Direct Comparison of the Different Conventional Laparoscopic Positions with the Ethos Surgical Platform in a Laparoscopic Pelvic Surgery Simulation Setting

Abstract

The new operating platform (ETHOS chair) can significantly improve ergonomics in laparoscopy particularly concerning difficult steps like intracorporeal suturing. This may also improve the urethrovesical anastomosis times in a clinical setting.

Laparoscopic retroperitoneal partial nephrectomy using an ergonomic chair: demonstration of technique and matched‐pair analysis

“…Despite the shorter WIT, postoperative renal function did not differ between the groups. The impact of ETHOS on surgeons’ physical ergonomics has been studied extensively previously, showing a significant reduction of the mean complaint score from 31.6 (20–40) to 13.9 (13–24), mainly as a result of less shoulder stiffness, arm pain, hand pain, wrist stiffness, back and leg pain .…”

“…A). Whereas for laparoscopic radical prostatectomy, the chair is mounted over the patient's head , in retroperitoneoscopy we approach patients from the back at a 45–60° angle (Fig. B).…”

“…We have recently reported our initial experience of using an ergonomic chair during laparoscopic surgery, which facilitates the reconstructive parts of the procedure . Theoretically, such an ergonomic platform could overcome some of the drawbacks of standard laparoscopy and would be of great value.…”

Advances in laparoscopic surgery in urology

“…Two ergonomic chairs have been described, an ergonomic body support and the ETHOS™ platform [57][58][59] .…”

“…. In a study published in 2015 comparing the ergonomics of standard lapa rosopy with laparoscopy using the secondgeneration ETHOS™ chair or using the da Vinci® system, the use of the ETHOS™ chair improved ergo nomics significantly: surgeon's muscle pain score (including neck pain, shoul der pain, wrist pain, and back pain) was 32 for standard laparoscopy versus 16 for the use of ETHOS™ versus 4 for the da Vinci® system (P <0.05) 59 . The ETHOS™ chair can also be used for laparoscopic or retroperito neoscopic surgery, particularly during reconstruction in partial nephrectomy or pyeloplasty.…”