Comparison of Laparoscopic Steerable Instruments Performed by Expert Surgeons and Novices

As an alternative to the surgical robot, some medical companies have engineered new steerable devices that mimic the robot’s capacities. This study aimed to assess how steerable instruments ameliorate the efficacy of suturing in comparison with the traditional instrument, and a combination instrumen...

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Main Authors: Luca Lacitignola, Rodrigo Trisciuzzi, Annarita Imperante, Laura Fracassi, Alberto Maria Crovace, Francesco Staffieri
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Veterinary Sciences
Subjects:
Online Access:https://www.mdpi.com/2306-7381/7/3/135
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author Luca Lacitignola
Rodrigo Trisciuzzi
Annarita Imperante
Laura Fracassi
Alberto Maria Crovace
Francesco Staffieri
author_facet Luca Lacitignola
Rodrigo Trisciuzzi
Annarita Imperante
Laura Fracassi
Alberto Maria Crovace
Francesco Staffieri
author_sort Luca Lacitignola
collection DOAJ
description As an alternative to the surgical robot, some medical companies have engineered new steerable devices that mimic the robot’s capacities. This study aimed to assess how steerable instruments ameliorate the efficacy of suturing in comparison with the traditional instrument, and a combination instruments, performed by experienced and novice surgeons. The study was performed by three experienced surgeons and three novice surgeons. The instruments employed were divided into three surgical sets: two steerable dissectors; one steerable dissector and one straight needle; two straight needle holders. The study supervisor recorded the total time for the procedure, the number of bites completed, the time for each bite, and the quality of the procedure. In our study, we found consistent data demonstrating that experienced laparoscopists completed the prescribed suture pattern with more bites in less time than novices. The use of two steerable instruments was more time consuming than standard straight instruments, but a combination of instruments was significantly less time consuming, as was the use of two straight needle holders. This result was even observed in novice surgeons. Combining a steerable instrument with a traditional straight needle holder provided more advantages in this study.
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spelling doaj.art-4feb1fab93f147b4904f6c8d3c7994d62023-11-20T13:51:06ZengMDPI AGVeterinary Sciences2306-73812020-09-017313510.3390/vetsci7030135Comparison of Laparoscopic Steerable Instruments Performed by Expert Surgeons and NovicesLuca Lacitignola0Rodrigo Trisciuzzi1Annarita Imperante2Laura Fracassi3Alberto Maria Crovace4Francesco Staffieri5Dipartimento dell’Emergenza e dei Trapianti di Organi (DETO), Sezione di Cliniche Veterinarie e P.A, Università degli Studi di Bari “Aldo Moro”, 70010 Bari, ItalyDottorato di Ricerca in “Trapianti di Tessuti ed Organi e Terapie Cellulari”, Dipartimento dell’Emergenza e dei Trapianti di Organi (DETO), Università degli Studi di Bari “Aldo Moro”, 70100 Bari, ItalyDottorato di Ricerca in “Trapianti di Tessuti ed Organi e Terapie Cellulari”, Dipartimento dell’Emergenza e dei Trapianti di Organi (DETO), Università degli Studi di Bari “Aldo Moro”, 70100 Bari, ItalyDipartimento dell’Emergenza e dei Trapianti di Organi (DETO), Sezione di Cliniche Veterinarie e P.A, Università degli Studi di Bari “Aldo Moro”, 70010 Bari, ItalyScuola di Bioscienze e Medicina Veterinaria, Università di Camerino, 62024 Matelica, ItalyDipartimento dell’Emergenza e dei Trapianti di Organi (DETO), Sezione di Cliniche Veterinarie e P.A, Università degli Studi di Bari “Aldo Moro”, 70010 Bari, ItalyAs an alternative to the surgical robot, some medical companies have engineered new steerable devices that mimic the robot’s capacities. This study aimed to assess how steerable instruments ameliorate the efficacy of suturing in comparison with the traditional instrument, and a combination instruments, performed by experienced and novice surgeons. The study was performed by three experienced surgeons and three novice surgeons. The instruments employed were divided into three surgical sets: two steerable dissectors; one steerable dissector and one straight needle; two straight needle holders. The study supervisor recorded the total time for the procedure, the number of bites completed, the time for each bite, and the quality of the procedure. In our study, we found consistent data demonstrating that experienced laparoscopists completed the prescribed suture pattern with more bites in less time than novices. The use of two steerable instruments was more time consuming than standard straight instruments, but a combination of instruments was significantly less time consuming, as was the use of two straight needle holders. This result was even observed in novice surgeons. Combining a steerable instrument with a traditional straight needle holder provided more advantages in this study.https://www.mdpi.com/2306-7381/7/3/135laparoscopysteerable instrumentslearning curve
spellingShingle Luca Lacitignola
Rodrigo Trisciuzzi
Annarita Imperante
Laura Fracassi
Alberto Maria Crovace
Francesco Staffieri
Comparison of Laparoscopic Steerable Instruments Performed by Expert Surgeons and Novices
Veterinary Sciences
laparoscopy
steerable instruments
learning curve
title Comparison of Laparoscopic Steerable Instruments Performed by Expert Surgeons and Novices
title_full Comparison of Laparoscopic Steerable Instruments Performed by Expert Surgeons and Novices
title_fullStr Comparison of Laparoscopic Steerable Instruments Performed by Expert Surgeons and Novices
title_full_unstemmed Comparison of Laparoscopic Steerable Instruments Performed by Expert Surgeons and Novices
title_short Comparison of Laparoscopic Steerable Instruments Performed by Expert Surgeons and Novices
title_sort comparison of laparoscopic steerable instruments performed by expert surgeons and novices
topic laparoscopy
steerable instruments
learning curve
url https://www.mdpi.com/2306-7381/7/3/135
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