A new innovative laparoscopic fundoplication training simulator with a surgical skill validation system
| Autor: | Satoshi Ieiri, Tomoaki Taguchi, Kouji Masumoto, Ryota Souzaki, Tamotsu Katayama, Munenori Uemura, Takahiro Jimbo, Noriyuki Matsuoka, Makoto Hashizume, Satoshi Obata |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Evaluation system Forceps Fundoplication Pediatrics 03 medical and health sciences 0302 clinical medicine Japan Suture (anatomy) Pneumoperitoneum Pediatric surgery medicine Surgical skills Humans Simulation Training Simulation business.industry Infant Pediatric Surgeon medicine.disease Surgery General Surgery 030220 oncology & carcinogenesis Laparoscopy 030211 gastroenterology & hepatology Clinical Competence business Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 31:1688-1696 |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/s00464-016-5159-4 |
| Popis: | We developed and validated a specific laparoscopic fundoplication simulator for use with the objective endoscopic surgical skills evaluation system. The aim of this study was to verify the quality of skills of surgeons. We developed a 1-year-old infant body model based on computed tomography data and reproduced pneumoperitoneum model based on the clinical situation. The examinees were divided into three groups: fifteen pediatric surgery experts (PSE), twenty-four pediatric surgery trainees (PSN), and ten general surgeons (GS). They each had to perform three sutures ligatures for construction of Nissen wrap. Evaluate points are time for task, the symmetry of the placement of the sutures, and the uniformity of the interval of suture ligatures in making wrap. And the total path length and velocity of forceps were measured to assess bi-hand coordination. PSE were significantly superior to PSN regarding total time spent (p |
| Databáze: | OpenAIRE |
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