An analysis of the correlation between the efficacy of training using a high-fidelity disease-specific simulator and the clinical outcomes of laparoscopic surgery for congenital biliary dilatation in pediatric patients
Purpose The present study clarified the efficacy of repeating laparoscopic surgery training using a disease-specific simulator and investigated the clinical outcomes of laparoscopic surgery for congenital biliary dilatation (CBD) in pediatric patients after training. Methods A high-fidelity laparosc...
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| Veröffentlicht in: | International journal for computer assisted radiology and surgery 2023-01, Vol.18 (1), p.55-61 |
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| creator | Yamada, Koji Muto, Mitsuru Murakami, Masakazu Onishi, Shun Sugita, Koshiro Yano, Keisuke Harumatsu, Toshio Nishida, Nanako Nagano, Ayaka Kawano, Masato Yamada, Waka Matsukubo, Makoto Kawano, Takafumi Kaji, Tatsuru Ieiri, Satoshi |
| description | Purpose
The present study clarified the efficacy of repeating laparoscopic surgery training using a disease-specific simulator and investigated the clinical outcomes of laparoscopic surgery for congenital biliary dilatation (CBD) in pediatric patients after training.
Methods
A high-fidelity laparoscopic hepaticojejunostomy simulator was used. Four pediatric surgeons performed practice laparoscopic hepaticojejunostomy three times using the simulator. The details of forceps manipulation during the task were analyzed. The clinical outcomes of 13 CBD cases treated with laparoscopic surgery in our institution were also evaluated based on medical records.
Results
The time required to complete the task became significantly shorter each successive time (1st: 1062.18 ± 346.79 s vs. 3rd: 717.44 ± 260.80 s,
p
= 0.039). There were no significant differences in the total path length of the right forceps (1st: 55.56 ± 23.21 m vs. 3rd: 28.25 ± 17.01 m,
p
= 0.17), total path length of the left forceps (1st: 47.79 ± 20.79 m vs. 3rd: 31.83 ± 17.62 m,
p
= 0.17), average velocity of the right forceps (1st: 58.78 ± 21.29 mm/s vs.44.98 ± 10.25 mm/s,
p
= 0.47), or the average velocity of the left forceps (1st: 50.39 ± 19.25 mm/s vs. 52.26 ± 19.59 mm/s,
p
= 0.78). Regarding the clinical outcome, all CBD patients underwent laparoscopic surgery performed by practiced pediatric surgeons who had no experience. The operative time was 545.53 ± 91.01 min, and the blood loss was 24.2 ± 25.8 ml. There were no cases of open conversion, intraoperative adverse events, or anastomotic leakage.
Conclusion
Disease-specific simulator training significantly decreased the task performance time by improving the forceps manipulation economy. In addition, simulator training may improve the operative safety and quality of laparoscopic hepaticojejunostomy in pediatric CBD patients. |
| doi_str_mv | 10.1007/s11548-022-02793-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2736303590</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2736303590</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-62b05946ce326aaaaf7c34717f54988f1fd8c6f169ce9e860439c24266cb55a73</originalsourceid><addsrcrecordid>eNp9UcuK1TAYLqI44-gLuJCAGzfV3Jq0y2EYLzDgRtclTf-ckyEnqUmL9FV9Gv-ejhdcGEhaku-SfF9VvWT0LaNUvyuMNbKtKec4dSfq9VF1yVrFaiV59_iv_4vqWSn3lMpGi-ZpdSGU0FJ0-rL6cR2JiSasxReSHJmPQGzKGYKZfYpkgPk7QDzvg3PeGruecdn46OOBLGVbDTn6w7F2foTg55WMvoApUJcJrEcWKf60oGTK6DbuLgEFrAkkLbNNJzjbBzOZnIpN08ZZ8gHyShyybIoHiH5G_OCDN3nzQMH9lj6SCUZv5oy0CfcgzuV59cSZUODFw_eq-vr-9svNx_ru84dPN9d3tZWSzbXiA206qSwIrgwOp62QmmnXyK5tHXNja5VjqrPQQasoBme55ErZoWmMFlfVm113yunbAmXuT75YCMFESEvpuca4qWg6itDX_0Dv05Ix_g2lqeBM6AZRfEdZjKJkcP2U_Qmf3DPab833e_M9Nt-fm-9XJL16kF6GE4y_Kb-qRoDYAQWPMMz8x_s_sj8BxVu_nQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2770321375</pqid></control><display><type>article</type><title>An analysis of the correlation between the efficacy of training using a high-fidelity disease-specific simulator and the clinical outcomes of laparoscopic surgery for congenital biliary dilatation in pediatric patients</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Yamada, Koji ; Muto, Mitsuru ; Murakami, Masakazu ; Onishi, Shun ; Sugita, Koshiro ; Yano, Keisuke ; Harumatsu, Toshio ; Nishida, Nanako ; Nagano, Ayaka ; Kawano, Masato ; Yamada, Waka ; Matsukubo, Makoto ; Kawano, Takafumi ; Kaji, Tatsuru ; Ieiri, Satoshi</creator><creatorcontrib>Yamada, Koji ; Muto, Mitsuru ; Murakami, Masakazu ; Onishi, Shun ; Sugita, Koshiro ; Yano, Keisuke ; Harumatsu, Toshio ; Nishida, Nanako ; Nagano, Ayaka ; Kawano, Masato ; Yamada, Waka ; Matsukubo, Makoto ; Kawano, Takafumi ; Kaji, Tatsuru ; Ieiri, Satoshi</creatorcontrib><description>Purpose
The present study clarified the efficacy of repeating laparoscopic surgery training using a disease-specific simulator and investigated the clinical outcomes of laparoscopic surgery for congenital biliary dilatation (CBD) in pediatric patients after training.
Methods
A high-fidelity laparoscopic hepaticojejunostomy simulator was used. Four pediatric surgeons performed practice laparoscopic hepaticojejunostomy three times using the simulator. The details of forceps manipulation during the task were analyzed. The clinical outcomes of 13 CBD cases treated with laparoscopic surgery in our institution were also evaluated based on medical records.
Results
The time required to complete the task became significantly shorter each successive time (1st: 1062.18 ± 346.79 s vs. 3rd: 717.44 ± 260.80 s,
p
= 0.039). There were no significant differences in the total path length of the right forceps (1st: 55.56 ± 23.21 m vs. 3rd: 28.25 ± 17.01 m,
p
= 0.17), total path length of the left forceps (1st: 47.79 ± 20.79 m vs. 3rd: 31.83 ± 17.62 m,
p
= 0.17), average velocity of the right forceps (1st: 58.78 ± 21.29 mm/s vs.44.98 ± 10.25 mm/s,
p
= 0.47), or the average velocity of the left forceps (1st: 50.39 ± 19.25 mm/s vs. 52.26 ± 19.59 mm/s,
p
= 0.78). Regarding the clinical outcome, all CBD patients underwent laparoscopic surgery performed by practiced pediatric surgeons who had no experience. The operative time was 545.53 ± 91.01 min, and the blood loss was 24.2 ± 25.8 ml. There were no cases of open conversion, intraoperative adverse events, or anastomotic leakage.
Conclusion
Disease-specific simulator training significantly decreased the task performance time by improving the forceps manipulation economy. In addition, simulator training may improve the operative safety and quality of laparoscopic hepaticojejunostomy in pediatric CBD patients.</description><identifier>ISSN: 1861-6429</identifier><identifier>ISSN: 1861-6410</identifier><identifier>EISSN: 1861-6429</identifier><identifier>DOI: 10.1007/s11548-022-02793-y</identifier><identifier>PMID: 36374397</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Child ; Choledochal Cyst - surgery ; Clinical Competence ; Clinical outcomes ; Computer Imaging ; Computer Science ; Congenital diseases ; Effectiveness ; Health Informatics ; Humans ; Imaging ; Laparoscopy ; Laparoscopy - education ; Liver ; Medical instruments ; Medicine ; Medicine & Public Health ; Original Article ; Pattern Recognition and Graphics ; Pediatrics ; Radiology ; Simulation ; Simulator fidelity ; Surgeons ; Surgery ; Training simulators ; Vision</subject><ispartof>International journal for computer assisted radiology and surgery, 2023-01, Vol.18 (1), p.55-61</ispartof><rights>CARS 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. CARS.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-62b05946ce326aaaaf7c34717f54988f1fd8c6f169ce9e860439c24266cb55a73</citedby><cites>FETCH-LOGICAL-c441t-62b05946ce326aaaaf7c34717f54988f1fd8c6f169ce9e860439c24266cb55a73</cites><orcidid>0000-0002-1250-093X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11548-022-02793-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11548-022-02793-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36374397$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamada, Koji</creatorcontrib><creatorcontrib>Muto, Mitsuru</creatorcontrib><creatorcontrib>Murakami, Masakazu</creatorcontrib><creatorcontrib>Onishi, Shun</creatorcontrib><creatorcontrib>Sugita, Koshiro</creatorcontrib><creatorcontrib>Yano, Keisuke</creatorcontrib><creatorcontrib>Harumatsu, Toshio</creatorcontrib><creatorcontrib>Nishida, Nanako</creatorcontrib><creatorcontrib>Nagano, Ayaka</creatorcontrib><creatorcontrib>Kawano, Masato</creatorcontrib><creatorcontrib>Yamada, Waka</creatorcontrib><creatorcontrib>Matsukubo, Makoto</creatorcontrib><creatorcontrib>Kawano, Takafumi</creatorcontrib><creatorcontrib>Kaji, Tatsuru</creatorcontrib><creatorcontrib>Ieiri, Satoshi</creatorcontrib><title>An analysis of the correlation between the efficacy of training using a high-fidelity disease-specific simulator and the clinical outcomes of laparoscopic surgery for congenital biliary dilatation in pediatric patients</title><title>International journal for computer assisted radiology and surgery</title><addtitle>Int J CARS</addtitle><addtitle>Int J Comput Assist Radiol Surg</addtitle><description>Purpose
The present study clarified the efficacy of repeating laparoscopic surgery training using a disease-specific simulator and investigated the clinical outcomes of laparoscopic surgery for congenital biliary dilatation (CBD) in pediatric patients after training.
Methods
A high-fidelity laparoscopic hepaticojejunostomy simulator was used. Four pediatric surgeons performed practice laparoscopic hepaticojejunostomy three times using the simulator. The details of forceps manipulation during the task were analyzed. The clinical outcomes of 13 CBD cases treated with laparoscopic surgery in our institution were also evaluated based on medical records.
Results
The time required to complete the task became significantly shorter each successive time (1st: 1062.18 ± 346.79 s vs. 3rd: 717.44 ± 260.80 s,
p
= 0.039). There were no significant differences in the total path length of the right forceps (1st: 55.56 ± 23.21 m vs. 3rd: 28.25 ± 17.01 m,
p
= 0.17), total path length of the left forceps (1st: 47.79 ± 20.79 m vs. 3rd: 31.83 ± 17.62 m,
p
= 0.17), average velocity of the right forceps (1st: 58.78 ± 21.29 mm/s vs.44.98 ± 10.25 mm/s,
p
= 0.47), or the average velocity of the left forceps (1st: 50.39 ± 19.25 mm/s vs. 52.26 ± 19.59 mm/s,
p
= 0.78). Regarding the clinical outcome, all CBD patients underwent laparoscopic surgery performed by practiced pediatric surgeons who had no experience. The operative time was 545.53 ± 91.01 min, and the blood loss was 24.2 ± 25.8 ml. There were no cases of open conversion, intraoperative adverse events, or anastomotic leakage.
Conclusion
Disease-specific simulator training significantly decreased the task performance time by improving the forceps manipulation economy. In addition, simulator training may improve the operative safety and quality of laparoscopic hepaticojejunostomy in pediatric CBD patients.</description><subject>Child</subject><subject>Choledochal Cyst - surgery</subject><subject>Clinical Competence</subject><subject>Clinical outcomes</subject><subject>Computer Imaging</subject><subject>Computer Science</subject><subject>Congenital diseases</subject><subject>Effectiveness</subject><subject>Health Informatics</subject><subject>Humans</subject><subject>Imaging</subject><subject>Laparoscopy</subject><subject>Laparoscopy - education</subject><subject>Liver</subject><subject>Medical instruments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pattern Recognition and Graphics</subject><subject>Pediatrics</subject><subject>Radiology</subject><subject>Simulation</subject><subject>Simulator fidelity</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Training simulators</subject><subject>Vision</subject><issn>1861-6429</issn><issn>1861-6410</issn><issn>1861-6429</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UcuK1TAYLqI44-gLuJCAGzfV3Jq0y2EYLzDgRtclTf-ckyEnqUmL9FV9Gv-ejhdcGEhaku-SfF9VvWT0LaNUvyuMNbKtKec4dSfq9VF1yVrFaiV59_iv_4vqWSn3lMpGi-ZpdSGU0FJ0-rL6cR2JiSasxReSHJmPQGzKGYKZfYpkgPk7QDzvg3PeGruecdn46OOBLGVbDTn6w7F2foTg55WMvoApUJcJrEcWKf60oGTK6DbuLgEFrAkkLbNNJzjbBzOZnIpN08ZZ8gHyShyybIoHiH5G_OCDN3nzQMH9lj6SCUZv5oy0CfcgzuV59cSZUODFw_eq-vr-9svNx_ru84dPN9d3tZWSzbXiA206qSwIrgwOp62QmmnXyK5tHXNja5VjqrPQQasoBme55ErZoWmMFlfVm113yunbAmXuT75YCMFESEvpuca4qWg6itDX_0Dv05Ix_g2lqeBM6AZRfEdZjKJkcP2U_Qmf3DPab833e_M9Nt-fm-9XJL16kF6GE4y_Kb-qRoDYAQWPMMz8x_s_sj8BxVu_nQ</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Yamada, Koji</creator><creator>Muto, Mitsuru</creator><creator>Murakami, Masakazu</creator><creator>Onishi, Shun</creator><creator>Sugita, Koshiro</creator><creator>Yano, Keisuke</creator><creator>Harumatsu, Toshio</creator><creator>Nishida, Nanako</creator><creator>Nagano, Ayaka</creator><creator>Kawano, Masato</creator><creator>Yamada, Waka</creator><creator>Matsukubo, Makoto</creator><creator>Kawano, Takafumi</creator><creator>Kaji, Tatsuru</creator><creator>Ieiri, Satoshi</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1250-093X</orcidid></search><sort><creationdate>20230101</creationdate><title>An analysis of the correlation between the efficacy of training using a high-fidelity disease-specific simulator and the clinical outcomes of laparoscopic surgery for congenital biliary dilatation in pediatric patients</title><author>Yamada, Koji ; Muto, Mitsuru ; Murakami, Masakazu ; Onishi, Shun ; Sugita, Koshiro ; Yano, Keisuke ; Harumatsu, Toshio ; Nishida, Nanako ; Nagano, Ayaka ; Kawano, Masato ; Yamada, Waka ; Matsukubo, Makoto ; Kawano, Takafumi ; Kaji, Tatsuru ; Ieiri, Satoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-62b05946ce326aaaaf7c34717f54988f1fd8c6f169ce9e860439c24266cb55a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Child</topic><topic>Choledochal Cyst - surgery</topic><topic>Clinical Competence</topic><topic>Clinical outcomes</topic><topic>Computer Imaging</topic><topic>Computer Science</topic><topic>Congenital diseases</topic><topic>Effectiveness</topic><topic>Health Informatics</topic><topic>Humans</topic><topic>Imaging</topic><topic>Laparoscopy</topic><topic>Laparoscopy - education</topic><topic>Liver</topic><topic>Medical instruments</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pattern Recognition and Graphics</topic><topic>Pediatrics</topic><topic>Radiology</topic><topic>Simulation</topic><topic>Simulator fidelity</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Training simulators</topic><topic>Vision</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamada, Koji</creatorcontrib><creatorcontrib>Muto, Mitsuru</creatorcontrib><creatorcontrib>Murakami, Masakazu</creatorcontrib><creatorcontrib>Onishi, Shun</creatorcontrib><creatorcontrib>Sugita, Koshiro</creatorcontrib><creatorcontrib>Yano, Keisuke</creatorcontrib><creatorcontrib>Harumatsu, Toshio</creatorcontrib><creatorcontrib>Nishida, Nanako</creatorcontrib><creatorcontrib>Nagano, Ayaka</creatorcontrib><creatorcontrib>Kawano, Masato</creatorcontrib><creatorcontrib>Yamada, Waka</creatorcontrib><creatorcontrib>Matsukubo, Makoto</creatorcontrib><creatorcontrib>Kawano, Takafumi</creatorcontrib><creatorcontrib>Kaji, Tatsuru</creatorcontrib><creatorcontrib>Ieiri, Satoshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal for computer assisted radiology and surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamada, Koji</au><au>Muto, Mitsuru</au><au>Murakami, Masakazu</au><au>Onishi, Shun</au><au>Sugita, Koshiro</au><au>Yano, Keisuke</au><au>Harumatsu, Toshio</au><au>Nishida, Nanako</au><au>Nagano, Ayaka</au><au>Kawano, Masato</au><au>Yamada, Waka</au><au>Matsukubo, Makoto</au><au>Kawano, Takafumi</au><au>Kaji, Tatsuru</au><au>Ieiri, Satoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An analysis of the correlation between the efficacy of training using a high-fidelity disease-specific simulator and the clinical outcomes of laparoscopic surgery for congenital biliary dilatation in pediatric patients</atitle><jtitle>International journal for computer assisted radiology and surgery</jtitle><stitle>Int J CARS</stitle><addtitle>Int J Comput Assist Radiol Surg</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>18</volume><issue>1</issue><spage>55</spage><epage>61</epage><pages>55-61</pages><issn>1861-6429</issn><issn>1861-6410</issn><eissn>1861-6429</eissn><abstract>Purpose
The present study clarified the efficacy of repeating laparoscopic surgery training using a disease-specific simulator and investigated the clinical outcomes of laparoscopic surgery for congenital biliary dilatation (CBD) in pediatric patients after training.
Methods
A high-fidelity laparoscopic hepaticojejunostomy simulator was used. Four pediatric surgeons performed practice laparoscopic hepaticojejunostomy three times using the simulator. The details of forceps manipulation during the task were analyzed. The clinical outcomes of 13 CBD cases treated with laparoscopic surgery in our institution were also evaluated based on medical records.
Results
The time required to complete the task became significantly shorter each successive time (1st: 1062.18 ± 346.79 s vs. 3rd: 717.44 ± 260.80 s,
p
= 0.039). There were no significant differences in the total path length of the right forceps (1st: 55.56 ± 23.21 m vs. 3rd: 28.25 ± 17.01 m,
p
= 0.17), total path length of the left forceps (1st: 47.79 ± 20.79 m vs. 3rd: 31.83 ± 17.62 m,
p
= 0.17), average velocity of the right forceps (1st: 58.78 ± 21.29 mm/s vs.44.98 ± 10.25 mm/s,
p
= 0.47), or the average velocity of the left forceps (1st: 50.39 ± 19.25 mm/s vs. 52.26 ± 19.59 mm/s,
p
= 0.78). Regarding the clinical outcome, all CBD patients underwent laparoscopic surgery performed by practiced pediatric surgeons who had no experience. The operative time was 545.53 ± 91.01 min, and the blood loss was 24.2 ± 25.8 ml. There were no cases of open conversion, intraoperative adverse events, or anastomotic leakage.
Conclusion
Disease-specific simulator training significantly decreased the task performance time by improving the forceps manipulation economy. In addition, simulator training may improve the operative safety and quality of laparoscopic hepaticojejunostomy in pediatric CBD patients.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>36374397</pmid><doi>10.1007/s11548-022-02793-y</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-1250-093X</orcidid></addata></record> |
| fulltext | fulltext |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Child Choledochal Cyst - surgery Clinical Competence Clinical outcomes Computer Imaging Computer Science Congenital diseases Effectiveness Health Informatics Humans Imaging Laparoscopy Laparoscopy - education Liver Medical instruments Medicine Medicine & Public Health Original Article Pattern Recognition and Graphics Pediatrics Radiology Simulation Simulator fidelity Surgeons Surgery Training simulators Vision |
| title | An analysis of the correlation between the efficacy of training using a high-fidelity disease-specific simulator and the clinical outcomes of laparoscopic surgery for congenital biliary dilatation in pediatric patients |
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