腹腔鏡手術文獻計量與可視化分析

1970年代以前腹腔內各種疾病需手術介入治療，往往需藉由剖開腹部進行腹腔內手術。近年來腹腔鏡手術(Laparoscopic Surgery)的發展，得以藉由微小的孔洞進行腹腔內的手術，治療效果及優越性不斷的被驗證，醫界相關的專業人士也相繼認可針對某些疾病它是一種安全有效的治療方法，且具有令人滿意的療效。唯腹腔鏡手術治療仍有許多腹內疾病尚未被認為是標準療法，且認為腹腔鏡手術並不優於傳統開腹手術或不安全。因此本研究採用科技整合學術研究及文獻資源，以Web of Science Core Collection資料庫之強大的檢索、存取、管理與評價等功能特色，將腹腔鏡手術的整體知識資訊進行探勘。另以文獻計量學方法，透過VOSviewer 的模型化聚類技術，藉由分群演算法(Cluster)與製圖 (Mapping)技術功能，以模擬向量空間方式呈現文獻數據結構及關係權重，以更清晰直觀、絢麗多彩的圖形呈現知識結構變化的趨勢。研究結果發現，在國家及機構的網絡合作關係中，歐美國家彼此之間合作關係密切，亞洲國家彼此之間合作關係密切。從共被引動態結構變化的角度來看，可見連結強度前幾名之作者及文獻，皆為探討腹腔鏡結腸及直腸手術相關議題。未來相關領域之專家學者在分析腹腔鏡手術時，可以打破地區、語系之藩籬，多參考相關專家之文獻，並針對結腸直腸以外的議題多多著墨，分析不同種類之腹腔鏡手術，關於手術技巧及手術的併發症及預後，建立更多腹內手術以腹腔鏡施行之標準化做法，如此可能是腹腔鏡手術領域未來的研究焦點。

關鍵字

腹腔鏡手術；文獻計量；可視化分析

並列摘要

The development of laparoscopic surgery, an operation performed in the abdomen through the use of microscopic incisions, can be proven repeatedly through the effectiveness of the surgery and its superiority. However, because of the existence of many abdominal illnesses, laparoscopic surgery has yet to be considered a standard treatment. Because of this, this study focuses on the Web of Science Core Collection database as a subject, making use of its incredible features to retrieve, save, manage and review information and explore blanket data on laparoscopic surgery. On the other hand, bibliometrics is employed via VOSviewer’s cluster modeling technology, using clustering and mapping features to model the importance of the literature data structure and relationship, and how they can be displayed in vector spaces to showcase trends in how knowledge structures change through clear, intuitive, and colorful graphs. As evidenced by brand-new science and technology, this will pinpoint the direction that laparoscopy’s future development will take. The visualized data analysis of quantitative laparoscopic surgery papers have reached these conclusions: within the network of collaborations between nations and institutions, the US and European countries have close collaborative relationships, and vice versa for the Asian countries of this study. As seen from the changes in the co-citation dynamics structure, prominent authors and papers with stronger connection strengths can be seen in the co-cited author analysis or co-cited paper analysis, all of which discuss the use of laparoscopy in hemicolectomy and colorectal surgeries. Experts in relevant fields who are to analyze laparoscopic surgeries in the future will be able to work beyond regional and linguistic barriers by referencing papers written by other experts, and zero in on issues other than hemicolectomy and colorectal surgeries, looking at different kinds of laparoscopic surgeries, what skills and techniques are involved and the complications and prognosis of these surgeries, to establish more standardized methods in conducting abdominal operations via laparoscopy, something that could potentially become a focus in the field’s future research.