Value-based healthcare is creating challenges in laparoscopic surgery1

Operating room inefficiencies, surgical variability, and workforce challenges are affecting your hospital and practice.

The limitations of traditional laparoscopy

may drive inefficiency and impact quality measures

Limitations of traditional laparoscopy impact clinical intelligence: Clinical intelligence is defined as point-of-care knowledge that allows a surgeon to make more informed decisions that may drive improved outcomes and procedural efficiency.

OR Inefficiencies

Surgeon inability to control vision can cause efficiency and safety challenges


Quick movement or unsteady control of the camera can cause fogging, which requires a pause in the procedure for cleaning


Adjusting the way instruments are positioned for the purpose of ergonomic improvement is inefficient1

Limited Clinical Intelligence

Haptic feedback is limited, as there is a lack of sensing of force generated at places like the abdominal wall2


The surgeon is not in direct control of his/her visualization


Working outside of the visual field is a common challenge due to a lack of camera control

Surgical variability is a key concern

for hospitals and surgeons

several people

TEAM DYNAMICS1,3 Failures in situational awareness among surgeons and staff are associated with a higher rate of technical errors. This can create efficiency challenges with the medical assistant control of surgeon visualization.

tired surgeon

SURGEON AND STAFF FATIGUE3 Several studies found that increased levels of fatigue were drivers of variability in technical errors, time to complete the task, and instrument handling.

upward graph

SURGEON AND STAFF SKILL3,4 Studies have shown that technical skill varies widely in surgeons; greater skill is often associated with fewer postoperative complications and lower rates of reoperation, readmission, and visits to the emergency department.

Surgical variability is the inconsistency of surgeon and staff proficiency with regard to the interacting and interdependent elements involved in the surgical event. These include tasks, team size, workflow, resources, technologies, processes, and environments that may impact cost, utilization, effectiveness, and outcomes of surgery.

Poor ergonomics for laparoscopic surgeons is a serious

performance issue that may lead to shortened careers5,6

87% of laparoscopic surgeons suffer from performance-related symptoms5

The Association of American Medical Colleges forecasts

a deficit of over 33,000 surgeons and specialists by 203010

Factors driving surgeon shortage

Population Growth:

In a little over a decade (2030)10:

  • The total US population is expected to grow by ~11%
  • US residents aged 65 and older are expected to increase in number by 50%
  • The number of US residents aged 75 and older is expected to grow by 69%

Surgeon Aging:

More than one-third of all active physicians will be 65 or older in the next 10 years10,11

  • More than 90% of surveyed hospital executives said they expect their organizations will face a serious talent shortage in the next 10 years that will affect their ability to deliver high-quality care
  • Those surveyed said their organizations have begun employing strategies to attract and retain talent in preparation for the surgeon shortage.11

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