右利きの小児外科医における右手と左手の運針の特性、精確性の比較 : 横隔膜ヘルニアの腹腔鏡手術モデルを用いた検討

Material type: 博士論文

Author: 池江, 隆正

Publisher: Springer

Publication date: 2017-10

Material Format: Digital

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Name of awarding university/degree: 鹿児島大学,博士(医学),Doctor of Philosophy in Medical Science

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Note (General)：: 博士論文全文, 最終試験結果の要旨, 論文審査の要旨, 博士論文要旨Purpose: We compared the characteristics and precision of right and left needle driving for right-handed pediatric s...

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Material Type: 博士論文
Title: 右利きの小児外科医における右手と左手の運針の特性、精確性の比較 : 横隔膜ヘルニアの腹腔鏡手術モデルを用いた検討
Author/Editor: 池江, 隆正
Author Heading: 池江, 隆正イケエ, タカマサ
Publication, Distribution, etc.: Springer
Publication Date: 2017-10
Publication Date (W3CDTF): 2017-10
Alternative 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
Periodical title: Pediatric Surgery International
No. or year of volume/issue: 33 10
Volume: 33
Issue: 10
Pages: 1103-1108
Degree grantor/type: 鹿児島大学
Date Granted: 2018-12-27
Dissertation Number: 乙総論第32号
Degree Type: 博士(医学)
Doctor of Philosophy in Medical Science
Text Language Code: eng
Subject Heading: Diaphragmatic hernia repair
Laparoscopic approach
Needle driving
Non-dominant hand
Target Audience: 一般
Note (General): 博士論文全文, 最終試験結果の要旨, 論文審査の要旨, 博士論文要旨
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 shows the findings for the required time (sec, 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/sec, 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.
Format (IMT): application/pdf
Source: Diss_池江_隆正_ISKr32_2018(著者最終稿) （fulltext）
https://ir.kagoshima-u.ac.jp/record/14529/files/Diss_%E6%B1%A0%E6%B1%9F_%E9%9A%86%E6%AD%A3_ISKr32_2018(%E8%91%97%E8%80%85%E6%9C%80%E7%B5%82%E7%A8%BF).pdf
Access Restrictions: インターネット公開
Related Material: The final publication is available at www.springerlink.com
https://doi.org/10.1007/s00383-017-4144-x
Related Material (DOI): 10.1007/s00383-017-4144-x
Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）
https://irdb.nii.ac.jp
Original Data Provider (Database): 鹿児島大学 : 鹿児島大学リポジトリ