Surgeon workload and motion efficiency with robot and human laparoscopic camera control

G. V. Kondraske, E. C. Hamilton, D. J. Scott, C. A. Fischer, S. T. Tesfay, R. Taneja, R. J. Brown, D. B. Jones

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: Surgeons are now being assisted by robotic systems in a wide range of laparoscopic procedures. Some reports have suggested that robot-assisted camera control (RACC) may be superior to a human driver in terms of quality of view and directional precision, as well as long-term cost savings. Therefore, we setout to investigate the impact of RACC of surgeon motion efficiency. Methods: Twenty pigs were randomized to undergo a standardized laparoscopic Nissen fundoplication with either a human or RACC system, the AESOP 2000. All procedures were performed by the same surgical fellow. Time was recorded for dissection and suture phases. Inertial motion sensors were used to monitor both the surgeon's hands and the camera. Digitized data were analyzed to produce summary measures related to overall motion. Results: The operative times were slightly longer with RACC (mean 80.2 ± 20.6 vs 73.1 = 15.4 min, not significant). With regard to operative times and surgeon motion measures, the only statistically significant differences were for setup and breakdown times, which contributed < 15% to the total time for the procedure. Conclusion: In terms of impact on surgeon motion efficiency and operative time under normal surgical conditions, RACC is essentially the same as an expert human driver. However, careful planning and structuring of the surgical suite may yield some small gains in operative time.

Original languageEnglish (US)
Pages (from-to)1523-1527
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume16
Issue number11
DOIs
StatePublished - Nov 1 2002

Fingerprint

Workload
Operative Time
Fundoplication
Cost Savings
Robotics
Sutures
Dissection
Swine
Hand
Surgeons

Keywords

  • Camera control
  • Efficiency
  • Laparoscopy
  • Motion
  • Performance
  • Robot

ASJC Scopus subject areas

  • Surgery

Cite this

Surgeon workload and motion efficiency with robot and human laparoscopic camera control. / Kondraske, G. V.; Hamilton, E. C.; Scott, D. J.; Fischer, C. A.; Tesfay, S. T.; Taneja, R.; Brown, R. J.; Jones, D. B.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 16, No. 11, 01.11.2002, p. 1523-1527.

Research output: Contribution to journalArticle

Kondraske, G. V. ; Hamilton, E. C. ; Scott, D. J. ; Fischer, C. A. ; Tesfay, S. T. ; Taneja, R. ; Brown, R. J. ; Jones, D. B. / Surgeon workload and motion efficiency with robot and human laparoscopic camera control. In: Surgical Endoscopy and Other Interventional Techniques. 2002 ; Vol. 16, No. 11. pp. 1523-1527.
@article{ead1df5e644d4fe6837f440d3d95f58d,
title = "Surgeon workload and motion efficiency with robot and human laparoscopic camera control",
abstract = "Background: Surgeons are now being assisted by robotic systems in a wide range of laparoscopic procedures. Some reports have suggested that robot-assisted camera control (RACC) may be superior to a human driver in terms of quality of view and directional precision, as well as long-term cost savings. Therefore, we setout to investigate the impact of RACC of surgeon motion efficiency. Methods: Twenty pigs were randomized to undergo a standardized laparoscopic Nissen fundoplication with either a human or RACC system, the AESOP 2000. All procedures were performed by the same surgical fellow. Time was recorded for dissection and suture phases. Inertial motion sensors were used to monitor both the surgeon's hands and the camera. Digitized data were analyzed to produce summary measures related to overall motion. Results: The operative times were slightly longer with RACC (mean 80.2 ± 20.6 vs 73.1 = 15.4 min, not significant). With regard to operative times and surgeon motion measures, the only statistically significant differences were for setup and breakdown times, which contributed < 15{\%} to the total time for the procedure. Conclusion: In terms of impact on surgeon motion efficiency and operative time under normal surgical conditions, RACC is essentially the same as an expert human driver. However, careful planning and structuring of the surgical suite may yield some small gains in operative time.",
keywords = "Camera control, Efficiency, Laparoscopy, Motion, Performance, Robot",
author = "Kondraske, {G. V.} and Hamilton, {E. C.} and Scott, {D. J.} and Fischer, {C. A.} and Tesfay, {S. T.} and R. Taneja and Brown, {R. J.} and Jones, {D. B.}",
year = "2002",
month = "11",
day = "1",
doi = "10.1007/s00464-001-8272-x",
language = "English (US)",
volume = "16",
pages = "1523--1527",
journal = "Surgical Endoscopy and Other Interventional Techniques",
issn = "0930-2794",
publisher = "Springer New York",
number = "11",

}

TY - JOUR

T1 - Surgeon workload and motion efficiency with robot and human laparoscopic camera control

AU - Kondraske, G. V.

AU - Hamilton, E. C.

AU - Scott, D. J.

AU - Fischer, C. A.

AU - Tesfay, S. T.

AU - Taneja, R.

AU - Brown, R. J.

AU - Jones, D. B.

PY - 2002/11/1

Y1 - 2002/11/1

N2 - Background: Surgeons are now being assisted by robotic systems in a wide range of laparoscopic procedures. Some reports have suggested that robot-assisted camera control (RACC) may be superior to a human driver in terms of quality of view and directional precision, as well as long-term cost savings. Therefore, we setout to investigate the impact of RACC of surgeon motion efficiency. Methods: Twenty pigs were randomized to undergo a standardized laparoscopic Nissen fundoplication with either a human or RACC system, the AESOP 2000. All procedures were performed by the same surgical fellow. Time was recorded for dissection and suture phases. Inertial motion sensors were used to monitor both the surgeon's hands and the camera. Digitized data were analyzed to produce summary measures related to overall motion. Results: The operative times were slightly longer with RACC (mean 80.2 ± 20.6 vs 73.1 = 15.4 min, not significant). With regard to operative times and surgeon motion measures, the only statistically significant differences were for setup and breakdown times, which contributed < 15% to the total time for the procedure. Conclusion: In terms of impact on surgeon motion efficiency and operative time under normal surgical conditions, RACC is essentially the same as an expert human driver. However, careful planning and structuring of the surgical suite may yield some small gains in operative time.

AB - Background: Surgeons are now being assisted by robotic systems in a wide range of laparoscopic procedures. Some reports have suggested that robot-assisted camera control (RACC) may be superior to a human driver in terms of quality of view and directional precision, as well as long-term cost savings. Therefore, we setout to investigate the impact of RACC of surgeon motion efficiency. Methods: Twenty pigs were randomized to undergo a standardized laparoscopic Nissen fundoplication with either a human or RACC system, the AESOP 2000. All procedures were performed by the same surgical fellow. Time was recorded for dissection and suture phases. Inertial motion sensors were used to monitor both the surgeon's hands and the camera. Digitized data were analyzed to produce summary measures related to overall motion. Results: The operative times were slightly longer with RACC (mean 80.2 ± 20.6 vs 73.1 = 15.4 min, not significant). With regard to operative times and surgeon motion measures, the only statistically significant differences were for setup and breakdown times, which contributed < 15% to the total time for the procedure. Conclusion: In terms of impact on surgeon motion efficiency and operative time under normal surgical conditions, RACC is essentially the same as an expert human driver. However, careful planning and structuring of the surgical suite may yield some small gains in operative time.

KW - Camera control

KW - Efficiency

KW - Laparoscopy

KW - Motion

KW - Performance

KW - Robot

UR - http://www.scopus.com/inward/record.url?scp=0036828401&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036828401&partnerID=8YFLogxK

U2 - 10.1007/s00464-001-8272-x

DO - 10.1007/s00464-001-8272-x

M3 - Article

C2 - 12098023

AN - SCOPUS:0036828401

VL - 16

SP - 1523

EP - 1527

JO - Surgical Endoscopy and Other Interventional Techniques

JF - Surgical Endoscopy and Other Interventional Techniques

SN - 0930-2794

IS - 11

ER -