論文

査読有り 国際誌
2018年5月

Evaluation of Surgical Devices Using an Artificial Pediatric Thoracic Model: A Comparison Between Robot-Assisted Thoracoscopic Suturing Versus Conventional Video-Assisted Thoracoscopic Suturing.

Journal of laparoendoscopic & advanced surgical techniques. Part A
  • Shinya Takazawa
  • ,
  • Tetsuya Ishimaru
  • ,
  • Kanako Harada
  • ,
  • Kyoichi Deie
  • ,
  • Akinari Hinoki
  • ,
  • Hiroo Uchida
  • ,
  • Naohiko Sugita
  • ,
  • Mamoru Mitsuishi
  • ,
  • Tadashi Iwanaka
  • ,
  • Jun Fujishiro

28
5
開始ページ
622
終了ページ
627
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1089/lap.2017.0307

BACKGROUND: Pediatric robot-assisted surgery is increasingly being performed, but it is difficult to perform this procedure in infants. A pediatric thoracoscopic model of a 1-year-old patient was developed in our previous study, and this model was used to evaluate the use of a surgical robot for infant surgery. METHODS: Eight pediatric surgeons performed an intracorporeal suturing and knot-tying task using the da Vinci Xi Robotic Surgical System. The task completion time, number of needle manipulations, and force applied during suturing of the robot-assisted thoracoscopic surgery (RATS) group were compared with those of the video-assisted thoracoscopic surgery (VATS) group whose data had been collected from the same 8 surgeons in our previous study. RESULTS: The RATS group showed a significantly shorter completion time than the VATS group in the knot-tying phase (P = .016) and in the total phase (P = .0078). The RATS group showed a significantly smaller number of manipulations than the VATS group in the total phase (P = .039). The RATS group showed a significantly smaller pushing force index than the VATS group in the suturing phase (P = .031), knot-tying phase (P = .031), and in the total phase (P = .031). A seventh rib in the model was dislocated in all RATS group cases. CONCLUSIONS: The da Vinci Surgical System might be useful in infants because of fast movement and small pushing force. However, the robotic 8 mm instruments were too large for use in the thoracic cavity of the 1-year-old infant.

リンク情報
DOI
https://doi.org/10.1089/lap.2017.0307
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/29406817
ID情報
  • DOI : 10.1089/lap.2017.0307
  • ISSN : 1092-6429
  • PubMed ID : 29406817

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