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2015 | 87 | 3 | 116-120
Tytuł artykułu

The Influence of Micropauses on Surgeons’ Precision After Short Laparoscopy Procedures

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
It has recently been shown that micropauses during long surgical procedures can be beneficial for surgeons’ precision and fatigue. The aim of the study was to evaluate the impact of micropauses on surgical precision measured by a simple smartphone application. Material and methods. Two surgeons performed 40 simple laparoscopic procedures (appendectomy and cholecystectomy) with or without micropauses. After the operation the precision of surgical movements was measured by a simple smartphone application in which the number of successful trials and their mean time were used as a precision surrogate. Results. Mean number of successful trials was significantly higher for appendectomy than for cholecystectomy (5.59 vs 4; p = 0.032). There was a difference between participating surgeons both in terms of number of successful trials (5.80 vs 3.55; p = 0.01) and a mean time of all successful trials (10.03 vs 6.28; p = 0.001). No other statistically significant differences were identified. Conclusion. Micropauses had no influence on surgical precision as evaluated after short laparoscopy procedures. The only differences were surgeon-dependent and intervention-dependent.
Słowa kluczowe
Wydawca
Rocznik
Tom
87
Numer
3
Strony
116-120
Opis fizyczny
Daty
wydano
2015-03-01
otrzymano
2015-01-26
online
2015-07-03
Twórcy
  • Department of Surgical Oncology, Maria Skłodowska-Curie Memorial Cancer Centre in Cracow Kierownik: prof. dr hab. J. Mituś , z5komoro@cyf-kr.edu.pl
  • Department of General Surgery, Hospital Virgen del Camino, Sanlucar de Barrameda, Cadiz, Spain Kierownik: dr J. R. Martin-Hidalgo Rodil
  • Department of General Surgery, Hospital Virgen del Camino, Sanlucar de Barrameda, Cadiz, Spain Kierownik: dr J. R. Martin-Hidalgo Rodil
  • Institute of Public Health, Jagiellonian University Collegium Medicum in Cracow) Kierownik: prof. dr hab. A. Pająk
  • Wrocław Medical University, Faculty of Health Sciences Kierownik: dr hab. A. M. Fal, prof. AM
Bibliografia
  • 1. Adams SR , Hacker MR , McKinney JL et al.: Musculoskeletal pain in gynecologic surgeons. J Minim Invasive Gynecol 2013; 20: 656-60.
  • 2. Dorion D, Darveau S: Do micropauses prevent surgeon’s fatigue and loss of accuracy associated with prolonged surgery? An prospective study. Ann Surg 2013; 257: 256-59.
  • 3. Slack PS, Coulson CJ , Ma X et al.: The effect of operating time on surgeons’ muscular fatigue. Ann R Coll Surg Engl 2008; 90: 651-57.
  • 4. Cass GK , Vyas S, Akande V: Prolonged laparoscopic surgery is associated with an increased risk of vertebral disc prolapse. J Obstet Gynaecol 2014; 34: 74-78.
  • 5. Papandria D, Lardaro T, Rhee D et al.: Risk factors for conversion from laparoscopic to open surgery: analysis of 2138 converted operations in the American College of Surgeons National Surgical Quality Improvement Program. Am Surg 2013; 79: 914-21.
  • 6. Hirasawa Y, Miyajima A, Hattori S et al.: Laparoendoscopic single-site adrenalectomy versus conventional laparoscopic adrenalectomy: a comparison of surgical outcomes and ananalysis of a single surgeon’s learning curve. Surg Endosc 2014; 28: 2911-19
  • 7. Hogle NJ , Chang L, Strong VE et al.: Validation of laparoscopic surgical skills training outside the operating room: a long road. Surg Endosc 2009; 23: 1476-82.
  • 8. van Dongen KW , Verleisdonk EJ , Schijven MP et al.: Will the Playstation generation become better endoscopic surgeons? Surg Endosc 2011; 25: 2275-80.
  • 9. Suzuki M: Sentinel Lymph Node Biopsy with Real-time 3D Virtual Navigation. Eur J Surg Oncol 2012; 38: 815. Proceedings of the 14th Congress of the European Society of Surgical Oncology.
  • 10. George BC, Teitelbaum EN , Meyerson SL et al.: Reliability, Validity, and Feasibility of the Zwisch Scale for the Assessment of Intraoperative Performance. J Surg Educ 2014 Sep 2. pii: S1931-7204(14)00196-2.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0029
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