Egi Hiroyuki, Okajima Masazumi, Kawahara Tomohiro, Yoshimitsu Masanori, Sumitani Daisuke, Tokunaga Masakazu, Takeda Haruka, Itamoto Toshiyuki, Ohdan Hideki
Department of Endoscopic Surgery & Surgical Science, Graduate School of Hiroshima University, Hiroshima, Japan.
Minim Invasive Ther Allied Technol. 2010;19(1):30-4. doi: 10.3109/13645700903493017.
Recently, significant attention has been focused on training and education for safe endoscopic surgery. A new assessment method, the Hiroshima University Endoscopic Surgical Assessment Device (HUESAD), has been designed at Hiroshima University to evaluate the smoothness of the movement of endoscopic instruments from velocity. Experts (with experience in performing more than 100 laparoscopic surgeries) and novices (with no experience in performing laparoscopic surgery) were recruited for this study. The aim of task 1 was to move the tip of the endoscopic instrument on the tops of poles from A to C, and task 2 was to move it from the right pole B to the left pole D. The peak velocity (Vp) and the time when peak velocity appears (Tp) were analyzed. Both the peak velocity (Vp) and the time when peak velocity appears (Tp) to perform task 1 and task 2 were significantly faster in the expert group than in the novice group. The peak velocity (Vp) and the time when peak velocity appears (Tp) in HUESAD, which indicate the smoothnes of the endoscopic procedure, are among the most important factors for assessing endoscopic surgical skills.
最近，安全内镜手术的培训和教育受到了广泛关注。广岛大学设计了一种新的评估方法——广岛大学内镜手术评估装置（HUESAD），用于从速度方面评估内镜器械运动的平滑度。本研究招募了专家（有超过100例腹腔镜手术经验）和新手（无腹腔镜手术经验）。任务1是将内镜器械的尖端从A点移动到C点的杆顶，任务2是将其从右杆B移动到左杆D。分析了峰值速度（Vp）和峰值速度出现的时间（Tp）。在执行任务1和任务2时，专家组的峰值速度（Vp）和峰值速度出现的时间（Tp）均明显快于新手组。HUESAD中的峰值速度（Vp）和峰值速度出现的时间（Tp）表明了内镜手术过程的平滑度，是评估内镜手术技能的最重要因素之一。
