Contribution of 3D Printing in Anatomical Lung Segmentectomies: a Prospective Randomized Controlled Pilot Trial.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Thoracic Surgery
- Sponsor
- Institut Mutualiste Montsouris
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Surgeon's mental workload.
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The aim of the present work was to evaluate if the presence on the operating field of a 3D printed personalized model of the pulmonary anatomy of a patient operated by full thoracoscopy for an anatomical segmentectomy, makes it possible to reduce the mental workload and the fatigue of the surgeon.
Detailed Description
Between 28.10.2020 and 05.10.2021, we successively included all anatomic segmentectomies performed by full thoracoscopy in our department, except for S6 segmentectomies, S4+5 left bisegmentectomy and patients for whom the time to surgery was considered too short to obtain the 3D printed model before surgery. We performed a prospective randomized controlled pilot trial on 2 parallel arms: * The "Digital" arm * The "Digital+Object" arm.
Investigators
Eligibility Criteria
Inclusion Criteria
- •all anatomic segmentectomies performed by full thoracoscopy, except for S6 segmentectomies, S4+5 left bisegmentectomy and patients for whom the time to surgery was considered too short to obtain the 3D printed model before surgery.
Exclusion Criteria
- •S6 segmentectomies
- •S4+5 left bisegmentectomy
- •Patients for whom the time to surgery was considered too short to obtain the 3D printed model before surgery.
Outcomes
Primary Outcomes
Surgeon's mental workload.
Time Frame: 1 day
measure of mental workload by the NASA-TLX score at the end of the surgery: It is a multidimensional rating scale that has six bipolar dimensions: mental demand (MD); physical demand (PD); time demand (TD); self performance (P); effort (E); and frustration (F). The dimensions thus reflect tasks (DM, PD, TD), performance (P), and behavioral factors (E and F). NASA-TLX is calculated through a self-questionnaire, using 20-point visual analogue scales anchored by very low and very high. The test provides a global load score between zero and 100 and by sub-dimensions, higher scores indicating higher mental loads of subjective perceptions.
Secondary Outcomes
- Duration of the surgical procedure(1 day)
- The surgeon's stress during surgery(1 day)
- The surgeon's overall satisfaction at the end of the surgery.(1 day)
- Surgeon's attention to work by d2-R test(1 day)
- Surgeon's attention to work by EncephalApp Stroop test.(1 day)