Improving ergonomics for the bedside assistant in robotic colorectal surgery.

J Surg Case Rep

Department of General Surgery, Prince of Wales Hospital, Sydney, New South Wales, Australia.

Published: January 2023

AI Article Synopsis

  • The study focused on documenting collisions between bedside assistants and robotic arms during robotic colorectal surgery.
  • Observations were made in 10 consecutive surgeries, highlighting moments where these collisions led to accidental movements of assistant instruments.
  • Key factors causing collisions included the positioning of the assistant port, the area of dissection, and specific surgical tasks, but surgeons could generally predict and avoid these problematic situations.

Article Abstract

The aim of the study was to document when significant bedside assistant (BA) and robotic arm collisions occurred during robotic colorectal surgery (RCS). An observational study of 10 consecutive RCS cases, from May 2022 to September 2022, was performed. Situations when there was significant collision between BA arm and robotic arm (to cause inadvertent movement of the assistant instrument) were documented. The assistant port was randomly placed to the right or the left side of the camera port. Situations which led to detrimental BA ergonomics include dissection at the most peripheral working field, proximity of the target (mesenteric vessels), small bowel retraction, placement of the assistant port in the medial position (on the left side of the camera port), during intra-corporeal suturing and robotic stapler use. The robotic console surgeon can predictably identify and avoid situations when injury to the BA may occur.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9874185PMC
http://dx.doi.org/10.1093/jscr/rjad007DOI Listing

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