@article{e28ca79cf2654309a7a51e8745b71af6,
title = "Surgical team workload comparison for 4-port and single-port laparoscopic cholecystectomy procedures",
abstract = "Advanced minimally invasive procedures may cause postural constraints and increased workload and stress for providers. This study compared workload and stress across surgical team roles for 48 laparoscopic cholecystectomies (4-port vs single-port)using a task load index (NASA-TLX), a procedural difficulty question, and salivary stress hormones. Statistical analyses were performed based on the presence intra-cluster correlation within team roles, at α=0.05. The single-port technique resulted in an 89% increase in physical workload for the surgeon and 63% increase for the assistant (both p<0.05). The surgeon had significantly higher salivary stress hormones during single-port surgeries. The degree of procedural difficulty was positively correlated between the surgeon and most roles: resident (r=0.67), assistant (r=0.81), and technician (r=0.81). There was a statistically significant positive correlation between the surgeon and assistant for all selfreported workload measures (p<0.05). The single-port technique requires further improvement to balance surgical team workload for optimal patient safety and satisfaction.",
keywords = "Laparoscopic Cholecystectomy, Surgical Team, Workload",
author = "Lowndes, {Bethany R.} and Abdelrahman, {Amro M.} and Thiels, {Cornelius A.} and Mohamed, {Amani O.} and McConico, {Andrea L.} and Juliane Bingener and Hallbeck, {M. Susan}",
note = "Funding Information: The research team would like to acknowledge the surgical team for their participation in this research study, to Pam Skaran for patient recruitment and schedule coordination for capturing the RCT cases, and to Dr. Denny Yu, Stephanie Anderson and Megan Branda for all their work on data management and statistical analysis. This study was funded in part with support from the Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery. Study funding information: U.S. Department of Health and Human Services-National Institutes of Health-National Institute of Diabetes and Digestive and Kidney Diseases ( K23 DK 93553 ), Mayo Clinic-Center for Clinical and Translational Science (CTSA Grant UL1 TR000135 ), Mayo Clinic-Robert D. and Patricia E Kern Center for the Science of Health Care Delivery , Mayo Clinic-Department of Surgery Research . Dr. Hallbeck had research funding from Stryker Endoscopy . Dr. Bingener was supported through a research grant ( NIDDK ), specified research through Nestle and Stryker Endoscopy, has received travel support from Intuitive Surgical, and serves on the Surgeon Advisory Board for Titan Medical. Dr. Lowndes was supported by grant number R36HS023146 from the Agency for Healthcare Research and Quality and was supported by Stryker Endoscopy . Andrea McConico and Drs. Abdelrahman and Mohamed have no conflicts of interest or financial ties to disclose. Study data were managed using REDCap electronic data capture tools hosted at Mayo Clinic ( Harris et al., 2009 ).The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH, AHRQ nor CDC. Funding Information: The research team would like to acknowledge the surgical team for their participation in this research study, to Pam Skaran for patient recruitment and schedule coordination for capturing the RCT cases, and to Dr. Denny Yu, Stephanie Anderson and Megan Branda for all their work on data management and statistical analysis. This study was funded in part with support from the Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery. Study funding information: U.S. Department of Health and Human Services-National Institutes of Health-National Institute of Diabetes and Digestive and Kidney Diseases (K23 DK 93553), Mayo Clinic-Center for Clinical and Translational Science (CTSA Grant UL1 TR000135), Mayo Clinic-Robert D. and Patricia E Kern Center for the Science of Health Care Delivery, Mayo Clinic-Department of Surgery Research. Dr. Hallbeck had research funding from Stryker Endoscopy. Dr. Bingener was supported through a research grant (NIDDK), specified research through Nestle and Stryker Endoscopy, has received travel support from Intuitive Surgical, and serves on the Surgeon Advisory Board for Titan Medical. Dr. Lowndes was supported by grant number R36HS023146 from the Agency for Healthcare Research and Quality and was supported by Stryker Endoscopy. Andrea McConico and Drs. Abdelrahman and Mohamed have no conflicts of interest or financial ties to disclose. Study data were managed using REDCap electronic data capture tools hosted at Mayo Clinic (Harris et al. 2009).The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH, AHRQ nor CDC. Publisher Copyright: {\textcopyright} 2018",
year = "2019",
month = jul,
doi = "10.1016/j.apergo.2018.06.005",
language = "English (US)",
volume = "78",
pages = "277--285",
journal = "Applied Ergonomics",
issn = "0003-6870",
publisher = "Elsevier Limited",
}