Preoperative simulation regarding the appropriate port location for laparoscopic hepaticojejunostomy: a randomized study using a disease-specific training simulator

Jimbo, Takahiro; Ieiri, Satoshi; Obata, Satoshi; Uemura, Munenori; Souzaki, Ryota; Matsuoka, Noriyuki; Katayama, Tamotsu; Masumoto, Kouji; Hashizume, Makoto; Taguchi, Tomoaki

doi:10.1007/s00383-016-3937-7

Cited by 6 publications

(2 citation statements)

References 14 publications

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“…The technical types of laparoscopic simulation system can be roughly divided into two kinds, namely the operation training and virtual reality simulators (Achurra et al, 2017;Jimbo et al, 2016 Virtual reality technology is a kind of technology that through the use of special electronic equipment and computer simulation of three-dimensional images, or environment interaction technology, medical virtual system combining computer software and force sensing device, making the surgeon in the virtual environment see the internal anatomical structure of human body clearly, and force feedback technology enhance the perception of surgical operation (Yiannakopoulou et al, 2015). At present there are mainly four kinds of virtual reality simulator: laparoscopy URTM system, Xitact LS500 laparoscopic simulators, lap mentor simulator and MIST-UR laparoscopic simulators (Zheng and Song, 2012).…”

Section: Overviewmentioning

confidence: 99%

Modelling and application of laparoscopic simulation system for panhysterectomy

Wang

Xuan

Pan

et al. 2020

IJSPM

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Laparoscopic surgery simulation training system uses human anatomy visual reproduction and force-feedback technology, and uses a variety of medical image data on your computer to establish a virtual environment with vision, hearing, speaking, dynamic, smell, feel, touch. Surgeons conduct surgical training in the virtual environment, which includes suture, knotting, hand-eye coordination, organisational separation, and directional adaptation. In this paper, the issue of simulation-based training with laparoscopic simulation system is dealt with for training of internship surgeons in panhysterectomy. The model is built and the practical training results are analysed and compared for the performance of two groups of internship surgeons under model-based training and conventional training, respectively. The results show that there was no significant difference in total abdominal hysterectomy (TAH) and crossover test for the two groups of internship surgeons, whereas practice test scores increased significantly (p < 0.05), with the group using the model of laparoscopic simulation system scoring higher than the other group. It proves that the laparoscopic simulation system application in gynaecological surgery will help to improve the clinical skills of internship surgeons. The advanced simulation system makes a great contribution to reducing medical accidents, and improves progress of surgery and training.

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Section: Overviewmentioning

confidence: 99%

Modelling and application of laparoscopic simulation system for panhysterectomy

Wang

Xuan

Pan

et al. 2020

IJSPM

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“…In the last twenty years, several approaches to optimize the trocar positioning in laparoscopic surgery have been pursued [ 4 , 5 , 6 , 7 ]. In one of the earliest studies dealing with the operative planning, Hanna et al emphasized the role of trocars placement and working angles of the laparoscopic instruments on endoscopic manipulation [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Preoperative Computer-Assisted Laparoscopy Planning for the Minimally Invasive Surgical Repair of Hiatal Hernia

et al. 2020

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Minimal invasive surgical procedures such as laparoscopy are preferred over open surgery due to faster postoperative recovery, less trauma and inflammatory response, and less scarring. Laparoscopic repairs of hiatal hernias require pre-procedure planning to ensure appropriate exposure and positioning of the surgical ports for triangulation, ergonomics, instrument length and operational angles to avoid the fulcrum effect of the long and rigid instruments. We developed a novel surgical planning and navigation software, iMTECH to determine the optimal location of the skin incision and surgical instrument placement depth and angles during laparoscopic surgery. We tested the software on five cases of human hiatal hernia to assess the feasibility of the stereotactic reconstruction of anatomy and surgical planning. A whole-body CT investigation was performed for each patient, and abdominal 3D virtual models were reconstructed from the CT scans. The optical trocar access point was placed on the xipho-umbilical line. The distance on the skin between the insertion point of the optical trocar and the xiphoid process was 159.6, 155.7, 143.1, 158.3, and 149.1 mm, respectively, at a 40° elevation angle. Following the pre-procedure planning, all patients underwent successful surgical laparoscopic procedures. The user feedback was that planning software significantly improved the ergonomics, was easy to use, and particularly useful in obese patients with large hiatal defects where the insertion points could not be placed in the traditional positions. Future studies will assess the benefits of the planning system over the conventional, empirical trocar positioning method in more patients with other surgical challenges.

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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

et al. 2019

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Preoperative simulation regarding the appropriate port location for laparoscopic hepaticojejunostomy: a randomized study using a disease-specific training simulator

Abstract: Preoperative port simulation in advanced surgery using our artificial simulator is feasible and may facilitate minimally invasive surgery for children.

Cited by 6 publications

References 14 publications

Modelling and application of laparoscopic simulation system for panhysterectomy

Modelling and application of laparoscopic simulation system for panhysterectomy

Preoperative Computer-Assisted Laparoscopy Planning for the Minimally Invasive Surgical Repair of Hiatal Hernia

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

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