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
• 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
• Volume: 33 10
• Author/Editor: 池江, 隆正
• Author Heading: 池江, 隆正
• Publication, Distribution, etc.: Springer
• Publication Date: 2017-10; 33 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
• Degree grantor/type: 鹿児島大学
• Date Granted: 2018-12-27
• Date Granted (W3CDTF): 2018-12-27
• Dissertation Number: 乙総論第32号
• Degree Type: 博士(医学); Doctor of Philosophy in Medical Science
• Conferring No. (Dissertation): 乙総論第32号
• Text Language Code: eng
• Subject Heading: Diaphragmatic hernia repair; Laparoscopic approach; Needle driving; Non-dominant hand
• NDC: 494
• 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.
• DOI: info:doi/10.1007/s00383-017-4144-x; https://doi.org/info:doi/10.1007/s00383-017-4144-x
• Persistent ID (NDL): info:ndljp/pid/11245989; https://dl.ndl.go.jp/pid/11245989
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2019-03-03T03:58:25+09:00
• Date Created (W3CDTF): 2019-01-24
• Format (IMT): PDF; application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Original Material (URI): https://doi.org/10.1007/s00383-017-4144-x
• Periodical Title (URI): http://hdl.handle.net/10232/00030432
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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