Surgeons' requirements for a surgical support system to improve laparoscopic access

Author:

Spiller Moritz,Bruennel Marcus,Grosse Victoria,Sühn Thomas,Esmaeili Nazila,Stockheim Jessica,Turial Salmai,Croner Roland,Boese Axel,Friebe Michael,Illanes Alfredo

Abstract

AbstractCreating surgical access is a critical step in laparoscopic surgery. Surgeons have to insert a sharp instrument such as the Veress needle or a trocar into the patient’s abdomen until the peritoneal cavity is reached. They solely rely on their experience and distorted tactile feedback in that process, leading to a complication rate as high as 14% of all cases. Recent studies have shown the feasibility of surgical support systems that provide intraoperative feedback regarding the insertion process to improve laparoscopic access outcomes. However, to date, the surgeons’ requirements for such support systems remain unclear. This research article presents the results of an explorative study that aimed to acquire data about the information that helps surgeons improve laparoscopic access outcomes. The results indicate that feedback regarding the reaching of the peritoneal cavity is of significant importance and should be presented visually or acoustically. Finally, a solution should be straightforward and intuitive to use, should support or even improve the clinical workflow, but also cheap enough to facilitate its usage rate. While this study was tailored to laparoscopic access, its results also apply to other minimally invasive procedures.

Funder

Bundesministerium für Wirtschaft und Technologie

Otto-von-Guericke-Universität Magdeburg

Publisher

Springer Science and Business Media LLC

Subject

General Medicine,Surgery

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