Evidence map›Paper›PMID 35416585›Full record

ArticleUpdates in surgery2022

Safe implementation of hand held steerable laparoscopic instruments: a survey among EAES surgeons.

S F Hardon, A M Rahimi, R R Postema, E Willuth, Y Mintz, A Arezzo, J Dankelman, F Nickel, T Horeman, EAES Technology Committee Study Group

Abstract read
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In one paragraph

Article in Updates in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

S F HardonDepartment of Surgery, Amsterdam UMC-VU University Medical Center, Room ZH 7F005, De Boelelaan 1117, 1081HV, Amsterdam, The Netherlands. s.hardon@amsterdamumc.nl.ORCID http://orcid.org/0000-0003-0876-0242
A M RahimiDepartment of Surgery, Amsterdam UMC-VU University Medical Center, Room ZH 7F005, De Boelelaan 1117, 1081HV, Amsterdam, The Netherlands.
R R PostemaDepartment of Surgery, Amsterdam UMC-VU University Medical Center, Room ZH 7F005, De Boelelaan 1117, 1081HV, Amsterdam, The Netherlands.
E WilluthDepartment of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Y MintzDepartment of General Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
A ArezzoDepartment of Surgical Sciences, Università degli Studi di Torino, Turin, Italy.
J DankelmanDepartment of BioMechanical Engineering, Delft University of Technology, Delft, The Netherlands.
F NickelDepartment of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany.
T HoremanDepartment of BioMechanical Engineering, Delft University of Technology, Delft, The Netherlands.
EAES Technology Committee Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The complexity of handheld steerable laparoscopic instruments (SLI) may impair the learning curve compared to conventional instruments when first utilized. This study aimed to provide the current state of interest in the use of SLI, the current use of these in daily practice and the type of training which is conducted before using SLI in the operating room (OR) on real patients. An online survey was distributed by European Association of Endoscopic Surgery (EAES) Executive Office to all active members, between January 4th and February 3rd, 2020. The survey consisted of 14 questions regarding the usage and training of steerable laparoscopic instruments. A total of 83 members responded, coming from 33 different countries. Twenty three percent of the respondents using SLI, were using the instruments routinely and of these 21% had not received any formal training in advance of using the instruments in real patients. Of all responding EAES members, 41% considered the instruments to potentially compromise patient safety due to their complexity, learning curve and the inexperience of the surgeons. The respondents reported the three most important aspects of a possible steerable laparoscopic instruments training curriculum to be: hands-on training, safe tissue handling and suturing practice. Finally, a major part of the respondents consider force/pressure feedback data to be of significant importance for implementation of training and assessment of safe laparoscopic and robotic surgery. Training and assessment of skills regarding safe implementation of steerable laparoscopic instruments is lacking. The respondents stressed the need for specific hands-on training during which feedback and assessment of skills should be guaranteed before operating on real patients.

Indexed as

LaparoscopySurgeonsClinical CompetenceHumansLearning CurveSurveys and QuestionnairesLaparoscopyPatient safetyRobot-assisted surgerySteerable instrumentsSurvey

Identifiers

PMID35416585
PMCPMC9481478

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Registered trials

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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.