Optimal port locations for endoscopic intracorporeal knotting

被引：66

作者：

Hanna, GB ^{[1
]}

Shimi, S ^{[1
]}

Cuschieri, A ^{[1
]}

机构：

[1] UNIV DUNDEE,NINEWELLS HOSP & MED SCH,DEPT SURG,DUNDEE DD1 9SY,SCOTLAND

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1997年 / 11卷 / 04期

关键词：

port sites; knot; instruments; needle drivers;

D O I：

10.1007/s004649900374

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Port location is crucial for endoscopic manipulations. The aim of the study was to investigate the influence of manipulation, azimuth, and elevation angles of instruments on endoscopic intracorporeal knotting. The standard task was tying a surgeon's knot. Manipulation angles of 30 degrees, 45 degrees, 60 degrees, 75 degrees, and 90 degrees with equal and unequal azimuth angles and elevation angles of 0 degrees, 30 degrees, and 60 degrees were investigated. The endpoints were the execution time and parameters of knot analysis. The execution time was shorter with 60 degrees than with either 90 degrees or 30 degrees manipulation angles (p < 0.0001 and p < 0.01). Equal azimuth angles resulted in a shorter execution time than wide unequal angles (p < 0.001). A combination of 60 degrees manipulation angle with 60 degrees elevation angle had the shortest execution time (p < 0.001) and highest performance quality score (p < 0.02). A range of 45 degrees-75 degrees manipulation angles with equal azimuth angles is recommended. As the manipulation angle increases, the elevation angle has to increase accordingly.

引用

页码：397 / 401

页数：5