PMID: 25756137Mar 11, 2015Paper

An assessment of the physical impact of complex surgical tasks on surgeon errors and discomfort: a comparison between robot-assisted, laparoscopic and open approaches

BJU International
Oussama ElhageProkar Dasgupta

Abstract

To evaluate, in a simulated suturing task, individual surgeons’ performance using three surgical approaches: open, laparoscopic and robot-assisted. subjects and methods: Six urological surgeons made an in vitro simulated vesico-urethral anastomosis. All surgeons performed the simulated suturing task using all three surgical approaches (open, laparoscopic and robot-assisted). The time taken to perform each task was recorded. Participants were evaluated for perceived discomfort using the self-reporting Borg scale. Errors made by surgeons were quantified by studying the video recording of the tasks. Anastomosis quality was quantified using scores for knot security, symmetry of suture, position of suture and apposition of anastomosis. The time taken to complete the task by the laparoscopic approach was on average 221 s, compared with 55 s for the open approach and 116 s for the robot-assisted approach (anova, P < 0.005). The number of errors and the level of self-reported discomfort were highest for the laparoscopic approach (anova, P < 0.005). Limitations of the present study include the small sample size and variation in prior surgical experience of the participants. In an in vitro model of anastomosis surgery, robot-assisted sur...Continue Reading

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Citations

Jan 22, 2015·BJU International·Syed J RazaRobert P Huben
Aug 29, 2018·Work : a Journal of Prevention, Assessment, and Rehabilitation·Krista A Coleman WoodM Susan Hallbeck
Oct 19, 2016·Surgical Endoscopy·Shiromani JankiT C Khe Tran
Mar 23, 2019·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Hung Leng Kaan, Khek Yu Ho
Aug 25, 2018·Arab Journal of Urology·Hartwig SchwaiboldChristian Bach
Apr 19, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Ian Jun Yan WeeJames Chi-Yong Ngu
Jun 22, 2016·Surgical Endoscopy·Tina DalagerPernille Tine Jensen
Apr 6, 2021·Clinics in Colon and Rectal Surgery·Marisa Louridas, Sandra de Montbrun
Apr 12, 2021·Surgical Oncology·Se-Jin BaekSeon-Hahn Kim

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