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A comparison of the characteristics and precision of needle driving for right-handed pediatric surgeons between right and left driving using a model of infant laparoscopic diaphragmatic hernia repair

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Abstract

Purpose

We compared the characteristics and precision of right and left needle driving for right-handed pediatric surgeons using a laparoscopic diaphragmatic repair model.

Methods

Eighteen right-handed pediatric surgeons performed three needle driving maneuvers using both hands. We evaluated the required time and conducted an image analysis. The total path length, velocity, and acceleration of the needle driving were also evaluated.

Results

Obtained results show the findings for the required time (s, Rt 310.78 ± 148.93 vs. Lt 308.61 ± 122.53, p = 0.93), sum of needle driving balances (mm, Rt 5.23 ± 2.44 vs. Lt 5.05 ± 3.17, p = 0.83), the gap of the needle driving interval (Rt 1.2 ± 0.93 vs. Lt 2.17 ± 1.67, p = 0.04), total path length (mm, Rt 594.03 ± 205.29 vs. Lt 1641.07 ± 670.68, p < 0.01), and average velocity (mm/s, Rt 1.92 ± 0.54 vs. Lt 5.3 ± 1.39, p < 0.01).

Conclusion

For right-handed pediatric surgeons, left needle driving showed almost same quality of right needle driving as regarding the precision. But left needle driving also showed too fast but not economical movement unfortunately, implying rough and risky forceps manipulation. Non-dominant hand training is necessary to avoid organ injury.

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Acknowledgements

We thank Brian Quinn for his comments and help with the manuscript. This study was supported by Grants-in-Aid for Scientific Research from the Japan Society for the Promotion of Science (JSPS, Nos. 25293360, 26670765, 16K11350), Research Grant from the Japanese Foundation for Research and Promotion of Endoscopy (JFE), Research Grant from the Japanese Foundation for Research and Promotion of Endoscopy (J-CASE), Research Grant from President’s Discretionary Expenses of Kagoshima University, Research Grant from Foundation for Promotion of Cancer Research, Research Grant from Foundation for Shinnihon Zaidan, Research Grant from Tateishi Science and Technology Foundation, Research Grant from The UBE Foundation, Research Grant from Mitsui Life Social Welfare Foundation, Research Grant from Suzuken Memorial Foundation, Research Grant from Princess Takamatsu Research Foundation, Research Grant (The Kurata Grants) from the Hitachi Global Foundation and Research Grant from the Japanese Society for Medical and Biological Engineering.

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Author notes

  1. Takamasa Ikee and Shun Onishi contributed equally to this work.

Authors and Affiliations

  1. Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima City, 890-8520, Japan

    Takamasa Ikee, Shun Onishi, Motoi Mukai, Takafumi Kawano, Koshiro Sugita, Tomoe Moriguchi, Koji Yamada, Waka Yamada, Ryuta Masuya, Seiro Machigashira, Kazuhiko Nakame, Tatsuru Kaji & Satoshi Ieiri

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  1. Takamasa Ikee
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Correspondence to Satoshi Ieiri.

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Ikee, T., Onishi, S., Mukai, M. et al. A comparison of the characteristics and precision of needle driving for right-handed pediatric surgeons between right and left driving using a model of infant laparoscopic diaphragmatic hernia repair. Pediatr Surg Int 33, 1103–1108 (2017). https://doi.org/10.1007/s00383-017-4144-x

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