Ergonomic analysis of laparoscopic and robotic surgical task performance at various experience levels

Rodríguez, Jorge García; Zihni, Ahmed M.; Ohu, Ikechukwu; Cavallo, Jaime A.; Ray, Shuddhadeb; Cho, Sohyung; Awad, Michael M.

doi:10.1007/s00464-018-6478-4

Cited by 41 publications

(33 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The reported percentage of musculoskeletal disorders ranges from 73%-100% for laparoscopic surgery and 23%-80% for robotic surgery [44] . Electromyography has been used to compare muscle activation between laparoscopic and robotic surgery, revealing that muscle activation was higher in most muscle groups in laparoscopic compared to robotic surgeons [45] . The only muscle group that did not show significant difference in activation was the trapezius, and this was correlated to poor positioning of the robotic eyepiece.…”

Section: Resultsmentioning

confidence: 99%

Robotic or laparoscopic surgery for rectal cancer - which is the best answer? a comprehensive review of non-oncological outcomes and learning curve

Kavalukas¹,

Ghuman²,

Sharp³

et al. 2020

Mini-invasive Surg

View full text Add to dashboard Cite

Much effort has been spent evaluating the difference between robotic and laparoscopic surgery platforms for rectal cancer. There is a plethora of literature comparing outcomes for intraoperative events, postoperative complications, long term outcomes, cost, and learning curve. The data are conclusive regarding the higher cost of robotic surgery compared to laparoscopic surgery. This article is a comprehensive review of the available literature regarding intraoperative and postoperative outcomes. For practically all parameters evaluated, there are no significant differences between the two platforms. The ultimate decision on whether to perform robotic vs. laparoscopic surgery should be based on surgeon preference and familiarity with equipment, as well as local resources.

show abstract

Section: Resultsmentioning

confidence: 99%

Robotic or laparoscopic surgery for rectal cancer - which is the best answer? a comprehensive review of non-oncological outcomes and learning curve

Kavalukas¹,

Ghuman²,

Sharp³

et al. 2020

Mini-invasive Surg

View full text Add to dashboard Cite

show abstract

“…All surgeries were performed randomly by one right-handed expert with experience more than 100 laparoscopic cases and 50 robotic cases. 11 The surgeon took about half an hour for rest after an operation to avoid the impact of the previous operation on the next operation. Seven KD-RPNs were performed with the new platform by the surgeon to get accustomed to the machine before the trial.…”

Section: Methodsmentioning

confidence: 99%

Comparison of KD‐SR‐01 robotic partial nephrectomy and 3D‐laparoscopic partial nephrectomy from an operative and ergonomic perspective: A prospective randomized controlled study in porcine models

Dai

Fan

Hao

et al. 2020

Robotics Computer Surgery

View full text Add to dashboard Cite

Background To investigate the feasibility, validity and security of a new robot platform called KD‐SR‐01 and compare relative merits of KD‐SR‐01 robotic partial nephrectomy (KD‐RPN) and 3D‐Laparoscopic Partial Nephrectomy (3D‐LPN). Methods Twelve porcine models were randomly and equally divided for KD‐RPN and 3D‐LPN. The perioperative outcomes, physical and mental workload of the surgeon were compared. Physical workload was evaluated with surface electromyography. Mental workload was evaluated with National Aeronautics and Space Administration Task Load Index (NASA‐TLX). Results All surgeries were performed successfully. The average docking time of KD‐RPN was 6 min. The estimated blood loss was lower in KD‐RPN (p < 0.05). There were no differences in all the other operative variables (p > 0.05). KD‐RPN showed advantages in physical workload and was significantly superior in mental workload (p < 0.05). Conclusions KD‐RPN is technically feasible, valid and safe in porcine models. It's comparable from operative perspective while KD‐RPN had advantages over 3D‐LPN from ergonomic perspective.

show abstract

“…These skills are di cult to master because of laparoscopic limitations such as a two-dimensional view and a limited range for instrument movement. Compared with conventional laparoscopy, the robotic surgical system offers several advantages [1][2][3][4][5][6][7] including 7 degrees of freedom, tremor ltration, three-dimensional highde nition visualization, and superior ergonomics, which increase surgical safety and improve surgical outcomes. Using a robotic system, surgeons can easily and precisely perform a 2-layer hand-sewn duodenoileostomy, avoid circular stapler use, eliminate the di culties and risks in anvil introduction, and decrease the stricture rates as gastrojejunostomy during gastric bypass [26] .…”

Section: Discussionmentioning

confidence: 99%

“…Bariatric and metabolic surgery-evolved from laparotomy to the laparoscopic approach-is switching to a robot surgical system. Compared with conventional laparoscopy, the robotic surgical system offers several advantages [1][2][3][4][5][6][7] , including 7 degrees of freedom, tremor ltration, three-dimensional highde nition visualization, and superior ergonomics, which increase surgical safety and improve surgical outcomes. Since Cadiere reported the world's rst robotic bariatric surgery in 1999, the robotic surgical system is being used in various bariatric procedures such as sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and biliopancreatic diversion with duodenal switch (BPD/DS); several studies have reported the learning curve for SG, RYGB, and BPD/DS [8][9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the learning curve for totally robotic single-anastomosis duodenal–ileal bypass with sleeve gastrectomy by CUSUM analysis

Wang

Tingying

2021

Preprint

View full text Add to dashboard Cite

Single-anastomosis duodenal–ileal bypass with sleeve gastrectomy (SADI-S) has similar efficacy and lower complication rate in the treatment of morbid obesity and obesity-associated metabolic diseases compared with the biliopancreatic diversion with a duodenal switch. The use of a robotic surgical system reduces surgical difficulties and improves surgical outcomes. The learning curve reflects the rate of skills or knowledge acquired in a certain period of time. However, the learning curve for robotic SADI-S has not been estimated.We used the cumulative sum analysis method to investigate the learning curve of totally robotic SADI-S. Textbook outcome analysis was performed to comprehensively define surgical success or failure.Multivariate analysis was performed to predict independent risk factors for complications and operative time. The moving average method was used to reflect the trends in operative time.This study showed that the learning curve for totally robotic SADI-S was 27 cases. Surgeon experience (case number and successful case number) was an independent predictor of the total operative time. A successful case number was the only independent predictor of surgical success or failure in this study (β = 0.084; P = 0.001). Except for the first assistant level, scrubbed nurse level, operative time, and proportion of abdominal drainage tube, there was no significant difference between the learning stage and mastery stage groups.The learning curve for totally robotic SADI-S was 27 cases. Surgeon experience including case number and successful case number were identified as independent predictors affecting the total operative time. A successful case number was the only independent predictor of surgical success or failure.

show abstract

Ergonomic analysis of laparoscopic and robotic surgical task performance at various experience levels

Cited by 41 publications

References 15 publications

Robotic or laparoscopic surgery for rectal cancer - which is the best answer? a comprehensive review of non-oncological outcomes and learning curve

Robotic or laparoscopic surgery for rectal cancer - which is the best answer? a comprehensive review of non-oncological outcomes and learning curve

Comparison of KD‐SR‐01 robotic partial nephrectomy and 3D‐laparoscopic partial nephrectomy from an operative and ergonomic perspective: A prospective randomized controlled study in porcine models

Evaluation of the learning curve for totally robotic single-anastomosis duodenal–ileal bypass with sleeve gastrectomy by CUSUM analysis

Contact Info

Product

Resources

About