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首页> 外文期刊>Journal of laparoendoscopic and advanced surgical techniques, Part A >Ergonomics and design of laparoscopic instruments: results of a survey among laparoscopic surgeons.
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Ergonomics and design of laparoscopic instruments: results of a survey among laparoscopic surgeons.

机译:人体工程学和腹腔镜器械设计:腹腔镜外科医生的调查结果。

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摘要

This study determined which types of laparoscopic instruments are most often used in Europe, why they are being used, and what problems exist while using the instruments. The handles were also evaluated according to ergonomic design criteria. A questionnaire was send to 62 experienced surgeons in 19 countries. The laparoscopic instruments were divided into four groups: instruments with similar functionality and handgrip model were grouped together. Eight questions were asked for every group about the type of instrument (disposable, reusable, or semireusable), the type of handle, the reason for using a specific instrument, and the experience of discomfort while using the instrument. The handles of the instruments of the group that were associated with the greatest discomfort were ergonomically evaluated on eight aspects (dimensions, angles, and control). Half of the questionnaires were returned. In every group, about 80% of the instruments the surgeons employed were reusable. The chief reason for using a specific type was the good cost-quality of the product and satisfying experiences with other products of the brand. The discomfort was pressure on thumb and fingers (scissors handle) and fixating the tip (ratchet). The handle of the instruments that causes the most discomfort met only three of the eight ergonomic requirements. Most of the laparoscopic instruments employed by surgeons in Europe are reusable. A significant number of the instruments cause discomfort. These instruments do not meet standard ergonomic requirements.
机译:这项研究确定了欧洲最常用的腹腔镜仪器类型,使用原因以及使用仪器时存在哪些问题。还根据人体工程学设计标准对手柄进行了评估。向19个国家的62位经验丰富的外科医生发送了调查表。腹腔镜仪器分为四类:功能相似的仪器和手柄模型被分组在一起。每组要问八个问题,涉及器械的类型(一次性,可重复使用或半可重复使用),手柄的类型,使用特定器械的原因以及使用过程中的不适感。从八个方面(尺寸,角度和控制角度)对人体中与最大不适感相关的器械的手柄进行了人体工程学评估。一半的问卷被退回。在每组中,外科医生使用的器械中约有80%可重复使用。使用特定类型的主要原因是产品具有良好的成本质量以及对该品牌其他产品的满意体验。不适是拇指和手指(剪刀柄)受压并固定尖端(棘齿)。引起最大不适的器械手柄仅满足八项人体工程学要求中的三项。欧洲外科医生使用的大多数腹腔镜器械都是可重复使用的。大量的仪器会引起不适。这些仪器不符合标准的人体工程学要求。

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