Page 40 - World Journal of Laparoscopic Surgery

Ergonomics

completed significantly faster with the pistol grip tool. Finally, due to the high degree of variability in the
of the surgeon: one in position A for lowest neck strain and the other in position B for difficult tasks with
preferences of subjects and task performance, it should be of advantage to place two monitors in front
grip tool as seen from the survey feedback. Both evaluation tasks (cutting and peg transfer) were also
Unintentional camera rotation during surgery should be avoided to eliminate one potential source of
Regarding EMG data, the monitor positioned frontal at eye level is preferable. Reflecting on personal
The optimum table height for hand-assisted laparoscopic surgery allows the working surface of the
efficiency when completing tasks. Compared with ring handle (RH) instruments, the new prototype
There was a significant preference for as well as lower pain experienced during the use of the pistol
The new ergonomic handle not only provides important ergonomic advantages but also improves

optimal task performance. The monitor position at the side is not advisable
extracorporal instrument handle to be at or 5 cm above the elbow level
reduced the high-pressure areas and the extreme motions of the wrist

number or degree of errors made error data, it was not possible to draw any meaningful conclusions about the effect of tool design on the Compared to a 2D/HD monitor, a 3D/HD monitor improved the laparoscopic surgical technique of expert surgeons more than a 2D/4K monitor. However, the advantage of 2D/4K high-resolution images may be comparable to a 3D/HD monitor especially in narrow spaces Conclusion This study revealed musculos

Conclusion errors Year 2010 2012 2014 2016 2018

Year 2005 2009 2009 2014 2015 2018

First author Matern et al. 34 Gallagher et al. 35 Manasnayakorn et al. 22 Sancibrian et al. 36 Tung et al. 37 Harada et al. 38 First author Stomberg et al. 39 Miller et al. 40 Tjiam et al. 41 Aitchison et al. 42 Bartnicka et al. 43

Table 1: Engineering interventions studies Title of abstract Monitor position in laparoscopic surgery An ergonomic analysis of the effects of camera rotation on laparoscopic performance Ergonomic assessment of optimum operating table height for hand-assisted laparoscopic surgery Design and evaluation of a new ergonomic handle for instruments in minimally invasive surgery The effect of ergonomic laparoscopic tool handle design on performance and efficiency The

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World Journal of Laparoscopic Surgery, Volume 16 Issue 1 (January–April 2023) 5. 39