Decomposition and analysis of laparoscopic suturing task using tool-motion analysis (TMA): improving the objective assessment.
Identifieur interne : 000E22 ( PubMed/Curation ); précédent : 000E21; suivant : 000E23Decomposition and analysis of laparoscopic suturing task using tool-motion analysis (TMA): improving the objective assessment.
Auteurs : J B Pagador [Espagne] ; F M Sánchez-Margallo ; L F Sánchez-Peralta ; J A Sánchez-Margallo ; J L Moyano-Cuevas ; S. Enciso-Sanz ; J. Us N-Gargallo ; J. MorenoSource :
- International journal of computer assisted radiology and surgery [ 1861-6429 ] ; 2012.
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Abstract
The laparoscopic suturing task is a complex procedure that requires objective assessment of surgical skills. Analysis of laparoscopic suturing task components was performed to improve current objective assessment tools.
DOI: 10.1007/s11548-011-0650-9
PubMed: 21842396
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Decomposition and analysis of laparoscopic suturing task using tool-motion analysis (TMA): improving the objective assessment.</title><author><name sortKey="Pagador, J B" sort="Pagador, J B" uniqKey="Pagador J" first="J B" last="Pagador">J B Pagador</name><affiliation wicri:level="1"><nlm:affiliation>Bioengineering and Health Technologies Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain. jbpagador@ccmijesususon.com</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Bioengineering and Health Technologies Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres</wicri:regionArea></affiliation></author><author><name sortKey="Sanchez Margallo, F M" sort="Sanchez Margallo, F M" uniqKey="Sanchez Margallo F" first="F M" last="Sánchez-Margallo">F M Sánchez-Margallo</name></author><author><name sortKey="Sanchez Peralta, L F" sort="Sanchez Peralta, L F" uniqKey="Sanchez Peralta L" first="L F" last="Sánchez-Peralta">L F Sánchez-Peralta</name></author><author><name sortKey="Sanchez Margallo, J A" sort="Sanchez Margallo, J A" uniqKey="Sanchez Margallo J" first="J A" last="Sánchez-Margallo">J A Sánchez-Margallo</name></author><author><name sortKey="Moyano Cuevas, J L" sort="Moyano Cuevas, J L" uniqKey="Moyano Cuevas J" first="J L" last="Moyano-Cuevas">J L Moyano-Cuevas</name></author><author><name sortKey="Enciso Sanz, S" sort="Enciso Sanz, S" uniqKey="Enciso Sanz S" first="S" last="Enciso-Sanz">S. Enciso-Sanz</name></author><author><name sortKey="Us N Gargallo, J" sort="Us N Gargallo, J" uniqKey="Us N Gargallo J" first="J" last="Us N-Gargallo">J. Us N-Gargallo</name></author><author><name sortKey="Moreno, J" sort="Moreno, J" uniqKey="Moreno J" first="J" last="Moreno">J. Moreno</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="doi">10.1007/s11548-011-0650-9</idno><idno type="RBID">pubmed:21842396</idno><idno type="pmid">21842396</idno><idno type="wicri:Area/PubMed/Corpus">000E22</idno><idno type="wicri:Area/PubMed/Curation">000E22</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Decomposition and analysis of laparoscopic suturing task using tool-motion analysis (TMA): improving the objective assessment.</title><author><name sortKey="Pagador, J B" sort="Pagador, J B" uniqKey="Pagador J" first="J B" last="Pagador">J B Pagador</name><affiliation wicri:level="1"><nlm:affiliation>Bioengineering and Health Technologies Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain. jbpagador@ccmijesususon.com</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Bioengineering and Health Technologies Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres</wicri:regionArea></affiliation></author><author><name sortKey="Sanchez Margallo, F M" sort="Sanchez Margallo, F M" uniqKey="Sanchez Margallo F" first="F M" last="Sánchez-Margallo">F M Sánchez-Margallo</name></author><author><name sortKey="Sanchez Peralta, L F" sort="Sanchez Peralta, L F" uniqKey="Sanchez Peralta L" first="L F" last="Sánchez-Peralta">L F Sánchez-Peralta</name></author><author><name sortKey="Sanchez Margallo, J A" sort="Sanchez Margallo, J A" uniqKey="Sanchez Margallo J" first="J A" last="Sánchez-Margallo">J A Sánchez-Margallo</name></author><author><name sortKey="Moyano Cuevas, J L" sort="Moyano Cuevas, J L" uniqKey="Moyano Cuevas J" first="J L" last="Moyano-Cuevas">J L Moyano-Cuevas</name></author><author><name sortKey="Enciso Sanz, S" sort="Enciso Sanz, S" uniqKey="Enciso Sanz S" first="S" last="Enciso-Sanz">S. Enciso-Sanz</name></author><author><name sortKey="Us N Gargallo, J" sort="Us N Gargallo, J" uniqKey="Us N Gargallo J" first="J" last="Us N-Gargallo">J. Us N-Gargallo</name></author><author><name sortKey="Moreno, J" sort="Moreno, J" uniqKey="Moreno J" first="J" last="Moreno">J. Moreno</name></author></analytic><series><title level="j">International journal of computer assisted radiology and surgery</title><idno type="eISSN">1861-6429</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clinical Competence</term><term>Computer-Assisted Instruction</term><term>Female</term><term>Humans</term><term>Laparoscopy (methods)</term><term>Male</term><term>Suture Techniques</term><term>Task Performance and Analysis</term><term>Tensile Strength</term><term>Time Factors</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Laparoscopy</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Clinical Competence</term><term>Computer-Assisted Instruction</term><term>Female</term><term>Humans</term><term>Male</term><term>Suture Techniques</term><term>Task Performance and Analysis</term><term>Tensile Strength</term><term>Time Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The laparoscopic suturing task is a complex procedure that requires objective assessment of surgical skills. Analysis of laparoscopic suturing task components was performed to improve current objective assessment tools.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21842396</PMID><DateCreated><Year>2012</Year><Month>03</Month><Day>02</Day></DateCreated><DateCompleted><Year>2012</Year><Month>09</Month><Day>12</Day></DateCompleted><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1861-6429</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><Issue>2</Issue><PubDate><Year>2012</Year><Month>Mar</Month></PubDate></JournalIssue><Title>International journal of computer assisted radiology and surgery</Title><ISOAbbreviation>Int J Comput Assist Radiol Surg</ISOAbbreviation></Journal><ArticleTitle>Decomposition and analysis of laparoscopic suturing task using tool-motion analysis (TMA): improving the objective assessment.</ArticleTitle><Pagination><MedlinePgn>305-13</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s11548-011-0650-9</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The laparoscopic suturing task is a complex procedure that requires objective assessment of surgical skills. Analysis of laparoscopic suturing task components was performed to improve current objective assessment tools.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Twelve subjects participated in this study as three groups of four surgeons (novices, intermediates and experts). A box-trainer and organic tissue were used to perform the experiment while tool movements were recorded with the augmented reality haptic system. All subjects were right-handed and developed a surgeon's knot. The laparoscopic suturing procedure was decomposed into four subtasks. Different objective metrics were applied during tool-motion analysis (TMA). Statistical analysis was performed, and results from three groups were compared using the Jonckheere-Terpstra test, considering significant differences when P ≤ 0.05.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Several first, second and fourth subtask metrics had significant differences between the three groups. Subtasks 1 and 2 had more significant differences in metrics than subtask 4. Almost all metrics showed superior task executions accomplished by experts (lower time, total path length and number of movements) compared with intermediates and novices.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The most important subtasks during suture learning process are needle puncture and first knot. The TMA could be a useful objective assessment tool to discriminate surgical experience and could be used in the future to measure and certify surgical proficiency.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pagador</LastName><ForeName>J B</ForeName><Initials>JB</Initials><AffiliationInfo><Affiliation>Bioengineering and Health Technologies Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain. jbpagador@ccmijesususon.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sánchez-Margallo</LastName><ForeName>F M</ForeName><Initials>FM</Initials></Author><Author ValidYN="Y"><LastName>Sánchez-Peralta</LastName><ForeName>L F</ForeName><Initials>LF</Initials></Author><Author ValidYN="Y"><LastName>Sánchez-Margallo</LastName><ForeName>J A</ForeName><Initials>JA</Initials></Author><Author ValidYN="Y"><LastName>Moyano-Cuevas</LastName><ForeName>J L</ForeName><Initials>JL</Initials></Author><Author ValidYN="Y"><LastName>Enciso-Sanz</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Usón-Gargallo</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Moreno</LastName><ForeName>J</ForeName><Initials>J</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>08</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Int J Comput Assist Radiol Surg</MedlineTA><NlmUniqueID>101499225</NlmUniqueID><ISSNLinking>1861-6410</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D002983">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003194">Computer-Assisted Instruction</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010535">Laparoscopy</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013536">Suture Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013647">Task Performance and Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013718">Tensile Strength</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013997">Time Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>1</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>8</Month><Day>2</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2011</Year><Month>8</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>8</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>8</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>9</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1007/s11548-011-0650-9</ArticleId><ArticleId IdType="pubmed">21842396</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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