Time-action analysis of instrument positioners in laparoscopic cholecystectomy Export

@article{citeulike:591093, abstract = {Background: Instrument positioners can position and lock a laparoscopic instrument. This study uses time-action analysis to evaluate objectively whether IPs can substitute for a surgical assistant efficiently and safely. Methods: In four hospitals, 78 laparoscopic cholecystectomies were randomly assisted by a surgical assistant or an instrument positioner (AESOP and PASSIST). The efficiency and safety of laparoscopic cholecystectomies were analyzed with respect to time, number and type of actions, positioning accuracy, and peroperative complications. A questionnaire evaluated the difficulties for each operation and the comfort of instrument positioner use. Results: The PASSIST and AESOP were able to replace the surgical assistant during laparoscopic cholecystectomies without significantly changing either the efficiency or the safety of the operation. The questionnaire showed that the surgeons preferred to operate with an instrument positioner. Conclusion: This study assessed objectively that instrument positioners can substitute for a surgical assistant efficiently and safely in elective laparoscopic cholecystectomies.}, author = {den Boer, K. T. and Bruijn, M. and Jaspers, J. E. and Stassen, L. P. S. and van Erp, W. F. M. and Jansen, A. and Go and Dankelman, J. and Gouma;, D. J.}, citeulike-article-id = {591093}, journal = {Surgical Endoscopy}, keywords = {endoscopy, ergonomics, instruments}, pages = {142--147}, posted-at = {2006-04-19 11:07:09}, priority = {2}, title = {Time-action analysis of instrument positioners in laparoscopic cholecystectomy}, volume = {16}, year = {2002} }

TY - JOUR ID - citeulike:591093 L3 - citeulike-article-id:591093 N2 - Background: Instrument positioners can position and lock a laparoscopic instrument. This study uses time-action analysis to evaluate objectively whether IPs can substitute for a surgical assistant efficiently and safely. Methods: In four hospitals, 78 laparoscopic cholecystectomies were randomly assisted by a surgical assistant or an instrument positioner (AESOP and PASSIST). The efficiency and safety of laparoscopic cholecystectomies were analyzed with respect to time, number and type of actions, positioning accuracy, and peroperative complications. A questionnaire evaluated the difficulties for each operation and the comfort of instrument positioner use. Results: The PASSIST and AESOP were able to replace the surgical assistant during laparoscopic cholecystectomies without significantly changing either the efficiency or the safety of the operation. The questionnaire showed that the surgeons preferred to operate with an instrument positioner. Conclusion: This study assessed objectively that instrument positioners can substitute for a surgical assistant efficiently and safely in elective laparoscopic cholecystectomies. JF - Surgical Endoscopy EP - 147 TI - Time-action analysis of instrument positioners in laparoscopic cholecystectomy VL - 16 SP - 142 KW - endoscopy KW - ergonomics KW - instruments AU - den Boer, KT AU - Bruijn, M AU - Jaspers, JE AU - Stassen, LPS AU - van Erp, WFM AU - Jansen, A AU - Go AU - Dankelman, J AU - Gouma;, DJ PY - 2002/// ER -