A clinical assessment of three-dimensional-printed liver model navigation for thrice or more repeated hepatectomy based on a conversation analysis
Purposes We performed a conversation analysis of the speech conducted among the surgical team during three-dimensional (3D)-printed liver model navigation for thrice or more repeated hepatectomy (TMRH). Methods Seventeen patients underwent 3D-printed liver navigation surgery for TMRH. After transcri...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2024-10, Vol.54 (10), p.1238-1247 |
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| creator | Igami, Tsuyoshi Maehigashi, Akihiro Nakamura, Yoshihiko Hayashi, Yuichiro Oda, Masahiro Yokoyama, Yukihiro Mizuno, Takashi Yamaguchi, Junpei Onoe, Shunsuke Sunagawa, Masaki Watanabe, Nobuyuki Baba, Taisuke Kawakatsu, Shoji Mori, Kensaku Miwa, Kazuhisa Ebata, Tomoki |
| description | Purposes
We performed a conversation analysis of the speech conducted among the surgical team during three-dimensional (3D)-printed liver model navigation for thrice or more repeated hepatectomy (TMRH).
Methods
Seventeen patients underwent 3D-printed liver navigation surgery for TMRH. After transcription of the utterances recorded during surgery, the transcribed utterances were coded by the utterer, utterance object, utterance content, sensor, and surgical process during conversation. We then analyzed the utterances and clarified the association between the surgical process and conversation through the intraoperative reference of the 3D-printed liver.
Results
In total, 130 conversations including 1648 segments were recorded. Utterance coding showed that the operator/assistant, 3D-printed liver/real liver, fact check (F)/plan check (Pc), visual check/tactile check, and confirmation of planned resection or preservation target (T)/confirmation of planned or ongoing resection line (L) accounted for 791/857, 885/763, 1148/500, 1208/440, and 1304/344 segments, respectively. The utterance’s proportions of assistants, F, F of T on 3D-printed liver, F of T on real liver, and Pc of L on 3D-printed liver were significantly higher during non-expert surgeries than during expert surgeries. Confirming the surgical process with both 3D-printed liver and real liver and performing planning using a 3D-printed liver facilitates the safe implementation of TMRH, regardless of the surgeon’s experience.
Conclusions
The present study, using a unique conversation analysis, provided the first evidence for the clinical value of 3D-printed liver for TMRH for anatomical guidance of non-expert surgeons. |
| doi_str_mv | 10.1007/s00595-024-02835-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11413093</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3038442064</sourcerecordid><originalsourceid>FETCH-LOGICAL-c398t-cb2e38dd4b7cdc73fd50e20b65c23eb5ae073404eaa81600037c9eea5a40977e3</originalsourceid><addsrcrecordid>eNp9UU1v1DAQtRCIbgt_gAPykUtgHDsfPqGqKh9SJS5wtibO7K6rJF482ZX2b_QX45BSwYWDNfLMe2_8_IR4o-C9Amg-MEBlqwJKk0-rq8I-ExtldF2UrdLPxQasUYUqrboQl8z3kJEtwEtxodsaGm2rjXi4ln4IU_A4SGQm5pGmWcatnPeJqOhDvnOIEw7FIYVppl4O4URJjrGnQU54CjucM0BuY1pIwZOMyziRTHQgXCh7OuTq5zieZYecO5mA0scpS_HKx7zjzIFfiRdbHJheP9Yr8ePT7febL8Xdt89fb67vCq9tOxe-K0m3fW-6xve-0du-AiqhqytfauoqpGzRgCHEVtUAoBtvibBCA7ZpSF-Jj6vu4diN1PvsO-HgsssR09lFDO7fyRT2bhdPTimjNFidFd49KqT480g8uzGwp2HAieKRnQbdGlNCbTK0XKE-ReZE26c9CtySplvTdDkj9ztNZzPp7d8vfKL8iS8D9ArgJZsdJXcfjyn_I_9P9hf1V7AB</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3038442064</pqid></control><display><type>article</type><title>A clinical assessment of three-dimensional-printed liver model navigation for thrice or more repeated hepatectomy based on a conversation analysis</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Igami, Tsuyoshi ; Maehigashi, Akihiro ; Nakamura, Yoshihiko ; Hayashi, Yuichiro ; Oda, Masahiro ; Yokoyama, Yukihiro ; Mizuno, Takashi ; Yamaguchi, Junpei ; Onoe, Shunsuke ; Sunagawa, Masaki ; Watanabe, Nobuyuki ; Baba, Taisuke ; Kawakatsu, Shoji ; Mori, Kensaku ; Miwa, Kazuhisa ; Ebata, Tomoki</creator><creatorcontrib>Igami, Tsuyoshi ; Maehigashi, Akihiro ; Nakamura, Yoshihiko ; Hayashi, Yuichiro ; Oda, Masahiro ; Yokoyama, Yukihiro ; Mizuno, Takashi ; Yamaguchi, Junpei ; Onoe, Shunsuke ; Sunagawa, Masaki ; Watanabe, Nobuyuki ; Baba, Taisuke ; Kawakatsu, Shoji ; Mori, Kensaku ; Miwa, Kazuhisa ; Ebata, Tomoki</creatorcontrib><description>Purposes
We performed a conversation analysis of the speech conducted among the surgical team during three-dimensional (3D)-printed liver model navigation for thrice or more repeated hepatectomy (TMRH).
Methods
Seventeen patients underwent 3D-printed liver navigation surgery for TMRH. After transcription of the utterances recorded during surgery, the transcribed utterances were coded by the utterer, utterance object, utterance content, sensor, and surgical process during conversation. We then analyzed the utterances and clarified the association between the surgical process and conversation through the intraoperative reference of the 3D-printed liver.
Results
In total, 130 conversations including 1648 segments were recorded. Utterance coding showed that the operator/assistant, 3D-printed liver/real liver, fact check (F)/plan check (Pc), visual check/tactile check, and confirmation of planned resection or preservation target (T)/confirmation of planned or ongoing resection line (L) accounted for 791/857, 885/763, 1148/500, 1208/440, and 1304/344 segments, respectively. The utterance’s proportions of assistants, F, F of T on 3D-printed liver, F of T on real liver, and Pc of L on 3D-printed liver were significantly higher during non-expert surgeries than during expert surgeries. Confirming the surgical process with both 3D-printed liver and real liver and performing planning using a 3D-printed liver facilitates the safe implementation of TMRH, regardless of the surgeon’s experience.
Conclusions
The present study, using a unique conversation analysis, provided the first evidence for the clinical value of 3D-printed liver for TMRH for anatomical guidance of non-expert surgeons.</description><identifier>ISSN: 0941-1291</identifier><identifier>ISSN: 1436-2813</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-024-02835-9</identifier><identifier>PMID: 38607395</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Adult ; Aged ; Female ; Hepatectomy - methods ; Humans ; Liver - surgery ; Liver Neoplasms - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Models, Anatomic ; Original ; Original Article ; Printing, Three-Dimensional ; Reoperation ; Surgery ; Surgery, Computer-Assisted - methods ; Surgical Oncology</subject><ispartof>Surgery today (Tokyo, Japan), 2024-10, Vol.54 (10), p.1238-1247</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c398t-cb2e38dd4b7cdc73fd50e20b65c23eb5ae073404eaa81600037c9eea5a40977e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-024-02835-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-024-02835-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38607395$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Igami, Tsuyoshi</creatorcontrib><creatorcontrib>Maehigashi, Akihiro</creatorcontrib><creatorcontrib>Nakamura, Yoshihiko</creatorcontrib><creatorcontrib>Hayashi, Yuichiro</creatorcontrib><creatorcontrib>Oda, Masahiro</creatorcontrib><creatorcontrib>Yokoyama, Yukihiro</creatorcontrib><creatorcontrib>Mizuno, Takashi</creatorcontrib><creatorcontrib>Yamaguchi, Junpei</creatorcontrib><creatorcontrib>Onoe, Shunsuke</creatorcontrib><creatorcontrib>Sunagawa, Masaki</creatorcontrib><creatorcontrib>Watanabe, Nobuyuki</creatorcontrib><creatorcontrib>Baba, Taisuke</creatorcontrib><creatorcontrib>Kawakatsu, Shoji</creatorcontrib><creatorcontrib>Mori, Kensaku</creatorcontrib><creatorcontrib>Miwa, Kazuhisa</creatorcontrib><creatorcontrib>Ebata, Tomoki</creatorcontrib><title>A clinical assessment of three-dimensional-printed liver model navigation for thrice or more repeated hepatectomy based on a conversation analysis</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>Purposes
We performed a conversation analysis of the speech conducted among the surgical team during three-dimensional (3D)-printed liver model navigation for thrice or more repeated hepatectomy (TMRH).
Methods
Seventeen patients underwent 3D-printed liver navigation surgery for TMRH. After transcription of the utterances recorded during surgery, the transcribed utterances were coded by the utterer, utterance object, utterance content, sensor, and surgical process during conversation. We then analyzed the utterances and clarified the association between the surgical process and conversation through the intraoperative reference of the 3D-printed liver.
Results
In total, 130 conversations including 1648 segments were recorded. Utterance coding showed that the operator/assistant, 3D-printed liver/real liver, fact check (F)/plan check (Pc), visual check/tactile check, and confirmation of planned resection or preservation target (T)/confirmation of planned or ongoing resection line (L) accounted for 791/857, 885/763, 1148/500, 1208/440, and 1304/344 segments, respectively. The utterance’s proportions of assistants, F, F of T on 3D-printed liver, F of T on real liver, and Pc of L on 3D-printed liver were significantly higher during non-expert surgeries than during expert surgeries. Confirming the surgical process with both 3D-printed liver and real liver and performing planning using a 3D-printed liver facilitates the safe implementation of TMRH, regardless of the surgeon’s experience.
Conclusions
The present study, using a unique conversation analysis, provided the first evidence for the clinical value of 3D-printed liver for TMRH for anatomical guidance of non-expert surgeons.</description><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Hepatectomy - methods</subject><subject>Humans</subject><subject>Liver - surgery</subject><subject>Liver Neoplasms - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Models, Anatomic</subject><subject>Original</subject><subject>Original Article</subject><subject>Printing, Three-Dimensional</subject><subject>Reoperation</subject><subject>Surgery</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Surgical Oncology</subject><issn>0941-1291</issn><issn>1436-2813</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9UU1v1DAQtRCIbgt_gAPykUtgHDsfPqGqKh9SJS5wtibO7K6rJF482ZX2b_QX45BSwYWDNfLMe2_8_IR4o-C9Amg-MEBlqwJKk0-rq8I-ExtldF2UrdLPxQasUYUqrboQl8z3kJEtwEtxodsaGm2rjXi4ln4IU_A4SGQm5pGmWcatnPeJqOhDvnOIEw7FIYVppl4O4URJjrGnQU54CjucM0BuY1pIwZOMyziRTHQgXCh7OuTq5zieZYecO5mA0scpS_HKx7zjzIFfiRdbHJheP9Yr8ePT7febL8Xdt89fb67vCq9tOxe-K0m3fW-6xve-0du-AiqhqytfauoqpGzRgCHEVtUAoBtvibBCA7ZpSF-Jj6vu4diN1PvsO-HgsssR09lFDO7fyRT2bhdPTimjNFidFd49KqT480g8uzGwp2HAieKRnQbdGlNCbTK0XKE-ReZE26c9CtySplvTdDkj9ztNZzPp7d8vfKL8iS8D9ArgJZsdJXcfjyn_I_9P9hf1V7AB</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Igami, Tsuyoshi</creator><creator>Maehigashi, Akihiro</creator><creator>Nakamura, Yoshihiko</creator><creator>Hayashi, Yuichiro</creator><creator>Oda, Masahiro</creator><creator>Yokoyama, Yukihiro</creator><creator>Mizuno, Takashi</creator><creator>Yamaguchi, Junpei</creator><creator>Onoe, Shunsuke</creator><creator>Sunagawa, Masaki</creator><creator>Watanabe, Nobuyuki</creator><creator>Baba, Taisuke</creator><creator>Kawakatsu, Shoji</creator><creator>Mori, Kensaku</creator><creator>Miwa, Kazuhisa</creator><creator>Ebata, Tomoki</creator><general>Springer Nature Singapore</general><scope>C6C</scope><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><scope>5PM</scope></search><sort><creationdate>20241001</creationdate><title>A clinical assessment of three-dimensional-printed liver model navigation for thrice or more repeated hepatectomy based on a conversation analysis</title><author>Igami, Tsuyoshi ; Maehigashi, Akihiro ; Nakamura, Yoshihiko ; Hayashi, Yuichiro ; Oda, Masahiro ; Yokoyama, Yukihiro ; Mizuno, Takashi ; Yamaguchi, Junpei ; Onoe, Shunsuke ; Sunagawa, Masaki ; Watanabe, Nobuyuki ; Baba, Taisuke ; Kawakatsu, Shoji ; Mori, Kensaku ; Miwa, Kazuhisa ; Ebata, Tomoki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-cb2e38dd4b7cdc73fd50e20b65c23eb5ae073404eaa81600037c9eea5a40977e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Hepatectomy - methods</topic><topic>Humans</topic><topic>Liver - surgery</topic><topic>Liver Neoplasms - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Models, Anatomic</topic><topic>Original</topic><topic>Original Article</topic><topic>Printing, Three-Dimensional</topic><topic>Reoperation</topic><topic>Surgery</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Igami, Tsuyoshi</creatorcontrib><creatorcontrib>Maehigashi, Akihiro</creatorcontrib><creatorcontrib>Nakamura, Yoshihiko</creatorcontrib><creatorcontrib>Hayashi, Yuichiro</creatorcontrib><creatorcontrib>Oda, Masahiro</creatorcontrib><creatorcontrib>Yokoyama, Yukihiro</creatorcontrib><creatorcontrib>Mizuno, Takashi</creatorcontrib><creatorcontrib>Yamaguchi, Junpei</creatorcontrib><creatorcontrib>Onoe, Shunsuke</creatorcontrib><creatorcontrib>Sunagawa, Masaki</creatorcontrib><creatorcontrib>Watanabe, Nobuyuki</creatorcontrib><creatorcontrib>Baba, Taisuke</creatorcontrib><creatorcontrib>Kawakatsu, Shoji</creatorcontrib><creatorcontrib>Mori, Kensaku</creatorcontrib><creatorcontrib>Miwa, Kazuhisa</creatorcontrib><creatorcontrib>Ebata, Tomoki</creatorcontrib><collection>Springer Nature OA Free Journals</collection><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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Igami, Tsuyoshi</au><au>Maehigashi, Akihiro</au><au>Nakamura, Yoshihiko</au><au>Hayashi, Yuichiro</au><au>Oda, Masahiro</au><au>Yokoyama, Yukihiro</au><au>Mizuno, Takashi</au><au>Yamaguchi, Junpei</au><au>Onoe, Shunsuke</au><au>Sunagawa, Masaki</au><au>Watanabe, Nobuyuki</au><au>Baba, Taisuke</au><au>Kawakatsu, Shoji</au><au>Mori, Kensaku</au><au>Miwa, Kazuhisa</au><au>Ebata, Tomoki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A clinical assessment of three-dimensional-printed liver model navigation for thrice or more repeated hepatectomy based on a conversation analysis</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>54</volume><issue>10</issue><spage>1238</spage><epage>1247</epage><pages>1238-1247</pages><issn>0941-1291</issn><issn>1436-2813</issn><eissn>1436-2813</eissn><abstract>Purposes
We performed a conversation analysis of the speech conducted among the surgical team during three-dimensional (3D)-printed liver model navigation for thrice or more repeated hepatectomy (TMRH).
Methods
Seventeen patients underwent 3D-printed liver navigation surgery for TMRH. After transcription of the utterances recorded during surgery, the transcribed utterances were coded by the utterer, utterance object, utterance content, sensor, and surgical process during conversation. We then analyzed the utterances and clarified the association between the surgical process and conversation through the intraoperative reference of the 3D-printed liver.
Results
In total, 130 conversations including 1648 segments were recorded. Utterance coding showed that the operator/assistant, 3D-printed liver/real liver, fact check (F)/plan check (Pc), visual check/tactile check, and confirmation of planned resection or preservation target (T)/confirmation of planned or ongoing resection line (L) accounted for 791/857, 885/763, 1148/500, 1208/440, and 1304/344 segments, respectively. The utterance’s proportions of assistants, F, F of T on 3D-printed liver, F of T on real liver, and Pc of L on 3D-printed liver were significantly higher during non-expert surgeries than during expert surgeries. Confirming the surgical process with both 3D-printed liver and real liver and performing planning using a 3D-printed liver facilitates the safe implementation of TMRH, regardless of the surgeon’s experience.
Conclusions
The present study, using a unique conversation analysis, provided the first evidence for the clinical value of 3D-printed liver for TMRH for anatomical guidance of non-expert surgeons.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><pmid>38607395</pmid><doi>10.1007/s00595-024-02835-9</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0941-1291 |
| ispartof | Surgery today (Tokyo, Japan), 2024-10, Vol.54 (10), p.1238-1247 |
| issn | 0941-1291 1436-2813 1436-2813 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11413093 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Aged Female Hepatectomy - methods Humans Liver - surgery Liver Neoplasms - surgery Male Medicine Medicine & Public Health Middle Aged Models, Anatomic Original Original Article Printing, Three-Dimensional Reoperation Surgery Surgery, Computer-Assisted - methods Surgical Oncology |
| title | A clinical assessment of three-dimensional-printed liver model navigation for thrice or more repeated hepatectomy based on a conversation analysis |
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