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腹腔镜手术中非医疗设备视频记录的比较研究:一项横断面研究。

Comparative study of video recordings of non-medical devices in laparoscopic surgery: a cross-sectional study.

作者信息

Duran Espinoza Valentina, Miguieles Schilling Mariana, Gaete Dañobeitía Maria Ines, Vela Ulloa Javier, Silva Peña Felipe, Jarry Trujillo Cristian, Varas Cohen Julian, Achurra Tirado Pablo, Inzunza Agüero Martín

机构信息

Experimental Surgery and Simulation Center, Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.

Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Marcoleta 377, Santiago, Chile.

出版信息

Surg Endosc. 2023 Dec;37(12):9533-9539. doi: 10.1007/s00464-023-10441-y. Epub 2023 Sep 15.

DOI:10.1007/s00464-023-10441-y
PMID:37715085
Abstract

INTRODUCTION

Laparoscopic surgery is the approach of choice for multiple procedures, being laparoscopic cholecystectomy one of the most frequently performed surgeries. Likewise, video recording of these surgeries has become widespread. Currently, the market offers medical recording devices (MRD) with an approximate cost of 2000 USD, and alternative non-medical recording devices (NMRD) with a cost ranging from 120 to 200 USD. To our knowledge, no comparative studies between the available recording devices have been done. We aim to compare the perception of the quality of videos recorded by MRD and NMRD in a group of surgeons and surgical residents.

METHODS

A cross-sectional study was conducted using an online survey to compare recordings from three NMRDs (Elgato 30 fps, AverMedia 60 fps, Hauppauge 30 fps) and one MRD (MediCap 20 fps) during a laparoscopic cholecystectomy. The survey assessed: definition of anatomical structures (DA), fluidity of movements (FM), similarity with the operating room screen (ORsim), and overall quality (OQ). Descriptive and nonparametric analytical statistics tests were applied. Results were analyzed using JMP-15 software.

RESULTS

Forty surveys were collected (80% surgeons, 20% residents). NMRDs scored significantly higher than MRD in DA (p = 0.003), FM (p < 0.001), ORsim (p < 0.001), and OQ (p < 0.001). One NMRD was chosen as the highest quality device (70%), and MRD as the poorest (78%). No significant differences were found when analyzing by surgical experience.

CONCLUSIONS

In terms of recording laparoscopic procedures, non-medical video recording devices (NMRDs) outperformed medical-grade recording device (MRD) with a higher overall score. This suggests that NMRDs could serve as a cost-effective alternative with superior video quality for recording laparoscopic surgeries.

摘要

引言

腹腔镜手术是多种手术的首选方法,腹腔镜胆囊切除术是最常进行的手术之一。同样,这些手术的视频记录也已广泛普及。目前,市场上提供的医疗记录设备(MRD)价格约为2000美元,还有价格在120至200美元之间的替代性非医疗记录设备(NMRD)。据我们所知,尚未对现有记录设备进行比较研究。我们旨在比较一组外科医生和外科住院医师对MRD和NMRD所记录视频质量的看法。

方法

进行了一项横断面研究,使用在线调查来比较在腹腔镜胆囊切除术中三种NMRD(Elgato 30帧每秒、圆刚科技60帧每秒、Hauppauge 30帧每秒)和一种MRD(MediCap 20帧每秒)的记录。该调查评估了:解剖结构清晰度(DA)、动作流畅性(FM)、与手术室屏幕的相似度(ORsim)和整体质量(OQ)。应用了描述性和非参数分析统计测试。使用JMP - 15软件分析结果。

结果

收集了40份调查问卷(80%为外科医生,20%为住院医师)。在DA(p = 0.003)、FM(p < 0.001)、ORsim(p < 0.001)和OQ(p < 0.001)方面,NMRD的得分显著高于MRD。一种NMRD被选为质量最高的设备(70%),而MRD被选为质量最差的设备(78%)。按手术经验分析时未发现显著差异。

结论

在记录腹腔镜手术方面,非医疗视频记录设备(NMRD)的总体得分更高,表现优于医疗级记录设备(MRD)。这表明NMRD可以作为一种性价比高的替代方案,用于记录腹腔镜手术,且视频质量更优。

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Laparoscopic appendicectomy is superior to open surgery for complicated appendicitis.腹腔镜阑尾切除术优于开腹手术治疗复杂阑尾炎。
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