Evidence map›Paper›PMID 25005015›Full record

ArticleSurgical endoscopy2015

Objective assessment of the suture ligature method for the laparoscopic intestinal anastomosis model using a new computerized system.

Munenori Uemura, Makoto Yamashita, Morimasa Tomikawa, Satoshi Obata, Ryota Souzaki, Satoshi Ieiri, Kenoki Ohuchida, Noriyuki Matsuoka, Tamotsu Katayama, Makoto Hashizume

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 42 citations in OpenAlex.

  1. Determinants of residual myometrial thickness after cesarean delivery: Comparative analysis of barbed versus conventional sutures-A sub-analysis from the SPIRAL trial.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Trial
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  7. Evaluation of the hinotoriJournal of robotic surgery · 2024
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  17. Feasibility of an AI-Based Measure of the Hand Motions of Expert and Novice Surgeons.Computational and mathematical methods in medicine · 2018
    Article
  18. Robotic Vitreoretinal Surgery.Retina (Philadelphia, Pa.) · 2017
    Review
  19. Article
  20. Objective assessment based on motion-related metrics and technical performance in laparoscopic suturing.International journal of computer assisted radiology and surgery · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Munenori UemuraCenter for Advanced Medical Innovation, Kyushu University, Fukuoka, Japan, munenori@dem.med.kyushu-u.ac.jp.
Makoto Yamashita
Morimasa Tomikawa
Satoshi Obata
Ryota Souzaki
Satoshi Ieiri
Kenoki Ohuchida
Noriyuki Matsuoka
Tamotsu Katayama
Makoto Hashizume
Kyushu University · JPRiso Kagaku (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to develop a new objective assessment system for the suture ligature method employed in the laparoscopic intestinal anastomosis model. Suturing skills were evaluated objectively using this system.

methodsThis study compared 17 expert surgeons, each of whom had performed >500 laparoscopic procedures, with 36 novice surgeons, each of whom had performed <15 laparoscopic procedures. Each examinee performed a specific skill assessment task using an artificial model that mimics living tissue, which is linked with the Suture Simulator Instruction Evaluation Unit. The model used internal air pressure measurements and image processing to evaluate suturing skills. Five criteria were used to evaluate the skills of participants.

resultsThe volumes of air pressure leak in the expert and novice groups were 21.13 ± 6.68 and 8.51 ± 8.60 kPa, respectively. The numbers of full-thickness sutures in the expert and novice groups were 2.94 ± 0.24 pairs and 2.47 ± 0.77 pairs, respectively. Suture tensions in the expert and novice groups were 60.99 ± 11.81 and 80.90 ± 16.63 %, respectively. The areas of wound-opening in the expert and novice groups were 1.76 ± 2.17 and 11.06 ± 15.37 mm(2), respectively. The performance times in the expert and novice groups were 349 ± 120 and 750 ± 269 s, respectively. Significant differences between the expert and novice groups for each criterion were observed. The acceptable range of values for each criterion except for the number of full-thickness sutures was statistically defined by the performance of the expert group.

conclusionsOur system is useful for the quantitative assessment of suturing skill in laparoscopic surgery. We believe that this system is a useful tool for training and assessment of laparoscopic surgeons.

Indexed as

Computer SimulationModels, EducationalSuturesAnastomosis, SurgicalHumansIntestinesLaparoscopyLigationSuture Techniques

Identifiers

PMID25005015
OpenAlexW2043101611

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.