{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T05:19:49Z","timestamp":1791091189138,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2010,8,26]],"date-time":"2010-08-26T00:00:00Z","timestamp":1282780800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005566","name":"Ethicon Endo-Surgery","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005566","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2010,12]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n We hypothesized that simulator\u2010generated metrics and intraoperative errors may be able to differentiate the technical differences between hand\u2010assisted laparoscopic (HAL) and straight laparoscopic (SL) approaches.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Thirty\u2010eight trainees performed two laparoscopic sigmoid colectomies on an augmented reality simulator, randomly starting by a SL (\n n<\/jats:italic>\n = 19) or HAL (\n n<\/jats:italic>\n = 19) approach. Both approaches were compared according to simulator\u2010generated metrics, and intraoperative errors were collected by faculty.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Sixty\u2010four percent of surgeons were experienced (>50 procedures) with open colon surgery. Fifty\u2010five percent and 69% of surgeons were inexperienced (<10 procedures) with SL and HAL colon surgery, respectively. Time (\n P<\/jats:italic>\n < 0.001), path length (\n P<\/jats:italic>\n < 0.001), and smoothness (\n P<\/jats:italic>\n < 0.001) were lower with the HAL approach. Operative times for sigmoid and splenic flexure mobilization and for the colorectal anastomosis were significantly shorter with the HAL approach. Time to control the vascular pedicle was similar between both approaches. Error rates were similar between both approaches. Operative time, path length, and smoothness correlated directly with the error rate for the HAL approach. In contrast, error rate inversely correlated with the operative time for the SL approach.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n A HAL approach for sigmoid colectomy accelerated colonic mobilization and anastomosis. The difference in correlation between both laparoscopic approaches and error rates suggests the need for different skills to perform the HAL and the SL sigmoid colectomy. These findings may explain the preference of some surgeons for a HAL approach early in the learning of laparoscopic colorectal surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.1007\/s00268-010-0765-0","type":"journal-article","created":{"date-parts":[[2010,8,25]],"date-time":"2010-08-25T10:44:41Z","timestamp":1282733081000},"page":"2909-2914","source":"Crossref","is-referenced-by-count":20,"title":["Hand\u2010Assisted Versus Straight Laparoscopic Sigmoid Colectomy on a Training Simulator: What is the Difference?"],"prefix":"10.1002","volume":"34","author":[{"given":"Fabien","family":"Leblanc","sequence":"first","affiliation":[{"name":"Division of Colorectal Surgery University Hospitals Case Medical Center Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Conor P.","family":"Delaney","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery University Hospitals Case Medical Center Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clyde N.","family":"Ellis","sequence":"additional","affiliation":[{"name":"Department of Surgery Allegheny General Hospital Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul C.","family":"Neary","sequence":"additional","affiliation":[{"name":"Department of Surgery Adelaide and Health Hospital incorporating the National Children\u2019s Hospital Tallaght Dublin 24 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley J.","family":"Champagne","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery University Hospitals Case Medical Center Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony J.","family":"Senagore","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery University of Southern California\u2010Keck School of Medicine Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,8,26]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.142.3.298"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa032651"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181ad6511"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6134"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2009.01777.x"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-007-9621-1"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010009\u20100244\u20107"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010008\u20109269\u20105"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010008\u20109857\u20104"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2008.03.005"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010008\u20109900\u20105"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010008\u20109844\u20109"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010007\u20109261\u20105"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181b9e831"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181e263f1"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.04.002"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010002\u20109176\u20100"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-010-0765-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-010-0765-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-010-0765-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T10:49:32Z","timestamp":1703587772000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-010-0765-0"}},"subtitle":["A Stepwise Comparison of Hand\u2010Assisted Versus Straight Laparoscopic Sigmoid Colectomy Performance on an Augmented Reality Simulator"],"short-title":[],"issued":{"date-parts":[[2010,8,26]]},"references-count":17,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2010,12]]}},"alternative-id":["10.1007\/s00268-010-0765-0"],"URL":"https:\/\/doi.org\/10.1007\/s00268-010-0765-0","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,8,26]]}}}