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- 저자 : ( Takanori Sakaguchi ) (검색결과 1 건)
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( Cheng-maw Ho ),( Go Wakabayashi ),( Chi-chuan Yeh ),( Rey- Heng Hu ),( Takanori Sakaguchi ),( Takeshi Takahara ),( Po- Huang Lee ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: Liver resection is a complex procedure for trainee sur geons. Cognitive task analysis facilitates understanding and decomposing tasks that require a great proportion of mental activity from experts. Methods: Using cognitive task analysis and video-based coaching to compare liver resection by open and laparoscopic approaches, we decomposed the task of liver resection into exposure (visual field building), adequate tension made at the working plane (which may change three-dimensionally during the resection process), and target processing (intervention strat egy) that can bridge the gap from the basic surgical principle. Results: The key steps of highly-specialized techniques, includ ing hanging maneuvers and looping of extra-hepatic hepatic veins, will be shown on video by open and laparoscopic ap proaches. Conclusions: Familiarization with laparoscopic anatomical orientation may help surgeons already skilled at open liver re section transit to perform laparoscopic liver resection smoothly. Facilities at hand (such as patient tolerability, advanced instru ments, and trained teams of personnel) can influence surgical decision making. Application of the rationale and realizing the interplay between the surgical principles and the other para medical factors may help surgeons in training to understand the mental abstractions of experienced surgeons, to choose the most appropriate surgical strategy effectively at will, and to minimize the gap.
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