Comparison of surgical performance using articulated (ArtiSential®) and conventional instruments for colorectal laparoscopic surgery: A single‐centre, open, before‐and‐after, prospective study
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| Natura: | Artículo Open Access |
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Wiley
2024
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| author | Hye Rim Shin Heung‐Kwon Oh Hong‐min Ahn Tae‐Gyun Lee Mi Jeoung Choi Min Hyeong Jo Anuj Naresh Singhi Duck‐Woo Kim Sung‐Bum Kang |
| author_facet | Hye Rim Shin Heung‐Kwon Oh Hong‐min Ahn Tae‐Gyun Lee Mi Jeoung Choi Min Hyeong Jo Anuj Naresh Singhi Duck‐Woo Kim Sung‐Bum Kang Hye Rim Shin Heung‐Kwon Oh Hong‐min Ahn Tae‐Gyun Lee Mi Jeoung Choi Min Hyeong Jo Anuj Naresh Singhi Duck‐Woo Kim Sung‐Bum Kang |
| collection | Wiley Open Access |
| contents | Comparison of surgical performance using articulated (ArtiSential®) and conventional instruments for colorectal laparoscopic surgery: A single‐centre, open, before‐and‐after, prospective study Hye Rim Shin Heung‐Kwon Oh Hong‐min Ahn Tae‐Gyun Lee Mi Jeoung Choi Min Hyeong Jo Anuj Naresh Singhi Duck‐Woo Kim Sung‐Bum Kang Colorectal Disease AbstractAimRigid surgical instruments limit movement whereas articulated instruments offer better control in small spaces and allow for intuitive and ergonomic movements. However, the effectiveness of the use of articulated instruments in improving colorectal laparoscopic outcomes remains unclear. The aim of this work was to determine whether colorectal laparoscopic surgical proficiency improved when multijoint instruments were used instead of conventional ones.MethodWe enrolled 70 consecutive patients (n = 20 for conventional instruments) aged 19–80 years who underwent elective laparoscopic surgery for colorectal diseases. Unedited surgery videos were validated using the modified Global Operative Assessment of Laparoscopic Skills (mGOALS) scale. Learning curves were analysed using a cumulative sum control chart for mGOALS grades.ResultsThe surgery type, length of hospital stay and 30‐day postoperative complication rates were comparable between the groups, and the surgeon's mGOALS grades were similar (p = 0.190). However, in the articulated group, the scores were significantly higher for depth perception (p = 0.012) and tissue‐handling domains (p = 0.046), while surgical duration was significantly shorter and intraoperative blood loss was significantly lower (p = 0.022), compared with those in the conventional (p = 0.002) group. Learning curve findings indicated that the first 10 and subsequent 40 surgeries in the articulated group were within the inexperienced and experienced phases, respectively. The mGOALS score in the experienced phase improved in the articulated group compared with that in the conventional group (p = 0.036).ConclusionsThe use of articulated instruments in laparoscopic colorectal surgery showed potential benefits. Further studies are needed to confirm these findings. 10.1111/codi.17205 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/codi.17205 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_codi_17205 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Comparison of surgical performance using articulated (ArtiSential®) and conventional instruments for colorectal laparoscopic surgery: A single‐centre, open, before‐and‐after, prospective study Hye Rim Shin Heung‐Kwon Oh Hong‐min Ahn Tae‐Gyun Lee Mi Jeoung Choi Min Hyeong Jo Anuj Naresh Singhi Duck‐Woo Kim Sung‐Bum Kang Colorectal Disease Comparison of surgical performance using articulated (ArtiSential®) and conventional instruments for colorectal laparoscopic surgery: A single‐centre, open, before‐and‐after, prospective study Hye Rim Shin Heung‐Kwon Oh Hong‐min Ahn Tae‐Gyun Lee Mi Jeoung Choi Min Hyeong Jo Anuj Naresh Singhi Duck‐Woo Kim Sung‐Bum Kang Colorectal Disease AbstractAimRigid surgical instruments limit movement whereas articulated instruments offer better control in small spaces and allow for intuitive and ergonomic movements. However, the effectiveness of the use of articulated instruments in improving colorectal laparoscopic outcomes remains unclear. The aim of this work was to determine whether colorectal laparoscopic surgical proficiency improved when multijoint instruments were used instead of conventional ones.MethodWe enrolled 70 consecutive patients (n = 20 for conventional instruments) aged 19–80 years who underwent elective laparoscopic surgery for colorectal diseases. Unedited surgery videos were validated using the modified Global Operative Assessment of Laparoscopic Skills (mGOALS) scale. Learning curves were analysed using a cumulative sum control chart for mGOALS grades.ResultsThe surgery type, length of hospital stay and 30‐day postoperative complication rates were comparable between the groups, and the surgeon's mGOALS grades were similar (p = 0.190). However, in the articulated group, the scores were significantly higher for depth perception (p = 0.012) and tissue‐handling domains (p = 0.046), while surgical duration was significantly shorter and intraoperative blood loss was significantly lower (p = 0.022), compared with those in the conventional (p = 0.002) group. Learning curve findings indicated that the first 10 and subsequent 40 surgeries in the articulated group were within the inexperienced and experienced phases, respectively. The mGOALS score in the experienced phase improved in the articulated group compared with that in the conventional group (p = 0.036).ConclusionsThe use of articulated instruments in laparoscopic colorectal surgery showed potential benefits. Further studies are needed to confirm these findings. 10.1111/codi.17205 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Comparison of surgical performance using articulated (ArtiSential®) and conventional instruments for colorectal laparoscopic surgery: A single‐centre, open, before‐and‐after, prospective study |
| topic | Colorectal Disease |
| url | https://onlinelibrary.wiley.com/doi/10.1111/codi.17205 |