Detailed Abstract
[E-poster - Biliary & Pancreas (Biliary Disease/Surgery)]
[EP 165] Comparative Study of Proficiency Improvement in ArtiSential Instruments According to Conventional Laparoscopic Surgery Experiences.
Seoung Yoon RHO 1, Munseok CHOI 1, Sung Hyun KIM 2, Seung Soo HONG 2, Hung Il KIM 2, Chamg Moo KANG 2
1 Surgery, Yongin Severance Hospital, REPUBLIC OF KOREA, 2 Surgery, Severance Hospital, REPUBLIC OF KOREA
Background : The ArtiSential instrument has recently reported applications in various surgeries, on its clinical usefulness. However, study regarding the adaptation and systematic training of surgeons new to this device are currently lacking.
Methods : From June to November 2023, 18 participants with experience in conventional laparoscopic surgery enrolled in PEG transfer and Suture training using ArtiSential instruments. Participants were categorized into three groups: Novice, Intermediate, and Expert. We assessed the time taken to accomplish PEG transfer and suturing in various directions and compared the results among the three groups.
Results : There were 6 surgeons in the novice group, each having experience with conventional laparoscopic surgery of fewer than 50 cases. All surgeons were right-hand dominant. In terms of PEG transfer timing analysis, there are significant differences between the three groups in the 1st and 2nd trials.In all three groups, the suture times at 3 o'clock and 5 o'clock were consistently lower compared to the 1 o'clock and 12 o'clock directions. As the trials progressed in all three groups, the time decreased for suturing in all directions. Among them, all participants in the novice group had reduced suture times at 3 o'clock and 5 o'clock direction.
Conclusions : The ArtiSential instrument is relatively easy to adapt to, even if you have novice surgeon with conventional laparoscopic surgery. With its articulating movement, sutures in the 3 o'clock and 5 o'clock directions, which can be challenging for right-handed surgeons, can be easily performed. Future research on large cohort e learning curve study is needed.
Methods : From June to November 2023, 18 participants with experience in conventional laparoscopic surgery enrolled in PEG transfer and Suture training using ArtiSential instruments. Participants were categorized into three groups: Novice, Intermediate, and Expert. We assessed the time taken to accomplish PEG transfer and suturing in various directions and compared the results among the three groups.
Results : There were 6 surgeons in the novice group, each having experience with conventional laparoscopic surgery of fewer than 50 cases. All surgeons were right-hand dominant. In terms of PEG transfer timing analysis, there are significant differences between the three groups in the 1st and 2nd trials.In all three groups, the suture times at 3 o'clock and 5 o'clock were consistently lower compared to the 1 o'clock and 12 o'clock directions. As the trials progressed in all three groups, the time decreased for suturing in all directions. Among them, all participants in the novice group had reduced suture times at 3 o'clock and 5 o'clock direction.
Conclusions : The ArtiSential instrument is relatively easy to adapt to, even if you have novice surgeon with conventional laparoscopic surgery. With its articulating movement, sutures in the 3 o'clock and 5 o'clock directions, which can be challenging for right-handed surgeons, can be easily performed. Future research on large cohort e learning curve study is needed.
SESSION
E-poster
E-Session 03/21 ALL DAY