The technical challenges of laparoendoscopic single-site surgery (LESS) stem from the nonideal instrument configuration in which all of the instrumentation is inserted through a single small incision and are greater than those faced when using conventional laparoscopy (CL). LESS configuration results in more instrument collisions, an in-line view of the instruments, and the surgeon's close proximity to assistants [1–3]. These limitations of LESS procedures and its related technologies that, along with possible increased physical risk to the surgeon, currently limit the standardization and universal adoption of this pioneering technique [4]. Minimally invasive surgery (MIS) which includes LESS is very appealing to the patient for the immediate outcomes including reduced scarring and recovery time [5–8]. Scarring in LESS is isolated to one incision within the umbilicus compared to four small incision scars resulting from CL. Although both types of surgery offer advantages to the patient,...
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June 2014
Technical Briefs
Preliminary Comparison of Laparoendoscopic Single-Site Surgery Instrumentation With Novice Surgical Interns: How Usability Testing Can Reveal Human Factors Issues Prior to Errors in the Operating Room1
Bethany Lowndes,
Bethany Lowndes
University of Nebraska-Lincoln
,Lincoln, NE 68508
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Bernadette McCrory,
Bernadette McCrory
University of Nebraska-Lincoln
,Lincoln, NE 68508
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Chad LaGrange,
Chad LaGrange
University of Nebraska Medical Center
,Omaha, NE 68198
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David Farley,
David Farley
Mayo Clinic
,Rochester, MN 55905
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M. Susan Hallbeck
M. Susan Hallbeck
Mayo Clinic
,Rochester, MN 55905
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Bethany Lowndes
University of Nebraska-Lincoln
,Lincoln, NE 68508
Bernadette McCrory
University of Nebraska-Lincoln
,Lincoln, NE 68508
Chad LaGrange
University of Nebraska Medical Center
,Omaha, NE 68198
David Farley
Mayo Clinic
,Rochester, MN 55905
M. Susan Hallbeck
Mayo Clinic
,Rochester, MN 55905
DOI: 10.1115/1.4027063
Manuscript received February 21, 2014; final manuscript received March 3, 2014; published online April 28, 2014. Editor: Arthur G. Erdman.
J. Med. Devices. Jun 2014, 8(2): 020949 (2 pages)
Published Online: April 28, 2014
Article history
Received:
February 21, 2014
Revision Received:
March 3, 2014
Citation
Lowndes, B., McCrory, B., LaGrange, C., Farley, D., and Susan Hallbeck, M. (April 28, 2014). "Preliminary Comparison of Laparoendoscopic Single-Site Surgery Instrumentation With Novice Surgical Interns: How Usability Testing Can Reveal Human Factors Issues Prior to Errors in the Operating Room." ASME. J. Med. Devices. June 2014; 8(2): 020949. https://doi.org/10.1115/1.4027063
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