title: An interactive method for achieving ergonomically optimum conditions during laparoscopic surgery.
abstract: Laparoscopy is widely used during living kidney donation, nephrectomy, bariatric surgery, and surgery for gastrointestinal tumors and colorectal cancer. However, laparoscopic surgery requires prolonged use of instruments and has low mechanical efficiency. In addition, to meet specific surgical demands while visualizing the surgical area on the screen, surgical personnel frequently violate the postures proposed by human factor engineering; this naturally results in a physical burden on the personnel. In this study, using laparoscopic nephrectomy as an example, an auxiliary hoisting device for surgery was designed, and pedals from a variety of equipment were integrated into the auxiliary plant. Both entity testing conducted in the hospital and 3D surgical simulation of the auxiliary plant showed that this device could improve compliance with human factor engineering recommendations during laparoscopic surgery and could also promote interaction and tacit understanding between surgical personnel, thereby providing ergonomically optimum conditions during laparoscopy.
authors.affiliation: Biomedical Technology and Device Research Labs, Industrial Technology Research Institute, Rm. 320, Bldg. 53,195, Sec. 4, Chung Hsing Rd., Chutung, Hsinchu, Taiwan. hulong@itri.org.tw.|Department of Electrical Engineering, National Tsing Hua University, Hsinchu, Taiwan. hulong@itri.org.tw.
authors.forename: Chang-Lin
authors.initials: CL
authors.lastname: Hu
authors.affiliation: Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Ching-Yao
authors.initials: CY
authors.lastname: Yang
authors.affiliation: Biomedical Technology and Device Research Labs, Industrial Technology Research Institute, Rm. 320, Bldg. 53,195, Sec. 4, Chung Hsing Rd., Chutung, Hsinchu, Taiwan.|Institute of Nanoengineering and Microsystems, National Tsing Hua University, Hsinchu, Taiwan.
authors.forename: Zhan-Sheng
authors.initials: ZS
authors.lastname: Lin
authors.affiliation: Biomedical Technology and Device Research Labs, Industrial Technology Research Institute, Rm. 320, Bldg. 53,195, Sec. 4, Chung Hsing Rd., Chutung, Hsinchu, Taiwan.
authors.forename: Shan-Yi
authors.initials: SY
authors.lastname: Yang
authors.affiliation: Biomedical Technology and Device Research Labs, Industrial Technology Research Institute, Rm. 320, Bldg. 53,195, Sec. 4, Chung Hsing Rd., Chutung, Hsinchu, Taiwan.
authors.forename: Chien-Hung
authors.initials: CH
authors.lastname: Kuo
authors.affiliation: Department of Primary Care Medicine, National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Ming-Tsan
authors.initials: MT
authors.lastname: Lin
keywords: Auxiliary device; Ergonomics; Interactive method; Laparoscopic surgery