Warming up with endotrainer prior to laparoscopic cholecystectomy
| Autor: | Carlos Ramirez-Velazquez, Jaime Soto-Amaro, Alicia Troncoso-Bacelis |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Laparoscopic surgery medicine.medical_specialty medicine.medical_treatment Ocean Engineering 030230 surgery 03 medical and health sciences 0302 clinical medicine medicine Operating time Humans Effective treatment Single-Blind Method In patient Laparoscopic cholecystectomy business.industry General surgery Gold standard Middle Aged Surgery Clinical trial Cholecystectomy Laparoscopic Preoperative Period Female 030211 gastroenterology & hepatology business Warming up |
| Zdroj: | Cirugía y Cirujanos (English Edition). 85:299-305 |
| ISSN: | 2444-0507 |
| Popis: | Background Laparoscopic cholecystectomy is a safe and effective treatment and remains the gold standard in patients with benign disease. However it presents difficulties such as: the limited movement range of the instruments, the loss of depth perception, haptic feedback and the fulcrum effect. Previous training can optimise surgical performance in patients to master basic skills. Objective Assess the effectiveness of surgeons warming up with an endotrainer before performing laparoscopic cholecystectomy. Material and methods Single-blind controlled clinical trial with 16 surgeons who performed 2 laparoscopic cholecystectomies, the first according to standard practice and the second with warm-up comprising 5 MISTELS system exercises. Patient and surgeon demographics were recorded, in addition to findings and complications during and after surgery for each procedured. Results We found a decrease in surgical time of 76.88 (±18.87) minutes in the group that did not warm up to prior to surgery compared with 72.81 (±35.5) minutes in the group with warm-up ( p = 0.0196). In addition, increased bleeding occurred in the procedures performed with warm-up 31.25 (±30.85) ml compared with the group that had no warm-up 23.94 (±15.9) ( p = 0.0146). Conclusion Performing warm up on a MISTELS system endotrainer before performing laparoscopic cholecystectomy reduces the operating time of surgery for all surgeons. Surgery bleeding increases in operations performed by surgeons with less experience in laparoscopic surgery. |
| Databáze: | OpenAIRE |
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