دورية أكاديمية
أعرض في EDS

Laparoscopic Small Bowel Length Measurement in Bariatric Surgery Using a Hand-Over-Hand Technique with Marked Graspers: an Ex Vivo Experiment.

التفاصيل البيبلوغرافية
العنوان: Laparoscopic Small Bowel Length Measurement in Bariatric Surgery Using a Hand-Over-Hand Technique with Marked Graspers: an Ex Vivo Experiment.
المؤلفون: Slagter N; Center for Obesity Northern Netherlands (CON), Medical Center Leeuwarden, Henri Dunantweg 2, 8934 AD, Leeuwarden, the Netherlands. N.Slagter@umcg.nl.; University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands. N.Slagter@umcg.nl., van Wilsum M; Center for Obesity Northern Netherlands (CON), Medical Center Leeuwarden, Henri Dunantweg 2, 8934 AD, Leeuwarden, the Netherlands., de Heide LJM; Center for Obesity Northern Netherlands (CON), Medical Center Leeuwarden, Henri Dunantweg 2, 8934 AD, Leeuwarden, the Netherlands., Jutte EH; Center for Obesity Northern Netherlands (CON), Medical Center Leeuwarden, Henri Dunantweg 2, 8934 AD, Leeuwarden, the Netherlands., Kaijser MA; Center for Obesity Northern Netherlands (CON), Medical Center Leeuwarden, Henri Dunantweg 2, 8934 AD, Leeuwarden, the Netherlands., Damen SL; Center for Obesity Northern Netherlands (CON), Medical Center Leeuwarden, Henri Dunantweg 2, 8934 AD, Leeuwarden, the Netherlands., van Beek AP; Department of Endocrinology, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands., Emous M; Center for Obesity Northern Netherlands (CON), Medical Center Leeuwarden, Henri Dunantweg 2, 8934 AD, Leeuwarden, the Netherlands.
المصدر: Obesity surgery [Obes Surg] 2022 Apr; Vol. 32 (4), pp. 1201-1208. Date of Electronic Publication: 2022 Feb 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9106714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1708-0428 (Electronic) Linking ISSN: 09608923 NLM ISO Abbreviation: Obes Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2006- : New York : Springer Science + Business Media
Original Publication: Oxford, OX, UK : Rapid Communications of Oxford, [1991-
مواضيع طبية MeSH: Bariatric Surgery*/education , Laparoscopy*/methods , Obesity, Morbid*/surgery , Surgeons*, Animals ; Humans ; Intestine, Small/surgery ; Swine
مستخلص: Introduction: Tailoring limb length in bariatric surgery is a subject of many studies. To acquire the optimal limb length, accurate measurement of the small bowel length is essential.
Objective: To assess the intra- and inter-individual variability of laparoscopic bowel length measurement using a hand-over-hand technique with marked graspers.
Method: Four bariatric surgeons and four surgical residents performed measurements on cadaver porcine intestine in a laparoscopic box using marked graspers. Each participant performed 10 times a measurement of three different lengths: 150, 180, and 210 cm. Acceptable percentage deviation from the goal lengths was defined as less than 10%, while unacceptable deviations were defined as more than 15%.
Results: The bariatric surgeons measured the 150-, 180-, and 210-cm tasks with 4% (CI 0.4, 9), - 6% (CI - 11, - 0.8), and 1% (CI - 4, 6) deviation, respectively. In total, the bariatric surgeons estimated 58 out of 119 times (49%) between the margins of 10% deviation and 36 times (30%) outside the 15% margin. Considerable inter-individual differences were found between the surgeons. The surgical residents underestimated the tasks with 12% (CI - 18, - 6), 16% (CI - 19, - 13), and 18% (CI - 22, - 13), respectively.
Conclusion: Bariatric surgeons estimated bowel length with on average less than 10% deviation. However, this still resulted in 30% of the measurements with more than 15% deviation. There were considerable inter-individual differences between the surgeons and residents structurally underestimated the bowel length. Ascertainment of measurement accuracy and adequate training is essential for bariatric procedures in which limb length is of importance.
(© 2022. The Author(s).)
References: Surg Obes Relat Dis. 2019 Jan;15(1):43-49. (PMID: 30501957)
Obes Surg. 2002 Aug;12(4):540-5. (PMID: 12194548)
Surg Endosc. 2016 Jan;30(1):11-23. (PMID: 25840896)
J Am Coll Surg. 2004 Oct;199(4):543-51. (PMID: 15454136)
Surg Endosc. 2017 Nov;31(11):4697-4704. (PMID: 28409379)
Lancet. 2019 Mar 30;393(10178):1299-1309. (PMID: 30851879)
J Minim Access Surg. 2018 Jan-Mar;14(1):37-43. (PMID: 28695878)
Obes Surg. 2005 Jan;15(1):51-7. (PMID: 15760498)
Obes Surg. 2021 Nov;31(11):4692-4700. (PMID: 34331186)
Surg Endosc. 2015 Jun;29(6):1297-302. (PMID: 25249147)
Biopharm Drug Dispos. 1995 Jul;16(5):351-80. (PMID: 8527686)
Surg Obes Relat Dis. 2008 Mar-Apr;4(2):166-72; discussion 172-3. (PMID: 18069071)
Obes Surg. 2018 Nov;28(11):3439-3445. (PMID: 30032419)
Surg Obes Relat Dis. 2010 Jul-Aug;6(4):347-55. (PMID: 20176512)
Surg Obes Relat Dis. 2008 Jul-Aug;4(4):521-5; discussion 526-7. (PMID: 18539540)
فهرسة مساهمة: Keywords: Bariatric surgery; Laparoscopic bowel length measurement; Limb length; Small bowel length
تواريخ الأحداث: Date Created: 20220224 Date Completed: 20220405 Latest Revision: 20220506
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8933352
DOI: 10.1007/s11695-022-05918-z
PMID: 35201571
قاعدة البيانات: MEDLINE
الوصف
تدمد:1708-0428
DOI:10.1007/s11695-022-05918-z