You have accessJournal of UrologyTechnology & Instruments: Surgical Education & Skills Assessment (1)1 Apr 2013879 MAGNETIC TRACKING TECHNOLOGY USED TO COMPARE ERGONOMICS OF SINGLE SITE AND CONVENTIONAL LAPAROSCOPIC SURGERY: PRELIMINARY RESULTS Ioannis Georgiopoulos, Loukas Rentzos, Iason Kyriazis, Panagiotis Kallidonis, Evangelos Liatsikos, and George Chryssolouris Ioannis GeorgiopoulosIoannis Georgiopoulos Patras, Greece More articles by this author , Loukas RentzosLoukas Rentzos Patras, Greece More articles by this author , Iason KyriazisIason Kyriazis Patras, Greece More articles by this author , Panagiotis KallidonisPanagiotis Kallidonis Patras, Greece More articles by this author , Evangelos LiatsikosEvangelos Liatsikos Patras, Greece More articles by this author , and George ChryssolourisGeorge Chryssolouris Patras, Greece More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.450AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Minimal invasive urologic surgery may benefit from ergonomic motion analysis, as the surgeonÆs joints are often in non-optimal positions, leading to premature fatigue. We propse to examine and compare the ergonomics of simulated single-site surgery and conventional laparoscopic surgery. METHODS A laparoscopic box trainer is used to simulate surgical conditions. To simulate conventional laparoscopic surgery, two instruments are inserted bilaterally and the camera in the center position. Single site surgery is simulated by inserting an Endocone® (Karl Storz, Germany) in the center position and inserting a double bent grasper, a straight grasper and the camera through it. Standard laparoscopic training tasks (object transfer, knot tying) are performed and ergonomic data is captured. Magnetic tracking technology is used to obtain position and orientation data for the operatorÆs wrists, elbows and shoulders at a rate of thirty times per second. The data is inserted into an algorithm which calculates the ergonomic scores for each posture throughout the execution of the laparoscopic task. At the end, the algorithm can compare the ergonomic performance of different laparoscopic methods using the analyzed scores. The analysis is based on the RULA method (Rapid Upper Limb Assessment). RESULTS Preliminary analysis of the data show that joints are in non-optimal positions in single site surgery, as compared to conventional laparoscopic surgery. This is demonstrated by the higher arm and wrist RULA scores obtained for tasks conducted through the single port systems (Test 10) in comparison to tasks conducted through a conventional laparoscopic setup (Test 1). CONCLUSIONS Ergonomic motion analysis may yield results that lead to the improvement of minimal invasive surgical techniques and equipment. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e363 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ioannis Georgiopoulos Patras, Greece More articles by this author Loukas Rentzos Patras, Greece More articles by this author Iason Kyriazis Patras, Greece More articles by this author Panagiotis Kallidonis Patras, Greece More articles by this author Evangelos Liatsikos Patras, Greece More articles by this author George Chryssolouris Patras, Greece More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...
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