Efficacy of Using a Novel Endoscopic Lens Cleaning Device: A Prospective Randomized Controlled Trial

Efficacy of Using a Novel Endoscopic Lens Cleaning Device: A Prospective Randomized Controlled Trial
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DOI:
10.1177/1553350611399297
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发表时间:
2011-06-01
影响因子:
1.5
通讯作者:
Swanstroem, Lee L.
Swanstroem, Lee L.
中科院分区:
医学4区
文献类型:
--
作者:
Cassera, Maria A.;Goers, Trudie A.;Swanstroem, Lee L.

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导论.在腹腔镜手术中,手术野的清晰可视化至关重要。作者评价了一种不需要腹腔镜外部清洁过程的器械。据推测,这将最大限度地减少手术工作流程的中断。方法.共40例晚期腹腔镜手术患者被随机分配至对照组或器械组。记录人口统计学数据、手术数据、住院时间、透镜清洁频率和持续时间以及透镜清晰度评分(LCS)。进行独立样本t检验和Fisher精确检验。结果器械组和对照组在人口统计学数据、手术时间(P = .922)或LCS(P = .124)方面无显著差异。器械组的腹腔镜清洁时间明显短于对照组(P <0.001)。未观察到并发症。结论一种腹腔镜清洁装置,其能够有效地清洁腹腔镜透镜,并且导致较少的工作流程中断。尽管本研究中未记录,但它也可能导致手术时间缩短。
Introduction. Clear visualization of the surgical field is critical in laparoscopic surgery. The authors evaluated a device that does not necessitate an external cleaning process for the laparoscope. It was hypothesized that it will minimize the interruption in operative workflow. Methods. A total of 40 advanced laparoscopy patients were randomized to either the control or device group. Demographic data, procedural data, length of stay, frequency and duration of lens cleaning, and lens clarity scores (LCS) were recorded. Independent samples t test and Fisher's exact test were performed. Results . No significant difference was found between the device and control groups in demographic data, procedure time (P = .922) or LCS (P = .124). Laparoscope cleaning in the device group was significantly shorter than in the control group (P < .001). No complications were observed. Conclusion. An intra-abdominal laparoscopic cleaning device can effectively clean the laparoscopic lens and lead to less workflow interruption. Although not documented in this study, it may also lead to shorter operative times.