Ergonomic evaluation of the scrub nurse's posture at different monitor positions during laparoscopic cholecystectomy

Surg Laparosc Endosc Percutan Tech. 2009 Apr;19(2):165-9. doi: 10.1097/SLE.0b013e3181987c48.


Objective: Our aims were to measure the posture and movement of the scrub nurse very accurately, without using any markers, during a minimally invasive surgical procedure.

Summary background data: One of the most important subjects in ergonomic studies of minimally invasive surgery is the question of the proper placement of monitors.

Method: Two simultaneous and synchronized video recordings were carried out in 2 different monitor setups. The different steps of the operation were identified and measured in seconds. Longer-lasting postures were imported to and analyzed with a software. Results of the different setups were compared with each other, and with an "ideal" comfort posture.

Results: Measuring the typical postures of the most pronounced static phase, the evolving stress was significantly influenced by different monitor setups.

Conclusions: With the installation of an additional monitor positioned to satisfy the nurse's comfort, the static stress could be decreased.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adult
  • Cholecystectomy, Laparoscopic*
  • Ergonomics*
  • Female
  • Humans
  • Male
  • Minimally Invasive Surgical Procedures*
  • Musculoskeletal Diseases / prevention & control
  • Occupational Diseases / prevention & control*
  • Occupational Health*
  • Perioperative Nursing*
  • Posture*
  • Time Factors