Impact and characteristics of two- and three-dimensional forceps manipulation using laparoscopic hepaticojejunostomy mimicking a disease-specific simulator: A comparison of pediatric surgeons with gastrointestinal surgeons
Impact and characteristics of two- and three-dimensional forceps manipulation using laparoscopic hepaticojejunostomy mimicking a disease-specific simulator: A comparison of pediatric surgeons with gastrointestinal surgeons
复制标题
使用模拟疾病特异性模拟器的腹腔镜肝空肠吻合术进行二维和三维镊子操作的影响和特征：儿科外科医生与胃肠外科医生的比较
DOI：
10.1007/s00383-019-04538-6
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发表时间：
2019
影响因子：
1.8
通讯作者：
Ieiri S
中科院分区：
文献类型：
--
作者：
Yamada K;Murakami M;Yano K;Baba T;Harumatsu T;Onishi S;Yamada W;Masuya R; Machigashira S;Nakame K;Mukai M;Kaji T;Ieiri S
目的利用腹腔镜肝管空肠吻合术模拟器，比较小儿外科医生(PS)和胃肠外科医生(GIS)对2D和3D环境的影响。35名参与者(19名PS和16名GIS)在2D和3D环境下进行了肝管空肠吻合术。我们评估了两种情况下双侧钳子所需的时间、总路径长度和平均血流速度。结果根据参与者的特点，PS和GIS在腹腔镜肝管空肠吻合术中的表现有显著差异。在PS中，3D环境与2D环境相比没有明显的影响。然而，在地理信息系统中，3D环境会影响右侧产钳的时间和运动。在这两种环境下，PS和GIS的时间没有显著差异。在两种环境下，PS组的右手运动均较GIS组短而慢，而左手运动则相反。结论PS组与GIS组的产钳运动特征有显著差异。3D环境的影响在这项研究中无法阐明，因为它可能取决于所使用的港口布局和手术程序。
PurposeThis study assessed the impact of 2D and 3D environments by comparing pediatric surgeons (PS) and gastrointestinal surgeons (GIS) using a laparoscopic hepaticojejunostomy simulator.MethodsWe developed a high-fidelity simulator of laparoscopic hepaticojejunostomy. Thirty-five participants (19 PS and 16 GIS) performed hepaticojejunostomy in both 2D and 3D environments. We evaluated the required time, total path length, and average velocities of bilateral forceps in both situations using the para-axial port layout.ResultsRegarding the participants’ characteristics, the performance history of laparoscopic hepaticojejunostomy differed significantly between PS and GIS. In PS, the 3D environment did not markedly affect compared with 2D. In GIS, however, the 3D environment affected the time and movement of the right forceps. There were no significant differences in the time between PS and GIS in either environment. In both environments, the right-hand movement of the PS group was shorter and slower than that of the GIS group, but the left-hand movement was the opposite.ConclusionThere were significant differences in forceps movement characteristics between the PS and GIS. The effects of a 3D environment could not be clarified in this study, because it may depend on the port layout used and the operative procedures.