{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:43:22Z","timestamp":1740109402534,"version":"3.37.3"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004206","name":"Osaka University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004206","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Various techniques have been used to prevent smudge on a laparoscope when inserting through trocars; however, there has been no standardized method. The purpose of this study was to compare the performance of different cleaning techniques with or without using dedicated devices, and to evaluate the features of cleaning devices.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The smudge was created in the standard 12-mm and 5-mm ports using pseudo-blood, and port cleaning was attempted using 5 different methods: (1) a surgical gauze\u2009+\u2009surgical forceps, (2) a surgical gauze\u2009+\u2009laparoscopic forceps, (3) a small laparoscopic gauze\u2009+\u2009laparoscopic forceps, (4) a cylinder-type cleaner (Endo Wiper; Osaki Medical), and (5) a swab-type cleaner (Port Cleaner; Hakuzo Medical). The \u201cport cleaning rate\u201d was calculated by measuring the absorbance of remained pseudo-blood after single cleaning procedure using UV spectrophotometry. In addition, the port cleaning rate was compared between two dedicated devices after multiple (5 times) cleaning procedures.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The two dedicated devices had a statistically higher cleaning rate for 12-mm port than the methods using surgical gauze (p\u2009&lt;\u20090.05). Regarding the 5-mm port, a swab-type cleaner showed the highest cleaning rate than the gauze method and a cylinder-type cleaner (p\u2009&lt;\u20090.05). After multiple cleaning procedures for 12-mm port, cleaning rate of a swab-type cleaner decreased by an average of 5.4% (p\u2009=\u20090.044), but cleaning rate did not decrease for a cylinder-type cleaner. Regarding the 5-mm port, cleaning rate statistically decreased for both two dedicated devices (p\u2009&lt;\u20090.01).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Higher port cleaning rates were observed in techniques using dedicated devices. A swab-type cleaner had better port cleaning rate in single use, especially for the 5-mm port. A cylinder-type cleaner showed higher durability in cleaning 12-mm port. The features of these dedicated devices should be well understood, and cleaning methods should be selected according to the environment and surgical techniques.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00464-024-11366-w","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T17:55:14Z","timestamp":1731347714000},"page":"7613-7620","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Role of dedicated port cleaning devices in laparoscopic surgery"],"prefix":"10.1007","volume":"38","author":[{"given":"Shinnosuke","family":"Nagano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shota","family":"Fujii","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kota","family":"Momose","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kotaro","family":"Yamashita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuro","family":"Saito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuyoshi","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoki","family":"Makino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukinori","family":"Kurokawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidetoshi","family":"Eguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Doki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8635-7585","authenticated-orcid":false,"given":"Kiyokazu","family":"Nakajima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"11366_CR1","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1007\/s00384-023-04491-w","volume":"38","author":"G Portale","year":"2023","unstructured":"Portale G, Spolverato YC, Tonello AS, Bartolotta P, Frigo G, Simonetto M, Gregori D, Fiscon V (2023) Which video technology brings the higher cognitive burden and motion sickness in laparoscopic colorectal surgery: 3D, 2D\u20134 K or 3D\u20134 K? A propensity score study. Int J Colorectal Dis 38:190","journal-title":"Int J Colorectal Dis"},{"key":"11366_CR2","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1007\/s13304-023-01465-z","volume":"75","author":"S Restaino","year":"2023","unstructured":"Restaino S, Scutiero G, Taliento C, Poli A, Bernardi G, Arcieri M, Santi E, Fanfani F, Chiantera V, Driul L et al (2023) Three-dimensional vision versus two-dimensional vision on laparoscopic performance of trainee surgeons: a systematic review and meta-analysis. Updates Surg 75:455\u2013470","journal-title":"Updates Surg"},{"key":"11366_CR3","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1089\/lap.2008.0076","volume":"18","author":"A Alhamdani","year":"2008","unstructured":"Alhamdani A, Abbas A, Mahmud S, Baker A (2008) Cleaning the laparoscopic camera port by a microbiology culture swab. J Laparoendosc Adv Surg Tech A 18:751\u2013752","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"11366_CR4","doi-asserted-by":"publisher","first-page":"821","DOI":"10.1089\/lap.2011.0200","volume":"21","author":"H Theeuwes","year":"2011","unstructured":"Theeuwes H, Zengerink H, Mannaerts G (2011) Easy cleaning of the camera port during laparoscopic surgery: three practical techniques. J Laparoendosc Adv Surg Tech A 21:821\u2013822","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"11366_CR5","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1007\/s00464-015-4229-3","volume":"30","author":"E Kobayashi","year":"2016","unstructured":"Kobayashi E, Kakuda M, Tanaka Y, Morimoto A, Egawa-Takata T, Matsuzaki S, Kimura T, Ueda Y, Yoshino K, Nakajima K et al (2016) A novel device for cleaning the camera port during laparoscopic surgery. Surg Endosc 30:330\u2013334","journal-title":"Surg Endosc"},{"key":"11366_CR6","doi-asserted-by":"publisher","first-page":"786","DOI":"10.55519\/JAMC-04-9611","volume":"34","author":"NS Kiani","year":"2022","unstructured":"Kiani NS, Saulat S, Sheikh J, Ayub A, Ashraf H, Qadri SSU, Ejaz M (2022) The new gold standard in laparoscopic imaging: 3d Vs 4k laparoscopic nephrectomy- a single centered randomized controlled trial. J Ayub Med Coll Abbottabad 34:786\u2013790","journal-title":"J Ayub Med Coll Abbottabad"},{"key":"11366_CR7","doi-asserted-by":"publisher","DOI":"10.1080\/13645706.2024.2343855","author":"A Morciano","year":"2024","unstructured":"Morciano A, Marzo G, Schiavi MC, Zullo MA, Frigerio M, Tinelli A, Cervigni M, Scambia G (2024) From 3D to 2D\u20134K laparoscopic sacral colpopexy: are we addicted to technology. Minim Invasive Ther Allied Technol. https:\/\/doi.org\/10.1080\/13645706.2024.2343855","journal-title":"Minim Invasive Ther Allied Technol"},{"key":"11366_CR8","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1080\/13645706.2023.2286519","volume":"33","author":"Y Kubo","year":"2024","unstructured":"Kubo Y, Yasui T, Matsuda Y, Takahashi Y, Yamashita K, Saito T, Tanaka K, Makino T, Takahashi T, Kurokawa Y et al (2024) A new scope warmer\/cleaner for laparoscopic surgery: a disposable hot pack. Minim Invasive Ther Allied Technol 33:64\u201370","journal-title":"Minim Invasive Ther Allied Technol"},{"key":"11366_CR9","doi-asserted-by":"publisher","DOI":"10.1002\/wjs.12190","author":"T Yokouchi","year":"2024","unstructured":"Yokouchi T, Doki Y, Nakajima K (2024) Clinical effectiveness of a new scope warmer\/cleaner for laparoscopic and thoracoscopic surgery. World J Surg. https:\/\/doi.org\/10.1002\/wjs.12190","journal-title":"World J Surg"},{"key":"11366_CR10","doi-asserted-by":"publisher","first-page":"1600","DOI":"10.1007\/s00464-017-5772-x","volume":"32","author":"TG Manning","year":"2018","unstructured":"Manning TG, Papa N, Perera M, McGrath S, Christidis D, Khan M, O\u2019Beirne R, Campbell N, Bolton D, Lawrentschuk N (2018) Laparoscopic lens fogging: solving a common surgical problem in standard and robotic laparoscopes via a scientific model. Surg Endosc 32:1600\u20131606","journal-title":"Surg Endosc"},{"key":"11366_CR11","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2022.00066","author":"S Golestani","year":"2022","unstructured":"Golestani S, Hill C, Ali J, Idelson C, Rylander C, Uecker J (2022) A Clean sweep: initial experience with a novel intracavity laparoscopic cleaning device. JSLS. https:\/\/doi.org\/10.4293\/JSLS.2022.00066","journal-title":"JSLS"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-024-11366-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-024-11366-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-024-11366-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T15:11:44Z","timestamp":1736176304000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-024-11366-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,11]]},"references-count":11,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["11366"],"URL":"https:\/\/doi.org\/10.1007\/s00464-024-11366-w","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"type":"print","value":"0930-2794"},{"type":"electronic","value":"1432-2218"}],"subject":[],"published":{"date-parts":[[2024,11,11]]},"assertion":[{"value":"24 June 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 October 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 November 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All the authors (Shinnosuke Nagano, Shota Fujii, Kota Momose, Kotaro Yamashita, Takuro Saito, Koji Tanaka, Kazuyoshi Yamamoto, Tomoki Makino, Tsuyoshi Takahashi, Yukinori Kurokawa, Hidetoshi Eguchi, Yuichiro Doki, Kiyokazu Nakajima) have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}