Evidence map›Paper›PMID 39677833›Full record

ArticleSurgery open science2024

Surgical skill analysis focused on tissue traction in laparoscopic wet lab training.

Koki Ebina, Takashige Abe, Madoka Higuchi, Kiyohiko Hotta, Jun Furumido, Naoya Iwahara, Taku Senoo, Shunsuke Komizunai, Teppei Tsujita, Kazuya Sase and 9 more

Abstract read
In one paragraph

Article in Surgery open science, 2024. 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
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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

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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

19 authors.

Koki EbinaGraduate School of Information Science and Technology, Hokkaido University, Sapporo, Japan.
Takashige AbeDepartment of Renal and Genitourinary Surgery, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Madoka HiguchiDepartment of Renal and Genitourinary Surgery, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Kiyohiko HottaDepartment of Renal and Genitourinary Surgery, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Jun FurumidoDepartment of Renal and Genitourinary Surgery, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Naoya IwaharaDepartment of Renal and Genitourinary Surgery, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Taku SenooGraduate School of Information Science and Technology, Hokkaido University, Sapporo, Japan.
Shunsuke KomizunaiFaculty of Engineering and Design, Kagawa University, Takamatsu, Japan.
Teppei TsujitaDepartment of Mechanical Engineering, National Defense Academy of Japan, Yokosuka, Japan.
Kazuya SaseDepartment of Mechanical Engineering and Intelligent Systems, Tohoku Gakuin University, Sendai, Japan.
Xiaoshuai ChenGraduate School of Science and Technology, Hirosaki University, Hirosaki, Japan.
Yo KurashimaClinical Simulation Center, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Hiroshi KikuchiDepartment of Renal and Genitourinary Surgery, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Haruka MiyataDepartment of Renal and Genitourinary Surgery, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Ryuji MatsumotoDepartment of Renal and Genitourinary Surgery, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Takahiro OsawaDepartment of Renal and Genitourinary Surgery, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Sachiyo MuraiDepartment of Renal and Genitourinary Surgery, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Atsushi KonnoGraduate School of Information Science and Technology, Hokkaido University, Sapporo, Japan.
Nobuo ShinoharaDepartment of Renal and Genitourinary Surgery, Faculty of Medicine, Hokkaido University, Sapporo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tissue handling is one of the pivotal parts of surgical procedures. We aimed to elucidate the characteristics of experts' left-hand during laparoscopic tissue dissection. Methods: Participants performed tissue dissection around the porcine aorta. The grasping force/point of the grasping forceps were measured using custom-made sensor forceps, and the forceps location was also recorded by motion capture system (Mocap). According to the global operative assessment of laparoscopic skills (GOALS), two experts scored the recorded movies, and based on the mean scores, participants were divided into three groups: novice (<10), intermediate (10≤ to <20), and expert (≤20). Force-based metrics were compared among the three groups using the Kruskal-Wallis test. Principal component analysis (PCA) using significant metrics was also performed. Results: A total of 42 trainings were successfully recorded. The statistical test revealed that novices frequently regrasped a tissue (median total number of grasps, novices: 268.0 times, intermediates: 89.5, experts: 52.0, Conclusion: The present results revealed experts' left-hand characteristics, including correct tissue grasping, sufficient tissue traction from the aorta, and stable traction angle. Our next challenge is the provision of immediate and visual feedback onsite after the present wet-lab training, and shortening the learning curve of trainees.

Indexed as

Grasping forceLaparoscopic surgeryMotion captureSimulation trainingSurgical education

Identifiers

PMID39677833
PMCPMC11639329

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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.