Surgical Endoscopy

, Volume 16, Issue 4, pp 640–645

Motion analysis

A tool for assessing laparoscopic dexterity in the performance of a laboratory-based laparoscopic cholecystectomy
  • S. G. T. Smith
  • J. Torkington
  • T. J. Brown
  • N. J. Taffinder
  • A. Darzi
Original Articles

DOI: 10.1007/s004640080081

Cite this article as:
Smith, S.G.T., Torkington, J., Brown, T.J. et al. Surg Endosc (2002) 16: 640. doi:10.1007/s004640080081

Abstract

Background

The ability to make an objective evaluation of a surgeon’s operative ability remains an elusive goal. In this study, we used motion analysis as a measure of dexterity in the performance of a simulated operation.

Methods

Fifteen surgeons performed a total of 45 laboratory-based laparoscopic cholecystectomies on a cadaveric porcine liver model. Subjects were assigned to one of three groups according to their level of experience in human laparoscopic cholecystectomy. Electromagnetic tracking devices were used to analyze the surgeon’s hand movements as they performed the procedure. Movement data (time, distance, number of movements, and speed of movement) were then compared.

Results

Analysis of variance (ANOVA) movement scores across the three groups showed significantly better performance among the experienced laparoscopic surgeons than the novices. Learning curves across repetititions of procedures were plotted. Novices made more improvement than experts.

Conclusions

Motion analysis provides useful data for the assessment of laparoscopic dexterity, and the porcine liver model is a valid simulation of the real procedure.

Key words

Laparoscopic dexterityMotion analysisOperative abilityCholecystectomyPorcine model

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • S. G. T. Smith
    • 1
  • J. Torkington
    • 1
  • T. J. Brown
    • 1
  • N. J. Taffinder
    • 1
  • A. Darzi
    • 1
  1. 1.Department of Academic Surgery, Imperial College School of Medicine, 10th FloorSt. Mary’s HospitalLondonUK