疾患特異的腹腔鏡下肝管空腸吻合シミュレータを用いた2次元及び3次元視野における鉗子操作の特性と影響 : 小児外科医と消化器外科医の比較

• Material Type: 博士論文
• Title: 疾患特異的腹腔鏡下肝管空腸吻合シミュレータを用いた2次元及び3次元視野における鉗子操作の特性と影響 : 小児外科医と消化器外科医の比較
• Author/Editor: 山田, 耕嗣
• Author Heading: 山田, 耕嗣 ヤマダ, コウジ
• Publication, Distribution, etc.: Springer
• Publication Date: 2019
• Publication Date (W3CDTF): 2019
• Alternative Title: Impact and characteristics of two-and three-dimensional forceps manipulation using laparoscopic hepaticojejunostomy mimicking a disease-specific simulator : a comparison of pediatric surgeons with gastrointestinal surgeons
• Periodical title: Pediatric Surgery International
• No. or year of volume/issue: 35
• Volume: 35
• Pages: 1051-1057
• Degree grantor/type: 鹿児島大学
• Date Granted: 2020-01-28
• Dissertation Number: 甲総研第536号
• Degree Type: 博士(医学); Doctor of Philosophy in Medical Science
• Text Language Code: eng
• Subject Heading: Laparoscopic hepaticojejunostomy; Simulator; Pediatric surgeon; Gastrointestinal surgeon; 3D; Para-axial port layout setting
• Target Audience: 一般
• Note (General): 博士論文全文, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨; Purpose: This study assessed the impact of 2D and 3D environments by comparing pediatric surgeons (PS) and gastrointestinal surgeons (GIS) using a laparoscopic hepaticojejunostomy simulator. Methods: We developed a high-fidelity simulator of laparoscopic hepaticojejunostomy. Thirty-five participants (19 PS and 16 GIS) performed hepaticojejunostomy in both 2D and 3D environments. We evaluated the required time, total path length, and average velocities of bilateral forceps in both situations using the para-axial port layout. Results: Regarding the participants’ characteristics, the performance history of laparoscopic hepaticojejunostomy differed significantly between PS and GIS. In PS, the 3D environment did not markedly affect compared with 2D. In GIS, however, the 3D environment affected the time and movement of the right forceps. There were no significant differences in the time between PS and GIS in either environment. In both environments, the right-hand movement of the PS group was shorter and slower than that of the GIS group, but the left-hand movement was the opposite. Conclusion: There were significant differences in forceps movement characteristics between the PS and GIS. The effects of a 3D environment could not be clarified in this study, because it may depend on the port layout used and the operative procedures. Koji Yamada, Masakazu Murakami, Keisuke Yano, Tokuro Baba, Toshio Harumatsu, Shun Onishi, Waka Yamada, Ryuta Masuya, Seiro Machigashira, Kazuhiko Nakame, Motoi Mukai, Tatsuru Kaji, Satoshi Ieiri Impact and characteristics of two‑ and three‑dimensional forceps manipulation using laparoscopic hepaticojejunostomy mimicking a disease‑specific simulator: a comparison of pediatric surgeons with gastrointestinal surgeons Pediatric Surgery International (2019) 35:1051–1057 This is a post-peer-review, pre-copyedit version of an article published in Pediatric Surgery International The final authenticated version is available online at: https://doi.org/10.1007/s00383-019-04538-6
• Format (IMT): application/pdf
• Access Restrictions: インターネット公開
• 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

Table of Contents

Result_Yamada_Koji_isk_536 other

Comments_Yamada_Koji_isk_536 other

Diss_山田_耕嗣_ISK536_2019 fulltext

Abstract_山田_耕嗣_4516800178_2019 abstract