Three-Dimensional Flexible Endoscopy Can Facilitate Efficient and Reliable Endoscopic Hand Suturing: An Study
Background/Aims Three-dimensional (3D) flexible endoscopy, a new imaging modality that provides a stereoscopic view, can facilitate endoscopic hand suturing (EHS), a novel intraluminal suturing technique. This ex-vivo pilot study evaluated the usefulness of 3D endoscopy in EHS. Methods Four endoscop...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2020-05-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2019-207.pdf |
| _version_ | 1797642684388605952 |
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| author | Jun Omori Osamu Goto Kazutoshi Higuchi Takamitsu Umeda Naohiko Akimoto Masahiro Suzuki Kumiko Kirita Eriko Koizumi Hiroto Noda Teppei Akimoto Mitsuru Kaise Katsuhiko Iwakiri |
| author_facet | Jun Omori Osamu Goto Kazutoshi Higuchi Takamitsu Umeda Naohiko Akimoto Masahiro Suzuki Kumiko Kirita Eriko Koizumi Hiroto Noda Teppei Akimoto Mitsuru Kaise Katsuhiko Iwakiri |
| author_sort | Jun Omori |
| collection | DOAJ |
| description | Background/Aims Three-dimensional (3D) flexible endoscopy, a new imaging modality that provides a stereoscopic view, can facilitate endoscopic hand suturing (EHS), a novel intraluminal suturing technique. This ex-vivo pilot study evaluated the usefulness of 3D endoscopy in EHS. Methods Four endoscopists (two certified, two non-certified) performed EHS in six sessions on a soft resin pad. Each session involved five stitches, under alternating 3D and two-dimensional (2D) conditions. Suturing time (sec/session), changes in suturing time, and accuracy of suturing were compared between 2D and 3D conditions. Results The mean suturing time was shorter in 3D than in 2D (9.8±3.4 min/session vs. 11.2±5.1 min/session) conditions and EHS was completed faster in 3D conditions, particularly by non-certified endoscopists. The suturing speed increased as the 3D sessions progressed. Error rates (failure to grasp the needle, failure to thread the needle, and puncture retrial) in the 3D condition were lower than those in the 2D condition, whereas there was no apparent difference in deviation distance. Conclusions 3D endoscopy may contribute to increasing the speed and accuracy of EHS in a short time period. Stereoscopic viewing during 3D endoscopy may help in efficient skill acquisition for EHS, particularly among novice endoscopists. |
| first_indexed | 2024-03-11T14:03:50Z |
| format | Article |
| id | doaj.art-fc21b1f4f26e453cb31c882eca79048f |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T14:03:50Z |
| publishDate | 2020-05-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-fc21b1f4f26e453cb31c882eca79048f2023-11-02T03:30:24ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432020-05-0153333433810.5946/ce.2019.2077355Three-Dimensional Flexible Endoscopy Can Facilitate Efficient and Reliable Endoscopic Hand Suturing: An StudyJun Omori0Osamu GotoKazutoshi Higuchi1Takamitsu Umeda2Naohiko Akimoto3Masahiro Suzuki4Kumiko Kirita5Eriko Koizumi6Hiroto Noda7Teppei Akimoto8Mitsuru Kaise9Katsuhiko Iwakiri10 Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, JapanBackground/Aims Three-dimensional (3D) flexible endoscopy, a new imaging modality that provides a stereoscopic view, can facilitate endoscopic hand suturing (EHS), a novel intraluminal suturing technique. This ex-vivo pilot study evaluated the usefulness of 3D endoscopy in EHS. Methods Four endoscopists (two certified, two non-certified) performed EHS in six sessions on a soft resin pad. Each session involved five stitches, under alternating 3D and two-dimensional (2D) conditions. Suturing time (sec/session), changes in suturing time, and accuracy of suturing were compared between 2D and 3D conditions. Results The mean suturing time was shorter in 3D than in 2D (9.8±3.4 min/session vs. 11.2±5.1 min/session) conditions and EHS was completed faster in 3D conditions, particularly by non-certified endoscopists. The suturing speed increased as the 3D sessions progressed. Error rates (failure to grasp the needle, failure to thread the needle, and puncture retrial) in the 3D condition were lower than those in the 2D condition, whereas there was no apparent difference in deviation distance. Conclusions 3D endoscopy may contribute to increasing the speed and accuracy of EHS in a short time period. Stereoscopic viewing during 3D endoscopy may help in efficient skill acquisition for EHS, particularly among novice endoscopists.http://www.e-ce.org/upload/pdf/ce-2019-207.pdfendoscopic suturinglearning curvethree-dimensional endoscopy |
| spellingShingle | Jun Omori Osamu Goto Kazutoshi Higuchi Takamitsu Umeda Naohiko Akimoto Masahiro Suzuki Kumiko Kirita Eriko Koizumi Hiroto Noda Teppei Akimoto Mitsuru Kaise Katsuhiko Iwakiri Three-Dimensional Flexible Endoscopy Can Facilitate Efficient and Reliable Endoscopic Hand Suturing: An Study Clinical Endoscopy endoscopic suturing learning curve three-dimensional endoscopy |
| title | Three-Dimensional Flexible Endoscopy Can Facilitate Efficient and Reliable Endoscopic Hand Suturing: An Study |
| title_full | Three-Dimensional Flexible Endoscopy Can Facilitate Efficient and Reliable Endoscopic Hand Suturing: An Study |
| title_fullStr | Three-Dimensional Flexible Endoscopy Can Facilitate Efficient and Reliable Endoscopic Hand Suturing: An Study |
| title_full_unstemmed | Three-Dimensional Flexible Endoscopy Can Facilitate Efficient and Reliable Endoscopic Hand Suturing: An Study |
| title_short | Three-Dimensional Flexible Endoscopy Can Facilitate Efficient and Reliable Endoscopic Hand Suturing: An Study |
| title_sort | three dimensional flexible endoscopy can facilitate efficient and reliable endoscopic hand suturing an study |
| topic | endoscopic suturing learning curve three-dimensional endoscopy |
| url | http://www.e-ce.org/upload/pdf/ce-2019-207.pdf |
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