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01-10-2017 | Original Article

A comparison of the characteristics and precision of needle driving for right-handed pediatric surgeons between right and left driving using a model of infant laparoscopic diaphragmatic hernia repair

Authors: Takamasa Ikee, Shun Onishi, Motoi Mukai, Takafumi Kawano, Koshiro Sugita, Tomoe Moriguchi, Koji Yamada, Waka Yamada, Ryuta Masuya, Seiro Machigashira, Kazuhiko Nakame, Tatsuru Kaji, Satoshi Ieiri

Published in: Pediatric Surgery International | Issue 10/2017

Abstract

Purpose

We compared the characteristics and precision of right and left needle driving for right-handed pediatric surgeons using a laparoscopic diaphragmatic repair model.

Methods

Eighteen right-handed pediatric surgeons performed three needle driving maneuvers using both hands. We evaluated the required time and conducted an image analysis. The total path length, velocity, and acceleration of the needle driving were also evaluated.

Results

Obtained results show the findings for the required time (s, Rt 310.78 ± 148.93 vs. Lt 308.61 ± 122.53, p = 0.93), sum of needle driving balances (mm, Rt 5.23 ± 2.44 vs. Lt 5.05 ± 3.17, p = 0.83), the gap of the needle driving interval (Rt 1.2 ± 0.93 vs. Lt 2.17 ± 1.67, p = 0.04), total path length (mm, Rt 594.03 ± 205.29 vs. Lt 1641.07 ± 670.68, p < 0.01), and average velocity (mm/s, Rt 1.92 ± 0.54 vs. Lt 5.3 ± 1.39, p < 0.01).

Conclusion

For right-handed pediatric surgeons, left needle driving showed almost same quality of right needle driving as regarding the precision. But left needle driving also showed too fast but not economical movement unfortunately, implying rough and risky forceps manipulation. Non-dominant hand training is necessary to avoid organ injury.

Terui K, Nagata K, Ito M, Yamoto M, Shiraishi M, Taguchi T, Hayakawa M, Okuyama H, Yoshida H, Masumoto K, Kanamori Y, Goishi K, Urushihara N, Kawataki M, Inamura N, Kimura O, Okazaki T, Toyoshima K, Usui N (2015) Surgical approaches for neonatal congenital diaphragmatic hernia: a systematic review and meta-analysis. Pediatr Surg Int 31(10):891–897. doi:10.1007/s00383-015-3765-1 CrossRefPubMed

Arca MJ, Barnhart DC, Lelli JL, Greenfeld J, Harmon CM, Hirschl RB, Teitelbaum DH (2003) Early experience with minimally invasive repair of congenital diaphragmatic hernias: results and lessons learned. J Pediatr Surg 38(11):1563–1568CrossRefPubMed

Okazaki T, Okawada M, Koga H, Miyano G, Doi T, Ogasawara Y, Yamataka A (2016) Congenital diaphragmatic hernia in neonates: factors related to failure of thoracoscopic repair. Pediatr Surg Int 32(10):933–937. doi:10.1007/s00383-016-3947-5 CrossRefPubMed

Putnam LR, Tsao K, Lally KP, Blakely ML, Jancelewicz T, Lally PA, Harting MT (2016) Minimally invasive vs open congenital diaphragmatic hernia repair: Is there a superior approach? Congenital Diaphragmatic Hernia Study Group and the Pediatric Surgery Research Collaborative. J Am Coll Surg. doi:10.1016/j.jamcollsurg.2016.12.050

Liem NT (2003) Thoracoscopic surgery for congenital diaphragmatic hernia: a report of nine cases. Asian J Surg 26(4):210–212CrossRefPubMed

Nguyen TL, Le AD (2006) Thoracoscopic repair for congenital diaphragmatic hernia: lessons from 45 cases. J Pediatr Surg 41(10):1713–1715CrossRefPubMed

Van der Zee DC, Bax NM (1995) Laparoscopic repair of congenital diaphragmatic hernia in a six-month-old child. Surg Endosc 9:1001–1003CrossRefPubMed

Taskin M, Zengin K, Unal E, Eren D, Korman U (2002) Laparoscopic repair of congenital diaphragmatic hernias. Surg Endosc 16(5):869CrossRefPubMed

Yang EY, Allmendinger N, Johnson SM, Chen C, Wilson JM, Fishman SJ (2005) Neonatal thoracoscopic repair of congenital diaphragmatic hernia: selection criteria for successful outcome. J Pediatr Surg 40(9):1369–1375CrossRefPubMed

10.

Jimbo T, Ieiri S, Obata S, Uemura M, Souzaki R, Matsuoka N, Katayama T, Masumoto K, Hashizume M, Taguchi T (2015) Effectiveness of short-term endoscopic surgical skill training for young pediatric surgeons: a validation study using the laparoscopic fundoplication simulator. Pediatr Surg Int 10:963–969. doi:10.1007/s00383-015-3776-y CrossRef

11.

Obata S, Ieiri S, Uemura M, Jimbo T, Souzaki R, Matsuoka N, Katayama T, Hashizume M, Taguchi T (2015) An endoscopic surgical skill validation system for pediatric surgeons using a model of congenital diaphragmatic hernia repair. J Laparoendosc Adv Surg Tech A. 25(9):775–781. doi:10.1089/lap.2014.0259 CrossRefPubMed

12.

Jimbo T, Ieiri S, Obata S, Uemura M, Souzaki R, Matsuoka N, Katayama T, Masumoto K, Hashizume M, Taguchi T (2017) A new innovative laparoscopic fundoplication training simulator with a surgical skill validation system. Surg Endosc 31(4):1688–1696. doi:10.1007/s00464-016-5159-4 CrossRefPubMed

13.

Tomikawa M, Uemura M, Kenmotsu H, Konishi K, Ohuchida K, Okazaki K, Ieiri S, Tanoue K, Hashizume M (2015) Evaluation of the 10-year history of a 2-day standardized laparoscopic surgical skills training program at Kyushu University. Surg Today. doi:10.1007/s00595-015-1227-y PubMed

14.

Lima M, Lauro V, Donum M, Libri M, Bertozzi M, Pigna A, Domini R (2001) Laparoscopic surgery of diaphragmatic diseases in children: our experience with five cases. Eur J Pediatr Surg 11:377–381CrossRefPubMed

15.

Shah AV, Shah AA (2002) Laparoscopic approach to surgical management of congenital diaphragmatic hernia in the newborn. J Pediatr Surg 37:548–550PubMed

16.

Tanoue K, Ieiri S, Konishi K, Yasunaga T, Okazaki K, Yamaguchi S, Yoshida D, Kakeji Y, Hashizume M (2008) Effectiveness of endoscopic surgery training for medical students using a virtual reality simulator versus a box trainer: a randomized controlled trial. Surg Endosc 22(4):985–990CrossRefPubMed

17.

Ieiri S, Nakatsuji T, Higashi M, Akiyoshi J, Uemura M, Konishi K, Onimaru M, Ohuchida K, Hong J, Tomikawa M, Tanoue K, Hashizume M, Taguchi T (2010) Effectiveness of basic endoscopic surgical skill training for pediatric surgeons. Pediatr Surg Int 26(10):947–954. doi:10.1007/s00383-010-2665-7 CrossRefPubMed

18.

Hopper AN, Jamison MH, Lewis WG (2007) Learning curves in surgical practice. Postgrad Med J 83(986):777–779. doi:10.1136/pgmj.2007.057190 CrossRefPubMedPubMedCentral

19.

Beyer-Berjot L, Palter V, Grantcharov T, Aggarwal R (2014) Advanced training in laparoscopic abdominal surgery: a systematic review. Surgery 156(3):676–688CrossRefPubMedPubMedCentral

Title: A comparison of the characteristics and precision of needle driving for right-handed pediatric surgeons between right and left driving using a model of infant laparoscopic diaphragmatic hernia repair
Authors: Takamasa Ikee
Shun Onishi
Motoi Mukai
Takafumi Kawano
Koshiro Sugita
Tomoe Moriguchi
Koji Yamada
Waka Yamada
Ryuta Masuya
Seiro Machigashira
Kazuhiko Nakame
Tatsuru Kaji
Satoshi Ieiri
Publication date: 01-10-2017
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 10/2017
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-017-4144-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A comparison of the characteristics and precision of needle driving for right-handed pediatric surgeons between right and left driving using a model of infant laparoscopic diaphragmatic hernia repair

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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