Role of dedicated port cleaning devices in laparoscopic surgery

Nagano, Shinnosuke; Fujii, Shota; Momose, Kota; Yamashita, Kotaro; Saito, Takuro; Tanaka, Koji; Yamamoto, Kazuyoshi; Makino, Tomoki; Takahashi, Tsuyoshi; Kurokawa, Yukinori; Eguchi, Hidetoshi; Doki, Yuichiro; Nakajima, Kiyokazu

doi:https://doi.org/10.1007/s00464-024-11366-w

Role of dedicated port cleaning devices in laparoscopic surgery

Nagano, Shinnosuke; Fujii, Shota; Momose, Kota et al.

Surgical Endoscopy, 2024, 38, 7613-7620

Number of Access:2,155（2025-07-18 17:12 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/98813

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Title	Role of dedicated port cleaning devices in laparoscopic surgery
Creator	CreatorName Nagano, Shinnosuke
	CreatorName Fujii, Shota
	NRID 1000050749752 1000050749752 researchmap permalink kom2005 kom2005 CreatorName Momose, Kota
	NRID 1000020747159 1000020747159 researchmap permalink k-yamashita k-yamashita Scopus Author ID 57191498316 57191498316 CreatorName Yamashita, Kotaro
	NRID 1000020646468 1000020646468 researchmap permalink tsaito19 tsaito19 Scopus Author ID 57211629912 57211629912 CreatorName Saito, Takuro
	NRID 1000070621019 1000070621019 ORCID 0000-0001-5178-9388 0000-0001-5178-9388 researchmap permalink koji_tanaka koji_tanaka Scopus Author ID 55628548952 55628548952 CreatorName Tanaka, Koji
	NRID 1000070528637 1000070528637 researchmap permalink kymamoto13 kymamoto13 Scopus Author ID 12764120500 12764120500 CreatorName Yamamoto, Kazuyoshi
	NRID 1000080528620 1000080528620 researchmap permalink _-_-_- _-_-_- Scopus Author ID 56339970700 56339970700 CreatorName Makino, Tomoki
	NRID 1000050452389 1000050452389 ORCID 0000-0003-2397-1478 0000-0003-2397-1478 researchmap permalink mihogaoka13611 mihogaoka13611 Scopus Author ID 56182761100 56182761100 CreatorName Takahashi, Tsuyoshi
	NRID 1000010470197 1000010470197 researchmap permalink krkw krkw Scopus Author ID 7202562410 7202562410 CreatorName Kurokawa, Yukinori
	NRID 1000090542118 1000090542118 researchmap permalink abcdabcdabcd abcdabcdabcd Scopus Author ID 7101627772 7101627772 CreatorName Eguchi, Hidetoshi
	NRID 1000020291445 1000020291445 researchmap permalink ydoki3251 ydoki3251 Scopus Author ID 7006390687 7006390687 CreatorName Doki, Yuichiro
	NRID 1000030432537 1000030432537 researchmap permalink project_engine project_engine Scopus Author ID 7404396263 7404396263 ORCID 0000-0001-8635-7585 0000-0001-8635-7585 CreatorName Nakajima, Kiyokazu
Subject	Cleaning device
	Laparoscopic surgery
	Port cleaning
Description	The version of record of this article, first published in Surgical Endoscopy, is available online at Publisher’s website: https://doi.org/10.1007/s00464-024-11366-w.
Abstract	Background: 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. Methods: 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 + surgical forceps, (2) a surgical gauze + laparoscopic forceps, (3) a small laparoscopic gauze + laparoscopic forceps, (4) a cylinder-type cleaner (Endo Wiper; Osaki Medical), and (5) a swab-type cleaner (Port Cleaner; Hakuzo Medical). The “port cleaning rate” 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. Results: The two dedicated devices had a statistically higher cleaning rate for 12-mm port than the methods using surgical gauze (p < 0.05). Regarding the 5-mm port, a swab-type cleaner showed the highest cleaning rate than the gauze method and a cylinder-type cleaner (p < 0.05). After multiple cleaning procedures for 12-mm port, cleaning rate of a swab-type cleaner decreased by an average of 5.4% (p = 0.044), 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 < 0.01). Conclusion: 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.
Publisher	Springer
Source Title	Surgical Endoscopy
Volume (Issue)	38
Page	7613-7620
Date of Issued	2024-11-11
Language	English
Handle URL	https://hdl.handle.net/11094/98813
PISSN	09302794
eISSN	14322218
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1007/s00464-024-11366-w
Access Rights	open access
CopyRight	This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCTERMS.bibliographicCitation	Surgical Endoscopy. 2024, 38, p. 7613-7620
DC.title	Role of dedicated port cleaning devices in laparoscopic surgery
DC.creator	Nagano, Shinnosuke
	Fujii, Shota
	Momose, Kota
	Yamashita, Kotaro
	Saito, Takuro
	Tanaka, Koji
	Yamamoto, Kazuyoshi
	Makino, Tomoki
	Takahashi, Tsuyoshi
	Kurokawa, Yukinori
	Eguchi, Hidetoshi
	Doki, Yuichiro
	Nakajima, Kiyokazu
DC.publisher	Springer
DC.language' scheme='DCTERMS.RFC1766	English
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2024-11-11
DC.identifier	https://doi.org/10.1007/s00464-024-11366-w
DC.subject	Cleaning device
	Laparoscopic surgery
	Port cleaning
DC.description	The version of record of this article, first published in Surgical Endoscopy, is available online at Publisher’s website: https://doi.org/10.1007/s00464-024-11366-w.
DCTERMS.abstract	Background: 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. Methods: 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 + surgical forceps, (2) a surgical gauze + laparoscopic forceps, (3) a small laparoscopic gauze + laparoscopic forceps, (4) a cylinder-type cleaner (Endo Wiper; Osaki Medical), and (5) a swab-type cleaner (Port Cleaner; Hakuzo Medical). The “port cleaning rate” 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. Results: The two dedicated devices had a statistically higher cleaning rate for 12-mm port than the methods using surgical gauze (p < 0.05). Regarding the 5-mm port, a swab-type cleaner showed the highest cleaning rate than the gauze method and a cylinder-type cleaner (p < 0.05). After multiple cleaning procedures for 12-mm port, cleaning rate of a swab-type cleaner decreased by an average of 5.4% (p = 0.044), 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 < 0.01). Conclusion: 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.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	98813
citation_title	Role of dedicated port cleaning devices in laparoscopic surgery
citation_author	Nagano, Shinnosuke
	Fujii, Shota
	Momose, Kota
	Yamashita, Kotaro
	Saito, Takuro
	Tanaka, Koji
	Yamamoto, Kazuyoshi
	Makino, Tomoki
	Takahashi, Tsuyoshi
	Kurokawa, Yukinori
	Eguchi, Hidetoshi
	Doki, Yuichiro
	Nakajima, Kiyokazu
citation_publisher	Springer
citation_language	English
citation_date	2024-11-11
citation_journal_title	Surgical Endoscopy
citation_volume	38
citation_firstpage	7613
citation_lastpage	7620
citation_doi	https://doi.org/10.1007/s00464-024-11366-w
citation_public_url	https://hdl.handle.net/11094/98813

Role of dedicated port cleaning devices in laparoscopic surgery

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