Evaluation of Laparoscopic Tools for Usability and Comfort
Evaluation of Laparoscopic Tools for Usability and Comfort
复制标题
腹腔镜工具的可用性和舒适性评估
DOI：
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发表时间：
2004
期刊：
影响因子：
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通讯作者：
D. Oleynikov
中科院分区：
文献类型：
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作者：
K. Doné;A. DiMartino;T. Judkins;S. Hallbeck;D. Oleynikov
许多问题与目前的腹腔镜手术工具有关，人们正在努力改进许多工具和设备的设计，但收效甚微。内布拉斯加大学林肯分校的IDEA实验室根据学生和专家外科医生的问卷调查结果，设计了一个舒适直观的工具，并增加了功能。外科医生被要求回答一份问卷，询问使用传统腹腔镜握钳工具所经历的疼痛和不适。结果分析显示，超过25%的受访者在手术期间或手术后出现以下问题：颈部疼痛和僵硬、肩膀/手臂疼痛和僵硬、手/手腕疼痛和僵硬、背部疼痛和僵硬、精神疲劳、笨拙的操作器械和执行精确的动作。18位外科医生中有11位报告在腹腔镜手术期间或之后手部疼痛，包括但不限于拇指麻木和手指疼痛。这些结果清楚地表明，需要重新设计新的腹腔镜抓握工具。将进行进一步的测试，将新设计与传统工具进行比较，并确定是否满足了外科医生的所有需求。
Many problems have been associated with current laparoscopic surgical tools, and work is being done to improve the design of many the tools and devices, but little improvement has resulted. The IDEA Lab at the University of Nebraska-Lincoln, has designed a comfortable and intuitive tool with added function as a result of questionnaire responses from student and expert surgeons. Surgeons were asked to respond to a questionnaire asking about pain and discomfort experienced from use of conventional laparoscopic grasper tools. Analysis of the results shows that more than 25% of all respondents experience problems during or after surgery in the following areas: neck pain and stiffness, shoulder/arm pain and stiffness, hand/wrist pain and stiffness, back pain and stiffness, mental fatigue, awkward manipulation of instruments, and performing precise movements. Eleven out of eighteen surgeons reported experiencing painful areas of the hand during or after laparoscopic surgery, including but not limited to, numbness of the thumb and soreness of the fingers. These results make it clear that the redesigns of the new laparoscopic grasper tool were needed. Further testing will be conducted to compare the new design to conventional tools and determine if all of the needs of surgeons have been met.