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

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • 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
    • 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
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • 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
    • Video Based Assessments (VBA)
    • 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-Coming Soon!
    • 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
  • Store
    • “Unofficial” Logo Products
  • Log In

Review of Surgical Ergonomics Research Associated With Minimally Invasive Surgery

Donald R Peterson, PhD, Tarek Tantawy, BS, Drew R Seils, BS, Angela S Kueck, MD, M Kurt E Roberts, MD. University of Connecticut Health Center, Yale University

 

INTRODUCTION: The widespread acceptance of minimally invasive surgical procedures has led to an increase in its popularity and demand. The growing number of surgical procedures performed coupled with the high physical demand of the laparoscopic tasks has resulted in a significant rise in occurrence of neuromuscular disorders among surgeons. According to a 1999 SAGES survey, 8% to 12% of 149 surgeons reported frequent pain or numbness in arms, wrists, or hands following laparoscopic surgeries. In 2007, the University of Chicago estimated that 30% of 73 urologists sustain neuromuscular or arthritic injury from laparoscopic surgeries. The prevalence of these conditions has prompted ergonomics researchers to evaluate the environment of the operating room and the instruments involved, particularly those in standard laparoscopy.

METHODS AND PROCEDURES: An extensive review of the published literature was conducted in the PubMed database for articles published between January 1998 and March 2011 using keywords such as surgical ergonomics, minimally invasive surgery, laparoscopic tools, laparoscopic instruments and hand sizing, laparoscopic stapling, laparoscopic trainers, laparoscopic training simulations, hand assisted laparoscopy, laparoscopic handle, hand tool grip, grip forces, grip span, and other various combinations of these keywords. The relevant articles were saved and organized into a database that categorizes them according to their type, objectives, and outcomes, and included literature reviews, clinical observations, surveys, discussions, simulated tasks, and virtual reality simulations for gastrointestinal, urological, hernia repair, and other endoscopic procedures.

RESULTS: Of the 47 relevant publications found, 27 employed qualitative methodologies, such as surveys, visual observations, and literature reviews, for evaluating the ergonomics of the surgical tasks and instruments. Twelve quantitative studies were found and were limited primarily to analyses of upper extremity effort using surface electromyography and, in two cases, opto-electronic motion capture. The eight remaining studies incorporated both qualitative and quantitative methodologies. Four of the 47 studies, three qualitative and one quantitative, were found to specifically address the issues associated with workplace design and equipment distribution, including monitor placement and operating table height. In total, 1,407 surgeons were found to be studied with the results from two of the studies suggesting that at least 85% of surgeons experience discomfort in the shoulders and upper extremities from laparoscopic surgery. It was evident that a significant amount of information has been generated but was limited to suturing and grasping tasks and the related surgical instruments, such as laparoscopic needle drivers and articulating graspers. The review also demonstrated a lack of information regarding other laparoscopic procedures, such as tissue resection and vessel ligation, and other related devices, such as laparoscopic surgical staplers and trocars.

CONCLUSIONS: In order to better understand the pathophysiological risks and injuries (e.g. repetitive strain injuries, carpal tunnel syndrome) associated with laparoscopic surgical instrument use, it is clear from the published literature that comprehensive biomechanical performance measurements are needed. Such measurements would allow for an integrated characterization of the primary biomechanical stressors (e.g., awkward postures, dynamic/static posture ratios, repetition, force, actual stressor durations, etc.) throughout complex and rapid sets of movements as a basis for laparoscopic instrument design.
 


Session Number: Poster – Poster Presentations
Program Number: P411
View Poster

593

Share this:

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

Related

« Return to SAGES 2012 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

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