Three-Dimensional Flexible Endoscopy Can Facilitate Efficient and Reliable Endoscopic Hand Suturing: An ex-vivo Study.

Endoscopic suturing Learning curve Three-dimensional endoscopy

Journal

Clinical endoscopy
ISSN: 2234-2400
Titre abrégé: Clin Endosc
Pays: Korea (South)
ID NLM: 101576886

Informations de publication

Date de publication:
May 2020
Historique:
received: 29 10 2019
accepted: 10 03 2020
pubmed: 28 4 2020
medline: 28 4 2020
entrez: 27 4 2020
Statut: ppublish

Résumé

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. 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. 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. 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.

Sections du résumé

BACKGROUND/AIMS OBJECTIVE
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 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 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.
CONCLUSION 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.

Identifiants

pubmed: 32336050
pii: ce.2019.207
doi: 10.5946/ce.2019.207
pmc: PMC7280841
doi:

Types de publication

Journal Article

Langues

eng

Pagination

334-338

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Auteurs

Jun Omori (J)

Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.

Osamu Goto (O)

Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.

Kazutoshi Higuchi (K)

Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.

Takamitsu Umeda (T)

Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.

Naohiko Akimoto (N)

Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.

Masahiro Suzuki (M)

Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.

Kumiko Kirita (K)

Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.

Eriko Koizumi (E)

Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.

Hiroto Noda (H)

Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.

Teppei Akimoto (T)

Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.

Mitsuru Kaise (M)

Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.

Katsuhiko Iwakiri (K)

Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.

Classifications MeSH