利用 AirSeal® 系统模拟腹腔镜腔内手术烟雾颗粒的分布情况。

Q3 Engineering Journal of Medical Engineering and Technology Pub Date : 2023-01-01 Epub Date: 2022-07-08 DOI:10.1080/03091902.2022.2096134
Steven Lathers, Mahesh Krishnamoorthy, Nikhil Vasdev, Gary Tegan
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引用次数: 0

摘要

我们进行了一项探索性研究,以确定 AirSeal® 系统和传统充气入路系统在各种模拟手术场景中的手术烟雾颗粒物 (SSPM) 分布和排空时间。在将 AirSeal® 系统设置为低排烟时,确定的趋势显示出统计学意义,即它降低了进入口开口处微粒物质的百分比。此外,还观察到在使用腹腔镜工具时,充气系统和进入系统在进入口和套管开口处的微粒分布趋势相似。在 AirSeal® 系统内清除 SSPM 的排烟时间显示,手术腔内的总体平均减少时间≥95%,为 5.64 分钟,在进入孔开口处为 3.69 分钟,在排烟管道内为 3.61 分钟。传统充气和进入系统在手术腔内的总平均时间为 9.38 分钟,在套管开口处为 6.06 分钟。结果显示,使用传统系统与 AirSeal® 系统相比,手术腔内的排烟时间增加了 66.31%,套管开口处的排烟时间增加了 64.23%。
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Distribution of surgical smoke particles within a simulated laparoscopic cavity utilizing an AirSeal® system.

An exploratory study was performed to determine the distribution of surgical smoke particulate matter (SSPM) and evacuation times within an AirSeal® System and a traditional insufflation access system in various simulated surgical scenarios. Identified trends showed statistical significance when setting the AirSeal® System to Low smoke evacuation that it reduces the percentage of particulate matter at the Access Port opening. Additionally, it was observed that when utilising a laparoscopic tool a similar trend in particle distributions were seen between either insufflation and access system at the opening of the Access Port and trocar. Evacuation times for SSPM removal within the AirSeal® System showed an overall average to ≥95% reduction of 5.64 min within the surgical cavity, 3.69 min at the Access Port opening, and 3.61 min within the smoke evacuation line. The overall average for the traditional insufflation and access system was 9.38 min within the surgical cavity and 6.06 min at the trocar opening. Results showed that when using the traditional system compared to the AirSeal® System, it resulted in a percent change increase in evacuation times of 66.31% within the surgical cavity and 64.23% at the trocar opening.

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来源期刊
Journal of Medical Engineering and Technology
Journal of Medical Engineering and Technology Engineering-Biomedical Engineering
CiteScore
4.60
自引率
0.00%
发文量
77
期刊介绍: The Journal of Medical Engineering & Technology is an international, independent, multidisciplinary, bimonthly journal promoting an understanding of the physiological processes underlying disease processes and the appropriate application of technology. Features include authoritative review papers, the reporting of original research, and evaluation reports on new and existing techniques and devices. Each issue of the journal contains a comprehensive information service which provides news relevant to the world of medical technology, details of new products, book reviews, and selected contents of related journals.
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