• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Need Help with Port-placement in Robot-Assisted Surgery: A Survey Study

Jinling Wang, PhD, Katherine S Lin, MD, Keith A Watson, MD, Michael L Galloway, DO, Minia Hellan, MD, Caroline G.L. Cao, PhD. Wright State University

Introduction: Robot-assisted laparoscopic surgery has been widely adopted and the number of procedures done with the da Vinci® Surgical System is growing rapidly. Although the advantages of robot-assisted surgery over traditional laparoscopic surgery are obvious, there are several limitations of robot-assisted surgery such as higher costs, and longer setup time. One of the critical steps in setting up the robotic system is port-placement, in which the locations of the ports are selected to ensure adequate visualization of the surgical site, avoid external arm collision, and provide maximal instrument reach. The purpose of this study was to identify the key factors influencing the performance of the port-placement task in robot-assisted surgery, and gather domain expert input about the design of enabling technology for this important task.

Methods and Procedures: An 18-item questionnaire was handed out at the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2015 Annual Meeting and at Miami Valley Hospital in Dayton, OH. Participants had the option to fill out the questionnaire online through Qualtrics (online survey software). Twenty-three hardcopy questionnaires were returned. Sixty-four questionnaires were submitted online but only 22 were complete a completion rate of 34%. In total, 45 questionnaires were analyzed. 42% of the questionnaires were from attending surgeons and 58% from residents.

Results: 47% of the participants listed port-placement as the most challenging task in using the robotic system, followed by learning to use the robotic system (21%), setup (14%), team work (14%), and lack of tactile feedback (4%). The results showed that in the past 3 years, 36% of the attending surgeons and 61% of the residents were involved in a case where the robotic approach was abandoned or convert due to poorly placed ports. Both attending surgeons (53%) and residents (53%) had to work harder at a case due to the poorly placed ports in the last 3 years. Fifty-nine percent (59%) of the participants listed choosing port locations as the most challenging part in the port-placement task. Patients’ body habitus and previous surgery history were the key patient characteristics that could cause difficulty for the port-placement task.

Conclusion: Results confirmed that port placement is a challenging task in using the robotic system. There is overwhelming support from the surgeons surveyed to develop assistive technology for this important task. Therefore, our next step will be to develop a patient-specific port-placement decision aid for robot-assisted laparoscopic surgery.

695

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons