Ishiyama Yasuhiro, Inaki Noriyuki, Bando Hiroyuki, Yamada Tetsuji
Fukui Prefectural Hospital, Fukui City, Japan.
Ishikawa Prefectural Central Hospital, Kanazawa, Japan.
Indian J Surg. 2017 Apr;79(2):137-142. doi: 10.1007/s12262-016-1445-6. Epub 2016 Feb 10.
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.
本研究旨在使用干箱中的实验缝合模型评估单孔手术中体内缝合的难度。将受试者分为三组：七名经验丰富的腹腔镜外科医生、七名外科住院医师和七名实习生。开发了一种实验缝合模型，并将工作角度设置为0°至90°。0°时的完成率明显低于其他角度。A组的完成率高于其他组。在0°和60°时，A组任务的精确度明显高于B组和C组。0°时的压力评分明显高于其他角度。我们的研究表明，单孔手术中的体内缝合似乎比传统腹腔镜手术更困难。在考虑引入单孔手术时，应参考我们的数据。
