Educational application of intraoperative records from an energy device in laparoscopic gastrectomy: a preliminary report.

Abstract:

PURPOSE:Video review is a reliable method for surgical education in laparoscopic gastrectomy (LG), but more objective methods are still needed. The purpose of this study was to determine whether the energy device records reflected surgical competency, and thereby may improve surgical education. METHODS:A total of 16 patients who underwent LG for gastric cancer using the Thunderbeat® device were preliminarily retrospectively analyzed. This device has the function of 'intelligent tissue monitoring' (ITM), a safety assist system stopping energy output, and can record ITM detections and firing time during surgery. The number of ITM detections and firings, and the total firing time during gastrocolic ligament dissection and infrapyloric dissection were compared between trainees (n = 9 by 5 surgeons) and experts (n = 7 by 5 surgeons). The non-edited videos (n = 16) were scored, and the correlations between the scores and the records were then analyzed. RESULTS:Significantly more ITM detections, firings, and a longer total firing time were observed in trainees than in experts. The number of ITM detections and firing had negative correlations with the scores of the operation speed, the use of the non-dominant hand, and the use of an energy device. CONCLUSIONS:Our preliminary study suggested that the above described energy device records reflected surgical competency, and thereby may improve surgical education.

journal_name

Surg Today

journal_title

Surgery today

authors

Hosogi H,Obama K,Tsunoda S,Hisamori S,Nishigori T,Tanaka E,Satoh S,Okabe H,Kanaya S,Sakai Y

doi

10.1007/s00595-020-02160-x

subject

Has Abstract

pub_date

2020-10-11 00:00:00

eissn

0941-1291

issn

1436-2813

pii

10.1007/s00595-020-02160-x

pub_type

杂志文章
  • Vascular reconstruction in Buerger's disease: is it feasible?

    abstract:PURPOSE:Thromboangiitis obliterans (Buerger's disease) is a clinical syndrome characterized by segmental occlusions of the distal vessels. Although a cessation of using nicotine products usually helps, nevertheless a surgical revascularization may be needed in cases of stage III and IV limbs. Because of the distal and ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950200211

    authors: Dilege S,Aksoy M,Kayabali M,Genc FA,Senturk M,Baktiroglu S

    更新日期:2002-01-01 00:00:00

  • A liquid biopsy in primary lung cancer.

    abstract::A tissue biopsy is the "golden standard" for molecular profiling that is essential in decision-making regarding treatment for malignant tumors, including primary lung cancer. However, tumor biopsies are associated with several limitations, including invasiveness and difficulty in achieving access. Liquid biopsies have...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s00595-018-1659-2

    authors: Yoneda K,Imanishi N,Ichiki Y,Tanaka F

    更新日期:2019-01-01 00:00:00

  • Menstruation recovery after chemotherapy and luteinizing hormone-releasing hormone agonist plus tamoxifen therapy for premenopausal patients with breast cancer.

    abstract:PURPOSE:Little is known about the period required for menstruation recovery after long-term luteinizing hormone-releasing hormone (LH-RH) agonist plus tamoxifen therapy following chemotherapy. In this study we investigated the period required for menstruation recovery after the therapy. METHODS:The subjects comprised ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-009-4226-z

    authors: Sakurai K,Matsuo S,Enomoto K,Amano S,Shiono M

    更新日期:2011-01-01 00:00:00

  • The effects of intraportal prostaglandin E1 administration on hepatic warm ischemia and reperfusion injury in dogs.

    abstract::To determine the route of prostaglandin E1 (PGE1) administration which would have the greatest protective effect against hepatic warm ischemia, two experiments were performed using dogs. The pharmacokinetics of PGE1 were investigated in a preliminary study, after which, the effects of PGE1 in a 90-min warm ischemic li...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00311819

    authors: Totsuka E,Sasaki M,Takahashi K,Toyoki Y,Seino K,Chiba S,Narumi S,Hakamada K,Morita T,Konn M

    更新日期:1995-01-01 00:00:00

  • Usefulness of the neutrophil/lymphocyte ratio measured preoperatively as a predictor of peritoneal metastasis in patients with advanced gastric cancer.

    abstract:PURPOSE:The prognosis for gastric cancer patients with peritoneal metastasis is poor. Many studies have reported that the neutrophil/lymphocyte ratio (NLR) might be useful to predict the degree of progression of gastric cancer. In this study, we attempted to evaluate whether the NLR and other related laboratory paramet...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-014-0917-1

    authors: Nakayama Y,Gotohda N,Shibasaki H,Nomura S,Kinoshita T,Hayashi R

    更新日期:2014-11-01 00:00:00

  • Prognostic value of the preoperative prognostic nutritional index in oldest-old patients with colorectal cancer.

    abstract:BACKGROUND:The prognostic nutritional index (PNI), which is calculated using serum albumin and the peripheral lymphocyte count, is a simple and useful score for predicting the prognosis in patients with various cancers. The correlation between the preoperative PNI and long-term outcomes is unclear in oldest-old patient...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-019-01910-w

    authors: Tominaga T,Nonaka T,Hisanaga M,Fukuda A,Tanoue Y,Yoshimoto T,Hidaka S,Sawai T,Nagayasu T

    更新日期:2020-05-01 00:00:00

  • Surgical treatment of an enormous aneurysmal portahepatic venous fistula: report of a case.

    abstract::We report herein the case of a 20-year-old woman in whom an enormous aneurysmal portahepatic venous fistula was found. The portal aneurysm developed in the anterior inferior segment of the right hepatic lobe, and communicated with the right portal vein and the right hepatic vein. Due to the enormous size of the shunt,...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/BF00311468

    authors: Miyauchi A,Okada S,Hashimoto T,Wakabayashi H,Maeba T,Tanaka S,Hayashi H

    更新日期:1995-01-01 00:00:00

  • Huge localized fibrous tumor of the pleura resembling a mediastinal tumor: report of a case.

    abstract::A 67-year-old man was admitted to our hospital because of an abnormal chest echoic lesion detected incidentally by echocardiography. A chest roentgenogram showed the presence of a giant mass, and computed tomography of the chest confirmed the presence of a mass with a nonhomogeneous density in the left mediastinum, ju...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-003-2648-6

    authors: Yashiro T,Shiba M,Sato K,Matsuzaki O,Iizasa T,Otsuji M,Fujisawa T

    更新日期:2004-01-01 00:00:00

  • Trans-sacral resection of a solitary fibrous tumor in the pelvis: report of a case.

    abstract::Solitary fibrous tumors (SFTs) develop most commonly in the pleura, although they have occasionally been reported to arise in the pelvic cavity. We report a case of an SFT presenting as a painless nodule in the pelvis of a 56-year-old woman. Histologically, the tumor was composed of spindle-shaped cells arranged witho...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s00595-010-4535-2

    authors: Katsuno H,Maeda K,Hanai T,Sato H,Masumori K,Koide Y,Matsuoka H,Noro T,Takakuwa Y,Hanaoka R

    更新日期:2011-11-01 00:00:00

  • Transventricular mitral valve replacement in a patient with a left ventricular aneurysm: report of a case.

    abstract::Postinfarct left ventricular aneurysm associated with mitral valve regurgitation is resistant to medical treatment and often requires surgical repair. A transventricular approach to the mitral valve in such a patient can enable the surgeon to avoid incision of the right or left atrium, and can provide for safe and rel...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950050203

    authors: Misawa Y,Fuse K,Konishi H,Saito H

    更新日期:1998-01-01 00:00:00

  • The marked anticancer effect of combined VCR, MTX, and indomethacin against drug-resistant recurrent small cell lung carcinoma after conventional chemotherapy: report of a case.

    abstract::In a previous study, we discovered that indomethacin was an effective modulator of the sensitivity of pulmonary carcinoma cells to vincristine (VCR), methotrexate (MTX), adriamycin (ADR), and etoposide (VP-16). We describe herein the case of a 61-year-old-man with multiple brain, lung, liver, and bone metastases from ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02482998

    authors: Kobayashi S,Okada S,Hasumi T,Sato N,Fujimura S

    更新日期:1999-01-01 00:00:00

  • Metabolism of prostaglandins in porcine liver transplantation with a graft harvested after 30- and 60-minute warm ischemia.

    abstract::The influence of warm ischemia on the metabolism of prostaglandins was investigated using a pig liver transplantation model employing the temporary portal arterialization technique. Eighteen pigs were divided into three groups according to warm ischemia time: 0 min (group I, n = 6), 30 min (group II, n = 6), and 60 mi...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02484623

    authors: Isai H,Kimura J,Ito K,Tamura M,Kon H,Kamachi H,Takahashi M,Yamashita K,Shimamura T,Nakajima Y

    更新日期:1998-01-01 00:00:00

  • Proliferation of osteoclast-like giant cells in a metastatic bone tumor from stomach cancer: report of a case and analysis of the autopsy findings.

    abstract::A 70-year-old man who had undergone esophagectomy with reconstructive surgery using a portion of the stomach 5 years earlier for esophageal cancer was admitted to our hospital after a routine endoscopy and histological examination of a biopsy specimen revealed poorly differentiated adenocarcinoma in the stomach. A gas...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00311588

    authors: Saeki T,Mandai K,Moriwaki S,Yamagami K,Sakamoto N,Takiyama W,Takashima S

    更新日期:1996-01-01 00:00:00

  • Surgical treatment of a cardiac papillary fibroelastoma developing from the chordae of the tricuspid valve: report of a case.

    abstract::Papillary fibroelastoma is a rare, benign cardiac tumor that can cause multiple emboli. We report herein a case of papillary fibroelastoma developing from the chordae of the tricuspid valve which was detected by echocardiography and confirmed by surgical resection. To our knowledge, this is only the fifth documented c...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950050154

    authors: Nishimura Y,Naito Y,Fujiwara K,Komai H,Noguchi Y

    更新日期:1998-01-01 00:00:00

  • Extended central bisegmentectomy--an en bloc resection of hepatic segments 4, 5, 8 and 7: report of a case.

    abstract::We herein present an example of an extended central bisegmentectomy in a patient with a large hepatocellular carcinoma. According to a magnetic resonance imaging study, the right hepatic vein was displaced and narrowed at its origin and a large inferior right hepatic vein was revealed. In this case, owing to the only ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02473403

    authors: Tanaka K,Nishimura A,Takenaka K,Yamada K,Ishibe R,Ogata S,Ishizaki N,Taira A

    更新日期:1994-01-01 00:00:00

  • Impact of esophageal flexion level on the surgical outcome in patients with sigmoid esophageal achalasia.

    abstract:PURPOSE:Esophageal achalasia can be roughly divided into non-sigmoid and sigmoid types. Laparoscopic surgery has been reported to be less than optimally effective for sigmoid type. The aim of this study was to examine the impact of the esophageal flexion level on the clinical condition and surgical outcomes of patients...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-017-1519-5

    authors: Tsuboi K,Omura N,Yano F,Hoshino M,Yamamoto SR,Akimoto S,Masuda T,Kashiwagi H,Yanaga K

    更新日期:2017-11-01 00:00:00

  • Effects of experimental chemoendocrine therapy with a combination of a pure antiestrogen and 5-fluorouracil on human breast cancer cells implanted in nude mice.

    abstract::The antitumor effects of an experimental chemoendocrine therapy combining a new pure antiestrogen ICI 182780 and 5-fluorouracil (5-FU) were studied on MCF-7 human breast cancer cells implanted in nude mice. ICI 182780 had a dose-dependent antitumor activity, which was potentiated by the concomitant use of 5-FU. When c...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02482240

    authors: Ogasawara Y,Doihara H,Shiroma K,Kanaya Y,Shimizu N

    更新日期:1999-01-01 00:00:00

  • Retroperitoneal abscess resulting from perforated acute appendicitis: analysis of its management and outcome.

    abstract:BACKGROUND:Acute appendicitis may become life threatening if it is complicated by retroperitoneal abscess. To the best of our knowledge, only case reports have been documented; thus, we analyzed the published experiences and reviewed this issue. MATERIALS AND METHODS:In addition to two patients treated at our institut...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-006-3481-5

    authors: Hsieh CH,Wang YC,Yang HR,Chung PK,Jeng LB,Chen RJ

    更新日期:2007-01-01 00:00:00

  • Clinical and pathological features of intracystic papillary carcinoma of the breast.

    abstract:PURPOSE:To evaluate the clinicopathological features of intracystic papillary carcinoma (ICPC), which have not been established given its rarity and lack of standard diagnostic criteria. METHODS:We reviewed the clinicopathological findings and treatment outcomes of 14 patients with ICPC diagnosed between 2002 and 2006...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-008-3792-9

    authors: Akagi T,Kinoshita T,Shien T,Hojo T,Akashi-Tanaka S,Murata Y

    更新日期:2009-01-01 00:00:00

  • Possibility of limited gastrectomy for early gastric cancer located in the upper third of the stomach, based on the distribution of sentinel node basins.

    abstract:PURPOSE:Several recent studies have evaluated the feasibility of the sentinel node (SN) concept for gastric cancer. The aim of our study was to investigate limited gastrectomy with SN basin dissection in SN navigation surgery (SNNS) for patients with early-gastric cancer located in the upper-third of the stomach. METH...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-019-1768-6

    authors: Ohi M,Toiyama Y,Omura Y,Ichikawa T,Yasuda H,Okugawa Y,Fujikawa H,Okita Y,Yoshiyama S,Hiro J,Araki T,Kusunoki M

    更新日期:2019-06-01 00:00:00

  • Muromonab-CD3 for the successful treatment of early chronic rejection after pediatric liver transplantation: report of a case.

    abstract::A four-and-a-half-year-old boy underwent living-donor liver transplantation (LDLT) for progressive familial intrahepatic cholestasis. Immunosuppressive therapy was commenced with tacrolimus and methylprednisolone, despite which derangement of liver function tests (LFTs) became evident on postoperative day (POD) 7. A d...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-010-4309-x

    authors: Hori T,Nguyen JH,Uemoto S

    更新日期:2011-04-01 00:00:00

  • Primary papillary serous carcinoma of the peritoneum diagnosed by video-assisted thoracoscopic surgery: report of a case.

    abstract::A 53-year-old woman who had end-stage renal disease and hypertension presented with back pain. Chest radiographs and chest computed tomography (CT) showed right pleural effusion with bilateral pleural masses. The patient underwent video-assisted thoracoscopic surgery (VATS) for a biopsy of the right pleural mass and f...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-007-3709-z

    authors: Suh JH,Kim YH,Chang ED

    更新日期:2008-01-01 00:00:00

  • One-year outcomes of bariatric surgery in older adults: a case-matched analysis based on the Tehran Obesity Treatment Study.

    abstract:PURPOSE:Knowledge is limited about the efficacy, safety, and long-term outcomes of bariatric surgery in older adult patients with obesity. METHODS:Fifty-six patients aged ≥ 60 years who underwent bariatric surgery, as either sleeve gastrectomy or gastric bypass, were matched for sex, baseline body mass index (BMI) and...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-020-02079-3

    authors: Aryannezhad S,Khalaj A,Hosseinpanah F,Mahdavi M,Valizadeh M,Barzin M

    更新日期:2021-01-01 00:00:00

  • Ano-urethral fistula, a special type of anomaly: report of two cases.

    abstract::Two cases of an ano-urethral fistula, being a low malformation, are reported herein. Both patients underwent a colostomy under the diagnosis of a recto-urethral fistula during the neonatal period. As a urethro-rectogram later revealed the fistula to be located between the anus and anterior urethra, revision of the ure...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00309106

    authors: Takamatsu H,Noguchi H,Tahara H,Kajiya H,Kaji T,Ikee T,Yoshioka T,Akiyama H

    更新日期:1993-01-01 00:00:00

  • Predictors of the need for pacemaker implantation after the Cox maze IV procedure for atrial fibrillation.

    abstract:PURPOSE:The Cox maze IV (CMIV) procedure is being used increasingly frequently for surgical ablation of atrial fibrillation (AF). This study aimed to identify the risk factors of the need for postoperative pacemaker implantation (PMI) after CMIV. METHODS:Preoperative, intraoperative, and postoperative data were retros...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-017-1614-7

    authors: Masaki N,Kawamoto S,Motoyoshi N,Adachi O,Kumagai K,Kawatsu S,Hayatsu Y,Katahira S,Hosoyama K,Akiyama M,Saiki Y

    更新日期:2018-05-01 00:00:00

  • Successful treatment of a common hepatic artery pseudoaneurysm using a coronary covered stent following pancreatoduodenectomy: report of a case.

    abstract::This report presents the case of a common hepatic artery (CHA) pseudoaneurysm secondary to postoperative pancreatic fistula (POPF) after pancreatoduodenectomy (PD), which was successfully treated using a coronary covered stent. A 70-year-old female underwent subtotal stomach-preserving PD for middle cholangiocarcinoma...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-012-0314-6

    authors: Asai K,Watanabe M,Kusachi S,Matsukiyo H,Saito T,Kodama H,Enomoto T,Nakamura Y,Okamoto Y,Saida Y,Iijima R,Nagao J

    更新日期:2014-01-01 00:00:00

  • Combination of preoperative lymphangiography using lipiodol and intraoperative lymphangiography using Evans Blue facilitates the accurate identification of postoperative chylous fistulas.

    abstract::In a 61-year-old woman who underwent extensive retroperitoneal lymph node dissection for rectal cancer, postoperative chylous ascites developed. The site of the lymphatic leak was evident on the lymphangiogram with lipiodol taken prior to the surgical repair of the leak, and another site seen on the intraoperative lym...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00311375

    authors: Kohnoe S,Takahashi I,Kawanaka H,Mori M,Okadome K,Sugimachi K

    更新日期:1993-01-01 00:00:00

  • Co-occurrence of mucoepidermoid carcinoma and squamous cell carcinoma of the esophagus: report of a case.

    abstract::A case of co-occurrence of a mucoepidermoid carcinoma (MEC) and a squamous cell carcinoma (SCC) in the esophagus is described. The present patient was a 61-year-old man who underwent a curative esophagectomy with a regional lymph node dissection for a MEC in the lower esophagus and a SCC near the esophagogastric junct...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s005950070104

    authors: Koide N,Hamanaka K,Igarashi J,Hanazaki K,Adachi W,Hosaka S,Uehara T,Amano J

    更新日期:2000-01-01 00:00:00

  • Successful management of complex open heart surgery in a patient with Child-Pugh class C liver cirrhosis: report of a case.

    abstract::Open heart surgery in patients with Child-Pugh class C liver cirrhosis has a high mortality rate and is generally considered to be contraindicated. A patient with liver cirrhosis (Child-Pugh class C) underwent mandatory complex open heart surgery due to severe heart failure. The perioperative management, including the...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-012-0325-3

    authors: Kubota Y,Sakaguchi T,Miyagawa S,Nishi H,Yoshikawa Y,Fukushima S,Saito S,Sawa Y

    更新日期:2013-03-01 00:00:00

  • Total thyroidectomy for the surgical treatment of multinodular goiter.

    abstract:PURPOSE:The indications for surgical treatment of multinodular goiter (MNG) are pressure symptoms, suspicion of malignancy, and cosmetic concerns. We report our clinical experience of performing total thyroidectomy (TT) for MNG, focusing on outcome and complications, to evaluate its effectiveness. METHODS:The medical ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-009-4272-6

    authors: Dogan L,Karaman N,Yilmaz KB,Ozaslan C,Atalay C

    更新日期:2011-03-01 00:00:00