Assessment of Intracorporeal Suturing in Single-Port Surgery Using an Experimental Suturing Model

被引:7
作者
Ishiyama, Yasuhiro [1 ,2 ,3 ]
Inaki, Noriyuki [2 ]
Bando, Hiroyuki [2 ]
Yamada, Tetsuji [2 ]
机构
[1] Fukui Prefectural Hosp, Fukui, Japan
[2] Ishikawa Prefectural Cent Hosp, Kanazawa, Ishikawa, Japan
[3] Fukui Prefectural Hosp, Dept Surg Gastroenterol, 2-8-1 Yotui, Fukui, Fukui 9108526, Japan
关键词
Single-port surgery; Intracorporeal suturing; Objective and subjective assessment; Reduced port laparoscopic surgery; LAPAROSCOPIC SURGERY; SURGICAL SIMULATOR; INCISION; SKILLS; PERFORMANCE; RESIDENTS;
D O I
10.1007/s12262-016-1445-6
中图分类号
R61 [外科手术学];
学科分类号
摘要
The aim of this study is to assess the difficulty of intracorporeal suturing in single-port surgery, using experimental suturing model in dry box. Subjects were divided for three groups: seven experienced laparoscopic surgeons, seven surgical residents, and seven interns. An experimental suturing model is developed, and working angle was set from 0A degrees to 90A degrees. The completion rate in 0A degrees was significantly lower than that in the other angles. Completion rate of group A was higher than that of the other groups. Precision of task in group A was significantly higher than that of group B and group C in 0A degrees and 60A degrees. Stress score in 0A degrees were significantly higher than that in the other angles. Our study demonstrated that intracorporeal suturing in single-port surgery seems to be more difficult than conventional laparoscopic surgery. Our data should be taken the institution under consideration for introduction of single-port surgery.
引用
收藏
页码:137 / 142
页数:6
相关论文
共 13 条
[1]   Training junior operative residents in laparoscopic suturing skills is feasible and efficacious [J].
Aggarwal, Rajesh ;
Hance, Julian ;
Undre, Shabnam ;
Ratnasothy, Joel ;
Moorthy, Krishna ;
Chang, Avril ;
Darzi, Ara .
SURGERY, 2006, 139 (06) :729-734
[2]   Teaching basic video skills as an aid in laparoscopic suturing [J].
Champion, JK ;
Hunter, J ;
Trus, T ;
Laycock, W .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1996, 10 (01) :23-25
[3]   What do master surgeons think of surgical competence and revalidation? [J].
Cuschieri, A ;
Francis, N ;
Crosby, J ;
Hanna, GB .
AMERICAN JOURNAL OF SURGERY, 2001, 182 (02) :110-116
[4]   Single-incision and dual-incision laparoscopic adjustable gastric band: evaluation of initial experience [J].
Galvani, Carlos A. ;
Gallo, Alberto S. ;
Gorodner, Maria V. .
SURGERY FOR OBESITY AND RELATED DISEASES, 2012, 8 (02) :194-200
[5]  
Navarra G, 1997, BRIT J SURG, V84, P695, DOI 10.1046/j.1365-2168.1997.02586.x
[6]   Laparoscopic suturing evaluation among surgical residents [J].
Nguyen, NT ;
Mayer, KL ;
Bold, RJ ;
Larson, M ;
Foster, S ;
Ho, HS ;
Wolfe, BM .
JOURNAL OF SURGICAL RESEARCH, 2000, 93 (01) :133-136
[7]   Single-Incision Laparoscopic Cholecystectomy Using Conventional Instruments: Early Experience in Comparison with the Gold Standard [J].
Philipp, Scott R. ;
Miedema, Brent W. ;
Thaler, Klaus .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2009, 209 (05) :632-637
[8]   Effect of training and instrument type on performance in single-incision laparoscopy: Results of a randomized comparison using a surgical simulator [J].
Santos, Byron F. ;
Reif, Taylor J. ;
Soper, Nathaniel J. ;
Hungness, Eric S. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2011, 25 (12) :3798-3804
[9]   Single-incision laparoscopic surgery (SILS™) versus standard laparoscopic surgery: a comparison of performance using a surgical simulator [J].
Santos, Byron F. ;
Enter, Daniel ;
Soper, Nathaniel J. ;
Hungness, Eric S. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2011, 25 (02) :483-490
[10]   Ergonomics of and technologies for single-port laparoscopic surgery [J].
Tang, Benjie ;
Hou, Sichuan ;
Cuschieri, Alfred .
MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES, 2012, 21 (01) :46-54