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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 334 - 338 (5page)
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초록· 키워드
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Background/Aims: Three-dimensional (3D) flexible endoscopy, a new imaging modality that provides a stereoscopic view, canfacilitate endoscopic hand suturing (EHS), a novel intraluminal suturing technique. This ex-vivo pilot study evaluated the usefulnessof 3D endoscopy in EHS. Methods: Four endoscopists (two certified, two non-certified) performed EHS in six sessions on a soft resin pad. Each sessioninvolved five stitches, under alternating 3D and two-dimensional (2D) conditions. Suturing time (sec/session), changes in suturingtime, 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 EHSwas completed faster in 3D conditions, particularly by non-certified endoscopists. The suturing speed increased as the 3D sessionsprogressed. Error rates (failure to grasp the needle, failure to thread the needle, and puncture retrial) in the 3D condition were lowerthan 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. Stereoscopicviewing during 3D endoscopy may help in efficient skill acquisition for EHS, particularly among novice endoscopists.
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참고문헌 (11)
참고문헌 신청
Goto O / 2014 / A new endoscopic closure method for gastric mucosal defects : feasibility of endoscopic hand suturing in an ex vivo porcine model(with video) / Endosc Int Open 2:E111~E116
Goto O / 2017 / Endoscopic hand-suturing for defect closure after gastric endoscopic submucosal dissection : a pilot study in animals and in humans / Endoscopy 49:792~797
Becker H / 1993 / 3-D video techniques in endoscopic surgery / Endosc Surg Allied Technol 1:40~46
Fergo C / 2017 / Three-dimensional laparoscopy vs 2-dimensional laparoscopy with high-definition technology for abdominal surgery : a systematic review / Am J Surg 213:159~170
Nomura K / 2016 / Recognition accuracy using 3D endoscopic images for superficial gastrointestinal cancer : a crossover study / Gastroenterol Res Pract 2016:4561468
Goto O / 2017 / Endoscopic hand-suturing for defect closure after gastric endoscopic submucosal dissection : a pilot study in animals and in humans / Endoscopy 49:792~797
Becker H / 1993 / 3-D video techniques in endoscopic surgery / Endosc Surg Allied Technol 1:40~46
Fergo C / 2017 / Three-dimensional laparoscopy vs 2-dimensional laparoscopy with high-definition technology for abdominal surgery : a systematic review / Am J Surg 213:159~170
Nomura K / 2016 / Recognition accuracy using 3D endoscopic images for superficial gastrointestinal cancer : a crossover study / Gastroenterol Res Pract 2016:4561468
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