&lt;p&gt;An Ergonomic Assessment Of Four Different Donor Nephrectomy Approaches For The Surgeons And Their Assistants&lt;/p&gt;

Marçon, Baptiste; Sime, Willy Ngueyon; Guillemin, Françis; Hubert, N.; Lagrange, Francois; Huselstein, Céline; Hubert, Jacques

doi:10.2147/rru.s220219

Cited by 6 publications

(19 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mental demand was mostly measured by subjective measures such as self‐report questionnaires, most commonly the NASA‐TLX [7, 15, 18, 20, 27, 30, 31]. These studies all showed no differences in mental demand between the surgical techniques except for in young surgeons [27] and one study showing less mental demand in RS than LS [20].…”

Section: Resultsmentioning

confidence: 99%

“…Among these studies, eight studies favoured RS [4,[14][15][16][17][18][19][20], one study showed a trend towards favouring RS [21], and one study favoured RS over LS but showed no difference to OS [22]. Most studies (N = 10) showed mixed results [7,[23][24][25][26][27][28][29][30][31] with only three studies showing no difference between the surgical modalities [32][33][34], and one study with inconclusive results [35].…”

Section: Study Findingsmentioning

confidence: 99%

See 1 more Smart Citation

Are Surgeons Working Smarter or Harder? A Systematic Review Comparing the Physical and Mental Demands of Robotic and Laparoscopic or Open Surgery

et al. 2021

View full text Add to dashboard Cite

Background Minimally invasive surgical techniques such as robotic surgical platforms have provided favourable outcomes for patients, but the impact on surgeons is not well described. This systematic review aims to synthesize and evaluate the physical and mental impact of robotic surgery on surgeons compared to standard laparoscopic or open surgery. Methods A search strategy was developed to identify peer-reviewed English articles published from inception to end of December 2019 on the following databases: MEDLINE, PubMed, PsycINFO and Embase. The articles were assessed using a modified Newcastle-Ottawa tool. Results Of the 6563 papers identified, 30 studies were included in the qualitative synthesis of this review. Most of the included studies presented a high risk of bias. A total of 13 and 21 different physical and mental tools, respectively, were used to examine the impact on surgeons. The most common tool used to measure physical and mental demand were surface electromyography (N = 9) and the NASA Task Load Index (NASA-TLX; N = 8), respectively. Majority of studies showed mixed results for physical (N = 10) and mental impact (N = 7). This was followed by eight and six studies favouring RS over other surgical modalities for physical and mental impact, respectively. Conclusion Most studies showed mixed physical and mental outcomes between the three surgical modalities. There was a high risk of bias and methodological heterogeneity. Future studies need to correlate mental and physical stress with long-term impact on the surgeons.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Study Findingsmentioning

confidence: 99%

Are Surgeons Working Smarter or Harder? A Systematic Review Comparing the Physical and Mental Demands of Robotic and Laparoscopic or Open Surgery

et al. 2021

View full text Add to dashboard Cite

show abstract

“…NASA-TLX is a widely used technique for workload measurement in aviation, military and healthcare. NASA-TLX can be found in traditional MIS mental workload estimation [ 48 , 49 , 50 , 51 , 52 ], and employed in the case of surgical robotics workload assessment as well [ 8 , 32 , 34 , 40 , 41 , 43 , 45 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 ]. There are additional mental workload assessment techniques that are not originally created for surgery, and used in workload assessment for RAMIS.…”

Section: Technical Approaches For Non-technical Skill and Mental Workload Assessment In Ramismentioning

confidence: 99%

“…With self-rating tools, the real stressors of the surgery can be observed, and other approaches have to fit to the clinical relevance. Self-rating studies can be found in Table 5 under the following references: [ 30 , 31 , 32 , 34 , 40 , 41 , 42 , 43 , 44 , 50 , 56 , 57 , 59 , 60 , 61 , 62 , 63 , 64 , 66 , 68 , 69 , 70 , 71 , 72 , 75 , 76 , 81 , 85 , 93 , 94 , 95 ].…”

Section: Technical Approaches For Non-technical Skill and Mental Workload Assessment In Ramismentioning

confidence: 99%

Non-Technical Skill Assessment and Mental Load Evaluation in Robot-Assisted Minimally Invasive Surgery

Elek

Haidegger

2021

Sensors

View full text Add to dashboard Cite

BACKGROUND: Sensor technologies and data collection practices are changing and improving quality metrics across various domains. Surgical skill assessment in Robot-Assisted Minimally Invasive Surgery (RAMIS) is essential for training and quality assurance. The mental workload on the surgeon (such as time criticality, task complexity, distractions) and non-technical surgical skills (including situational awareness, decision making, stress resilience, communication, leadership) may directly influence the clinical outcome of the surgery. METHODS: A literature search in PubMed, Scopus and PsycNet databases was conducted for relevant scientific publications. The standard PRISMA method was followed to filter the search results, including non-technical skill assessment and mental/cognitive load and workload estimation in RAMIS. Publications related to traditional manual Minimally Invasive Surgery were excluded, and also the usability studies on the surgical tools were not assessed. RESULTS: 50 relevant publications were identified for non-technical skill assessment and mental load and workload estimation in the domain of RAMIS. The identified assessment techniques ranged from self-rating questionnaires and expert ratings to autonomous techniques, citing their most important benefits and disadvantages. CONCLUSIONS: Despite the systematic research, only a limited number of articles was found, indicating that non-technical skill and mental load assessment in RAMIS is not a well-studied area. Workload assessment and soft skill measurement do not constitute part of the regular clinical training and practice yet. Meanwhile, the importance of the research domain is clear based on the publicly available surgical error statistics. Questionnaires and expert-rating techniques are widely employed in traditional surgical skill assessment; nevertheless, recent technological development in sensors and Internet of Things-type devices show that skill assessment approaches in RAMIS can be much more profound employing automated solutions. Measurements and especially big data type analysis may introduce more objectivity and transparency to this critical domain as well. SIGNIFICANCE: Non-technical skill assessment and mental load evaluation in Robot-Assisted Minimally Invasive Surgery is not a well-studied area yet; while the importance of this domain from the clinical outcome’s point of view is clearly indicated by the available surgical error statistics.

show abstract

“… 2 – 4 The da Vinci Surgical System (Intuitive Surgical, Mountain View, CA) and subsequent introduction of robot-assisted DN (RADN) in 2002 5 has offered surgeons a safe alternative to LDN with improved surgical vision and ergonomic relief. 6 , 7 …”

Section: Introductionmentioning

confidence: 99%

Robotic Single-Port Donor Nephrectomy with the da Vinci SP® Surgical System

Garden¹,

Al-Alao²,

Razdan³

et al. 2021

JSLS

View full text Add to dashboard Cite

Objectives: The da Vinci SP® Surgical System received U.S. Food and Drug Administration approval for urological procedures in 2018. Here, we describe the first experience performing single-port robot-assisted donor nephrectomy (RADN) using the da Vinci SP® surgical system, present 90-day clinical outcomes, and discuss tips for operative success. Methods: Seven consecutive patients underwent single-port RADN at a single institution between September 1, 2020 and March 31, 2021. Surgery was performed through a single, 60 mm Pfannenstiel incision with a 12 mm periumbilical assistant port for suction and vascular stapling. Donor characteristics, operative details, 90-day donor clinical outcomes, and recipient renal function were retrospectively evaluated. Results: Four female and three male patients successfully underwent single-port RADN without conversion to standard multiport or open approach. Six cases were left-sided. Estimated blood loss for each procedure was ≤ 50 mL. Mean operative time, warm ischemia time, and extraction time were 218.3 minutes (standard deviation [SD]: 16.3 minutes), 5 minutes 4 seconds (SD: 56 seconds), and 3 minutes 37 seconds (SD: 38 seconds). Mean pre-operative creatinine and estimated glomerular filtration rate were 0.79 mg/dL and 107.3 mL/min/1.73m 2 , respectively. At six week’s follow up, they were 1.22 mg/dL and 66.1 mL/min/1.73m 2 . Average pain score at 48 hours postoperatively was 1.7/10. There were no Clavien-Dindo grade ≥ III complications within 90 days. All recipients experienced immediate and sustained return of renal function post-transplant. Conclusion: Single-port RADN is a technically feasible and safe procedure with the da Vinci SP® system and can confer acceptable functional and cosmetic outcomes. Future studies are needed to define long-term outcomes and compare with previously established techniques for donor nephrectomy.

show abstract

<p>An Ergonomic Assessment Of Four Different Donor Nephrectomy Approaches For The Surgeons And Their Assistants</p>

Cited by 6 publications

References 27 publications

Are Surgeons Working Smarter or Harder? A Systematic Review Comparing the Physical and Mental Demands of Robotic and Laparoscopic or Open Surgery

Are Surgeons Working Smarter or Harder? A Systematic Review Comparing the Physical and Mental Demands of Robotic and Laparoscopic or Open Surgery

Non-Technical Skill Assessment and Mental Load Evaluation in Robot-Assisted Minimally Invasive Surgery

Robotic Single-Port Donor Nephrectomy with the da Vinci SP® Surgical System

Contact Info

Product

Resources

About