The effect of forceps manipulation for expert pediatric surgeons using an endoscopic pseudo-viewpoint alternating system: the phenomenon of economical slow and fast performance in endoscopic surgery

Satoshi Ieiri*, Takahiro Jimbo, Yuta Koreeda, Satoshi Obata, Munenori Uemura, Ryota Souzaki, Yo Kobayashi, Masakatsu G. Fujie, Makoto Hashizume, Tomoaki Taguchi

*この研究の対応する著者

研究成果: Article査読

1 被引用数 (Scopus)

抄録

Purpose: Endoscopic surgery is performed under a horizontal view in comparison to the vertical view that is associated with open surgery. We developed an endoscopic pseudo-viewpoint alternation system without any scope action. We investigate the effect of this novel system on forceps manipulation among expert pediatric surgeons. Methods: Six expert pediatric surgeons performed a Nissen wrap in a fundoplication simulator either with or without this system. The constructed Nissen wrap was evaluated. The total path length and the average velocity of the forceps were also analyzed. Results: The times required either with or without this system were 587.5 ± 122.7 and 634.0 ± 212.4 s (p = 0.45), respectively. The total path lengths of right and left forceps either with or without this system were 12,309 ± 2495.5 and 15,726 ± 5649.6 mm (p = 0.07), 10,091 ± 2439.2 and 12,575 ± 5511.1 mm (p = 0.11), respectively. The average velocity of the right and left forceps with or without this system were 26.9 ± 5.29 and 31.6 ± 1.62 mm/s (p = 0.04), 21.6 ± 2.48 and 25.5 ± 6.48 mm/s (p = 0.15), respectively. There was no significance in the suture balance and suture interval. Conclusion: The endoscopic pseudo-viewpoint alternation system thus made it possible for expert pediatric surgeons to carry out slow and economical forceps manipulation. These effects make it possible for surgeons to perform safe and precise surgery, thus leading to a shortening of operation time.

本文言語English
ページ(範囲)971-976
ページ数6
ジャーナルPediatric Surgery International
31
10
DOI
出版ステータスPublished - 2015 8 26

ASJC Scopus subject areas

  • 小児科学、周産期医学および子どもの健康
  • 外科

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