Assessment of Postural Ergonomics and Surgical Performance in Laparoendoscopic Single-Site Surgery Using a Handheld Robotic Device

Surgical Innovation
Francisco M Sánchez-Margallo, Juan A Sánchez-Margallo

Abstract

New laparoscopic devices are being continuously developed to overcome some of the technical and ergonomic limitations of laparoendoscopic single-site (LESS) surgery. This study aims to assess the surgeon's surgical performance and ergonomics during the use of a handheld, robotic-driven, articulating laparoscopic instrument during LESS surgery. Seven right-handed experienced surgeons took part in this study. A set of basic suturing tasks and digestive and urological procedures in a porcine model were performed. Surgeons used both a conventional laparoscopic needle holder and a robotic device. The learning curve, execution time, and precision using the surgical needle were assessed. The surgeon's posture was analyzed using a motion tracking system and a data glove. After the training period, execution time on the intracorporeal suturing was significantly shorter using the conventional needle holder. The precision was higher using the conventional instrument in the horizontal plane, but the number of attempts to position the needle was lower using the robotic device (1.625 ± 0.250 vs 1.188 ± 0.375 attempts). The extension of the elbow (134.681 ± 14.35° vs 120.631 ± 13.134°) and the flexion of the shoulder (26.122 ± 7.411° vs 18.47...Continue Reading

References

Jan 26, 1999·Surgical Endoscopy·U Matern, P Waller
May 5, 1999·Surgical Endoscopy·R BerguerW D Smith
Aug 19, 2007·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·L R MedeirosS Furness
Oct 17, 2008·European Urology·Stephanie G C KroezeAnup Patel
Aug 29, 2009·Work : a Journal of Prevention, Assessment, and Rehabilitation·Ulrich Matern
Sep 14, 2010·European Urology·Jens J Rassweiler
Aug 30, 2012·Nature Methods·Caroline A SchneiderKevin W Eliceiri
Sep 8, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Antonio Morandeira-RivasLuis Giménez-Salillas
Apr 13, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Francisco J Pérez-DuarteJesús Usón-Gargallo
Feb 11, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Ignacio ZapardielJavier De Santiago
Feb 14, 2015·Taiwanese Journal of Obstetrics & Gynecology·Sara IacoponiIgnacio Zapardiel
Mar 12, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Dimitrios XourafasStanley W Ashley
May 29, 2015·Surgical Endoscopy·Thierry BensignorBrice Gayet
Nov 17, 2016·Journal of Endourology·Serdar AykanAhmet Yaser Muslumanoglu
Jul 12, 2017·International Journal of Computer Assisted Radiology and Surgery·Juan A Sánchez-Margallo, Francisco M Sánchez-Margallo

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Methods Mentioned

BETA
hysterectomy
bilateral oophorectomy

Software Mentioned

SIMULAP
ErgoStatistics
GelPOINT
ARRIVE
R Foundation for Statistical
CLIMA
R

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