Educational application of intraoperative records from an energy device in laparoscopic gastrectomy: a preliminary report
Educational application of intraoperative records from an energy device in laparoscopic gastrectomy: a preliminary report
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能量装置术中记录在腹腔镜胃切除术中的教育应用：初步报告
DOI：
10.1007/s00595-020-02160-x
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发表时间：
2021
期刊：
影响因子：
2.5
通讯作者：
Sakai Yoshiharu
中科院分区：
文献类型：
--
作者：
Hosogi Hisahiro;Obama Kazutaka;Tsunoda Shigeru;Hisamori Shigeo;Nishigori Tatsuto;Tanaka Eiji;Satoh Seiji;Okabe Hiroshi;Kanaya Seiichiro;Sakai Yoshiharu
目的回顾性录像是腹腔镜胃切除术（LG）中一种可靠的手术教学方法，但仍需更客观的方法。本研究的目的是确定能量器械记录是否反映了手术能力，从而可以提高手术education.MethodsA共16例患者接受LG胃癌使用Thunderbeat®设备进行了初步回顾性分析。该器械具有“智能组织监测”（ITM）功能，是一种停止能量输出的安全辅助系统，可记录手术期间的ITM检测和击发时间。在受训者（5名外科医生n= 9）和专家（5名外科医生n= 7）之间比较了胃结肠韧带剥离和幽门下剥离期间的ITM检测和击发次数以及总击发时间。未编辑的视频（n= 16）进行了评分，分数和records之间的相关性进行了analysed.ResultsSignificantly更多的ITM检测，射击，和更长的总射击时间观察到的学员比专家。ITM检测和发射的数量与操作速度的分数呈负相关，使用的非优势手，和使用的能量device.ConclusionsOur初步研究表明，上述能量设备记录反映了手术能力，从而可以提高手术教育。
PurposeVideo review is a reliable method for surgical education in laparoscopic gastrectomy (LG), but more objective methods are still needed. The purpose of this study was to determine whether the energy device records reflected surgical competency, and thereby may improve surgical education.MethodsA total of 16 patients who underwent LG for gastric cancer using the Thunderbeat®device were preliminarily retrospectively analyzed. This device has the function of ‘intelligent tissue monitoring’ (ITM), a safety assist system stopping energy output, and can record ITM detections and firing time during surgery. The number of ITM detections and firings, and the total firing time during gastrocolic ligament dissection and infrapyloric dissection were compared between trainees (n= 9 by 5 surgeons) and experts (n= 7 by 5 surgeons). The non-edited videos (n= 16) were scored, and the correlations between the scores and the records were then analyzed.ResultsSignificantly more ITM detections, firings, and a longer total firing time were observed in trainees than in experts. The number of ITM detections and firing had negative correlations with the scores of the operation speed, the use of the non-dominant hand, and the use of an energy device.ConclusionsOur preliminary study suggested that the above described energy device records reflected surgical competency, and thereby may improve surgical education.
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