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Surgery Today
Published in: Surgery Today 5/2021

01-05-2021 | Gastrectomy | Original Article

Educational application of intraoperative records from an energy device in laparoscopic gastrectomy: a preliminary report

Authors: Hisahiro Hosogi, Kazutaka Obama, Shigeru Tsunoda, Shigeo Hisamori, Tatsuto Nishigori, Eiji Tanaka, Seiji Satoh, Hiroshi Okabe, Seiichiro Kanaya, Yoshiharu Sakai

Published in: Surgery Today | Issue 5/2021

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Abstract

Purpose

Video review is a reliable method for surgical education in laparoscopic gastrectomy (LG), but more objective methods are still needed. The purpose of this study was to determine whether the energy device records reflected surgical competency, and thereby may improve surgical education.

Methods

A total of 16 patients who underwent LG for gastric cancer using the Thunderbeat® device were preliminarily retrospectively analyzed. This device has the function of ‘intelligent tissue monitoring’ (ITM), a safety assist system stopping energy output, and can record ITM detections and firing time during surgery. The number of ITM detections and firings, and the total firing time during gastrocolic ligament dissection and infrapyloric dissection were compared between trainees (n = 9 by 5 surgeons) and experts (n = 7 by 5 surgeons). The non-edited videos (n = 16) were scored, and the correlations between the scores and the records were then analyzed.

Results

Significantly more ITM detections, firings, and a longer total firing time were observed in trainees than in experts. The number of ITM detections and firing had negative correlations with the scores of the operation speed, the use of the non-dominant hand, and the use of an energy device.

Conclusions

Our preliminary study suggested that the above described energy device records reflected surgical competency, and thereby may improve surgical education.
Appendix
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Literature
1.
Fecso AB, Szasz P, Kerezov G, Grantcharov TP. The effect of technical performance on patient outcomes in surgery: a systematic review. Ann Surg. 2017;265:492–501.CrossRef
2.
Fecso AB, Bhatti JA, Stotland PK, Quereshy FA, Grantcharov TP. Technical performance as a predictor of clinical outcomes in laparoscopic gastric cancersurgery. Ann Surg. 2019;270:115–20.CrossRef
3.
Ericsson KA. Necessity is the mother of invention: video recording firsthand perspectives of critical medical procedures to make simulated training more effective. Acad Med. 2014;89:17–20.CrossRef
4.
Green JL, Suresh V, Bittar P, Ledbetter L, Mithani SK, Allori A. The utilization of video technology in surgical education: a systematic review. J Surg Res. 2019;235:171–80.CrossRef
5.
Fried GM, Feldman LS, Vassiliou MC, Fraser SA, Stanbridge D, Ghitulescu G, et al. Proving the value of simulation in laparoscopic surgery. Ann Surg. 2004;240:518–25.CrossRef
6.
Uemura M, Yamashita M, Tomikawa M, Obata S, Souzaki R, Ieiri S, et al. Objective assessment of the suture ligature method for the laparoscopic intestinal anastomosis model using a new computerized system. Surg Endosc. 2015;29:444–52.CrossRef
7.
Kimura T, Mori T, Konishi F, Kitajima M. Endoscopic surgical skill qualification system in Japan: five years of experience in the gastrointestinal field. Asian J Endosc Surg. 2010;3:66–70.CrossRef
8.
Tanigawa N, Lee SW, Kimura T, Mori T, Uyama I, Nomura E, et al. The endoscopic surgical skill qualification system for gastric surgery in Japan. Asian J Endosc Surg. 2011;4:112–5.CrossRef
9.
Hiki N, Katai H, Mizusawa J, Nakamura K, Nakamori M, Yoshikawa T, et al; StomachCancer Study Group of Japan Clinical Oncology Group. Stomach Cancer Study Group of Japan Clinical Oncology Group Long-term outcomes of laparoscopy-assisted distal gastrectomy with suprapancreatic nodal dissection for clinical stage I gastric cancer: a multicenter phase II trial (JCOG0703). Gastric Cancer. 2018;21:155–61.CrossRef
10.
Katai H, Mizusawa J, Katayama H, Morita S, Yamada T, Bando E, et al. Survival outcomes after laparoscopy-assisted distal gastrectomy versus open distal gastrectomy with nodal dissection for clinical stage IA or IB gastric cancer (JCOG0912): a multicentre, non-inferiority, phase 3 randomised controlled trial. Lancet Gastroenterol Hepatol. 2020;5:142–51.CrossRef
11.
Yu J, Huang C, Sun Y, Su X, Cao H, Hu J, et al; Chinese Laparoscopic Gastrointestinal Surgery Study (CLASS) Group. Effect of Laparoscopic vs Open Distal Gastrectomy on 3-Year Disease-Free Survival in Patients With Locally Advanced Gastric Cancer: The CLASS-01 Randomized Clinical Trial. JAMA. 2019;321:1983–92.CrossRef
12.
Kim YN, Yoo YC, Guner A, Cho I, Kwon IG, Kim YN, et al. Comparison of perioperative surgical outcomes between a bipolar device and an ultrasonic device during laparoscopic gastrectomy for gastric cancer. Surg Endosc. 2015;29:589–95.CrossRef
13.
Shinohara H, Kurahashi Y, Kanaya S, Haruta S, Ueno M, Udagawa H, et al. Topographic anatomy and laparoscopic technique for dissection of no 6 infrapyloric lymph nodes in gastric cancer surgery. Gastric Cancer. 2013;16:615–20.CrossRef
14.
Shinohara H, Haruta S, Ohkura Y, Udagawa H, Sakai Y. Tracing dissectable layers of mesenteries overcomes embryologic restrictions when performing infrapyloric lymphadenectomy in laparoscopic gastric cancer surgery. J Am Coll Surg. 2015;220:e81–e8787.CrossRef
15.
Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205–13.CrossRef
16.
Seehofer D, Mogl M, Boas-Knoop S, Unger J, Schirmeier A, Chopra S, et al. Safety and efficacy of new integrated bipolar and ultrasonic scissors compared to conventional laparoscopic 5-mm sealing and cutting instruments. Surg Endosc. 2012;26:2541–9.CrossRef
17.
Tanaka R, Gitelis M, Meiselman D, Abar B, Zapf M, Carbray J, et al. Evaluation of vessel sealing performance among ultrasonic devices in a porcine model. Surg Innov. 2015;22:338–43.CrossRef
18.
Weyhe D, Uslar VN, Tabriz N, Burkowski I, Heinzel R, Müller A, et al. Experience and dissection device are more relevant than patient-related factors for operation time in laparoscopic sigmoid resection-a retrospective 8-year observational study. Int J Colorectal Dis. 2017;32:1703–10.CrossRef
19.
Milsom JW, Trencheva K, Sonoda T, Nandakumar G, Shukla PJ, Lee S. A prospective trial evaluating the clinical performance of a novel surgical energy device in laparoscopic colon surgery. Surg Endosc. 2015;29:1161–6.CrossRef
20.
Suhardja TS, Norhadi S, Ee E, Hodgkins B. Comparison of the thunderbeat and other energy devices in laparoscopic colorectal resection: a single-center experience. J Laparoendosc Adv Surg Tech A. 2018;28:1417–21.CrossRef
21.
Hiki N, Honda M, Etoh T, Yoshida K, Kodera Y, Kakeji Y, et al. Higher incidence of pancreatic fistula in laparoscopic gastrectomy. Real-world evidence from a nationwide prospective cohort study. Gastric Cancer. 2018;21:162–70.CrossRef
22.
Pogorelić Z, Perko Z, Druzijanić N, Tomić S, Mrklić I. How to prevent lateral thermal damage to tissue using the harmonic scalpel: experimental study on pig small intestine and abdominal wall. Eur Surg Res. 2009;43:235–40.CrossRef
Metadata
Title
Educational application of intraoperative records from an energy device in laparoscopic gastrectomy: a preliminary report
Authors
Hisahiro Hosogi
Kazutaka Obama
Shigeru Tsunoda
Shigeo Hisamori
Tatsuto Nishigori
Eiji Tanaka
Seiji Satoh
Hiroshi Okabe
Seiichiro Kanaya
Yoshiharu Sakai
Publication date
01-05-2021
Publisher
Springer Singapore
Published in
Surgery Today / Issue 5/2021
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-020-02160-x

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