Unique ID issued by UMIN | UMIN000043358 |
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Receipt number | R000049483 |
Scientific Title | Exploratory Report: "Initial Report: A Unique Three-Dimensional Elastic Liver Model with Emulator Functionality; Evaluation to the theme that the Simulation Model Assisting Resection Technique of Liver (SMART Liver) has an emulation function" |
Date of disclosure of the study information | 2021/02/23 |
Last modified on | 2021/02/19 11:21:55 |
Evaluation to the theme that the Simulation Model Assisting Resection Technique of Liver (SMART Liver) has an emulation function
E-SMART Liver
Exploratory Report: "Initial Report: A Unique Three-Dimensional Elastic Liver Model with Emulator Functionality; Evaluation to the theme that the Simulation Model Assisting Resection Technique of Liver (SMART Liver) has an emulation function"
Exploratory Report: E-SMART Liver
Japan |
hepatic disease
Hepato-biliary-pancreatic surgery |
Malignancy
NO
In hepatic treatment, high-level skills and experience are indispensable. Preoperative simulations have become a valid approach and are widely used. However, at present, it is complicated to perform physical simulations on simulated images with real-time liver deformity requires a lot of calculations and to simultaneously reproduce the nonrigid registration of the liver with elasticity on the monitor during surgery. Therefore, this study aimed to develop a patient-specific 3D liver model (Simulation Model Assisting Resection Technique of Liver, or SMART Liver) to reproduce in vivo conditions and to enable preoperative simulations, including nonrigid registration.
The 3DLM's validity were investigated by questionnaire survey to doctors engaged in liver treatment.
After the initial physical simulation with SMART Liver, the learning curve of sequential laparoscopic lateral sectionectomy operations performed by one operator was investigated retrospectively.
Safety,Efficacy
Exploratory
Pragmatic
Not applicable
Theme that the 3D model has an emulation function in teaching residents were investigated on a 5-point scale (5: excellent; 4: good; 3: fair; 2: poor; 1: unacceptable) after watching an instructional video
1) reproducibility
the images obtained from the 3D model properly depict information
transparency
tolerability of imaging devices (ultrasonography)
tolerability of imaging devices (CT)
appropriate for training the therapeutic techniques (real-time virtual sonography, puncture technique, interventional approach)
appropriate for training the therapeutic techniques (puncture technique)
appropriate for training the therapeutic techniques (interventional approach)
appropriate for training the therapeutic techniques (laparoscopic lateral sectionectomy)
Number of cases to reach the appropriate operative time on the learning curve.
Interventional
Parallel
Non-randomized
Open -but assessor(s) are blinded
Placebo
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
2
Educational,Counseling,Training
Device,equipment |
Instructing doctors
Practitioner
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1) Questionnaire survey target doctors
Doctors involved in liver treatment.
2) Patients undergoing laparoscopic lateral sectionectomy of liver
(1) Performance status 0 or 1
(2) Patients who meet the following criteria and have bone marrow function that can appropriately evaluated safety
a) White blood cells >/= 3500 /mm2
b) Hemoglobin >/= 10.0 g/dl
c) Platelets >/= 100000 /mm2
(3) Patients who met the following criteria and have liver function that can appropriately evaluated safety.
a) Total serum bilirubin < 2.0mg/dl
b) AST < 100 IU/L
c) ALT < 100 IU/L
d) ICG stagnation rate at 15 minutes < 20 %
e) PT > 80 %
f) Ascites: None
g) Hepatic encephalopathy: None
2) Patients undergoing laparoscopic lateral sectionectomy of liver
(1) Patients with a history of upper abdominal surgery
(2) Patients with severe renal damage
(3) Patients with bleeding tendency
(4) Patients who are judged to be inappropriate for this study by the doctor or the attending physician
30
1st name | KOICHIRO |
Middle name | |
Last name | SAKATA |
Japan Seafarers Relief Association Moji Ekisaikai Hospital
Surgery
801-8550
1-3-1 Kiyotaki Mojiku, Kitakyushu city, Fukuoka, Japan
+81-093-321-0984
atak51ks331007@gmail.com
1st name | KOICHIRO |
Middle name | |
Last name | SAKATA |
Japan Seafarers Relief Association Moji Ekisaikai Hospital
Surgery
801-8550
1-3-1 Kiyotaki Mojiku, Kitakyushu city, Fukuoka, Japan
+81-093-321-0984
atak51ks331007@gmail.com
Japan Seafarers Relief Association Moji Ekisaikai Hospital
Kitakyushu Medical Association
Other
Japan
Japan Seafarers Relief Association Moji Ekisaikai Hospital
1-3-1 Kiyotaki Mojiku, Kitakyushu city, Fukuoka, Japan
+81-093-321-0984
atak51ks331007@gmail.com
NO
北九州市立医療センター(福岡)、北九州市立八幡病院(福岡)、一般社団法人平成紫川会小倉記念病院(福岡)、岩本内科医院(福岡)、独立行政法人労働者健康安全機構九州労災病院(福岡)
2021 | Year | 02 | Month | 23 | Day |
Unpublished
Preinitiation
2021 | Year | 01 | Month | 14 | Day |
2021 | Year | 02 | Month | 12 | Day |
2021 | Year | 02 | Month | 19 | Day |
2021 | Year | 03 | Month | 30 | Day |
2021 | Year | 02 | Month | 17 | Day |
2021 | Year | 02 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049483
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