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Assessment of Intracorporeal Suturing in Single-Port Surgery Using an Experimental Suturing Model

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Abstract

The aim of this study is to assess the difficulty of intracorporeal suturing in single-port surgery, using experimental suturing model in dry box. Subjects were divided for three groups: seven experienced laparoscopic surgeons, seven surgical residents, and seven interns. An experimental suturing model is developed, and working angle was set from 0° to 90°. The completion rate in 0° was significantly lower than that in the other angles. Completion rate of group A was higher than that of the other groups. Precision of task in group A was significantly higher than that of group B and group C in 0° and 60°. Stress score in 0° were significantly higher than that in the other angles. Our study demonstrated that intracorporeal suturing in single-port surgery seems to be more difficult than conventional laparoscopic surgery. Our data should be taken the institution under consideration for introduction of single-port surgery.

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References

  1. Navarra G, Pozza E, Occhionorelli S, Carcoforo P, Donini I (1997) One-wound laparoscopi cholecystectomy. Br J Surg 84:695

    Article  CAS  PubMed  Google Scholar 

  2. Galvani CA, Gallo AS, Gorodner MV (2012) Single-incision and dual-incision laparoscopic adjustable gastric band: evaluation of initial experience. Surg Obes 8(2):194–200

    Article  Google Scholar 

  3. Philipp SR, Miedema BW, Thaler K (2009) Single-incision laparoscopic cholecystectomy using conventional instrumenets:early experience in comparison with the gold standard. J Am Coll Surg 209:632–637

    Article  PubMed  Google Scholar 

  4. Tang B, Hou S, Cuschieri SA (2012) Ergonomics of and technologies for single-port lapaxroscopic surgery. Minim Invasive Ther Allied Technol 21(1):46–54

    Article  CAS  PubMed  Google Scholar 

  5. Champion JK, Hunter J, Trus T, Laycock W (1996) Teaching basic video skills as an aid in laparoscopic suturing. Surg Endosc 10:23–25

    Article  CAS  PubMed  Google Scholar 

  6. Aggarwal R, Hance J, Undre S, Ratnasothy J, Moorthy K, Chang A et al (2006) Training junior operative residents in laparoscopic suturing skills is feasible and efficacious. Surgery 139:729–734

    Article  PubMed  Google Scholar 

  7. Nguyen NT, Mayer KL, Bold RJ, Larson M, Foster S, Ho HS et al (2000) Laparoscopic suturing evaluation among surgical residents. J Surg Res 93:133–136

    Article  CAS  PubMed  Google Scholar 

  8. Cuschieri A, Francis N, Crosby J, Hanna GB (2001) What do master surgeons think of surgical competence and revalidation? Am J Surg 182:110–116

    Article  CAS  PubMed  Google Scholar 

  9. Yamaguchi S, Yoshida D, Kenmotsu H, Yasunaga T, Konishi K, Ieiri S et al (2011) Objective assessment of laparoscopic suturing skills using a motion-tracking system. Surg Endosc 25:771–775

    Article  PubMed  Google Scholar 

  10. Santos BF, Enter D, Soper NJ, Hungness ES (2011) Single-incision laparoscopic surgery (SILSTM) versus standard laparoscopic surgery: a comparison of performance using a surgical simulator. Surg Endosc 25:483–490

    Article  PubMed  Google Scholar 

  11. Yang B, Xu B, Zeng Q, Altunrende F, Wang H, Xiao L et al (2011) A specialized course of basic skills training for single-port laparoscopic surgery. Surgery 149:766–775

    Article  PubMed  Google Scholar 

  12. Santos BF, Reif TJ, Soper NJ, Hungness ES (2011) Effective of training and instrument type on performance in single-incision laparoscopy: results of a randomized comparison using a surgical simulator. Surg Endosc 25:3798–3804

    Article  PubMed  Google Scholar 

  13. Uchida K, Haruta N, Okajima M, Matsuda D, Yamamoto M (2005) Multimedia article, the keys to the new laparoscopic world Thumbs up! Knot and Tornado Knot. Surg Endosc 19(6):859

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

The authors thank Karl Storz for providing the laparoscopy during the study. Furthermore, we acknowledge the surgeons and resident surgeons and interns who performed the task in this study. This study was presented during SAGES in San Diego, March 2011.

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Authors and Affiliations

  1. Fukui Prefectural Hospital, Fukui City, Japan

    Yasuhiro Ishiyama

  2. Ishikawa Prefectural Central Hospital, Kanazawa, Japan

    Yasuhiro Ishiyama, Noriyuki Inaki, Hiroyuki Bando & Tetsuji Yamada

  3. Department of Gastroenterological Surgery, Fukui Prefectural Hospital, 2-8-1, Yotui, Fukui City, Fukui, 910-8526, Japan

    Yasuhiro Ishiyama

Authors
  1. Yasuhiro Ishiyama
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  2. Noriyuki Inaki
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  3. Hiroyuki Bando
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  4. Tetsuji Yamada
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Correspondence to Yasuhiro Ishiyama.

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Conflict of Interest

Yasuhiro Ishiyama, Noriyuki Inaki, Hiroyuki Bando, and Tetsuji Yamada have no conflicts of interest or financial ties to disclose.

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Ishiyama, Y., Inaki, N., Bando, H. et al. Assessment of Intracorporeal Suturing in Single-Port Surgery Using an Experimental Suturing Model. Indian J Surg 79, 137–142 (2017). https://doi.org/10.1007/s12262-016-1445-6

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  • DOI: https://doi.org/10.1007/s12262-016-1445-6

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