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Analysis of Surgeons’ Muscle Activity During the Use of a Handheld Robotic Instrument in Laparoendoscopic Single-Site Surgery

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Book cover Advances in Human Factors and Ergonomics in Healthcare

Part of the book series: Advances in Intelligent Systems and Computing ((AISC,volume 482))

Abstract

The objective of this study is to assess the surgeon’s performance and ergonomics during the use of a robotic-driven handheld laparoscopic instrument in intracorporeal suturing tasks as well as in digestive and urological laparoscopic procedures performed through single-site surgery, and comparing it with the use of conventional instruments. Seven right-handed experienced surgeons took part in this study. Four surgeons performed nine urethrovesical anastomoses on an ex vivo porcine model and three surgeons a partial nephrectomy and a sigmoidectomy on an in vivo animal model. Surgeons used both conventional laparoscopic instruments and the robotic instrument. Execution times, leakage pressure for the anastomosis, surgical complications and surgeons’ muscle activity were measured. Similar results in surgical performance and ergonomics were obtained using conventional laparoscopic instruments and the robotic instrument. Muscle activity of the biceps was significantly higher using the robotic instrument during both surgical procedures.

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Acknowledgments

This work has been partially funded by the Government of Extremadura, Spain, and the European Social Fund (PO14034).

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Authors and Affiliations

  1. Jesús Usón Minimally Invasive Surgical Centre, Cáceres, Spain

    Francisco M. Sánchez-Margallo

  2. Department of Computer Systems and Telematics Engineering, University of Extremadura, Badajoz, Spain

    Juan A. Sánchez-Margallo

Authors
  1. Francisco M. Sánchez-Margallo
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  2. Juan A. Sánchez-Margallo
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Corresponding author

Correspondence to Francisco M. Sánchez-Margallo .

Editor information

Editors and Affiliations

  1. School of Industrial Engineering, Purdue University School of Industrial Engineering, West Lafayette, IN, USA

    Vincent G. Duffy

  2. Veterans Affairs U.S., Indianapolis, IN, USA

    Nancy Lightner

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Sánchez-Margallo, F.M., Sánchez-Margallo, J.A. (2017). Analysis of Surgeons’ Muscle Activity During the Use of a Handheld Robotic Instrument in Laparoendoscopic Single-Site Surgery. In: Duffy, V., Lightner, N. (eds) Advances in Human Factors and Ergonomics in Healthcare. Advances in Intelligent Systems and Computing, vol 482. Springer, Cham. https://doi.org/10.1007/978-3-319-41652-6_1

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  • DOI: https://doi.org/10.1007/978-3-319-41652-6_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-41651-9

  • Online ISBN: 978-3-319-41652-6

  • eBook Packages: EngineeringEngineering (R0)

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