dio":[117],"e":[118],"Ruggi":[119],"d":[120],"'Aragona\"":[121],"Salerno":[123],"through":[124],"application":[126],"Lean":[128],"techniques.":[129]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":18},{"year":2023,"cited_by_count":15},{"year":2022,"cited_by_count":13}],"updated_date":"2025-11-06T03:46:38.306776","created_date":"2025-10-10T00:00:00"}