Application of Design Structure Matrix to Simulate Surgical Procedures and Predict Surgery Duration

Figure 4

Surgical activities in AMIS video for laparoscopic cholecystectomy protocol: (a) peritoneal dissection, left side (activity A1); (b) peritoneal dissection, right side (activity A2); (c) dissection of the triangle of Calot (activity A3); (d) dissection and clipping the cystic duct (activity A4); (e) cutting the cystic duct (activity A5); (f) dissection and clipping the cystic artery (activity A6); (g) cutting the cystic artery (activity A7); (h) cleaning bile and/or blood (activity A8); and (i) separation of the gallbladder from liver (activity A9). Ca: cystic artery; Cd: cystic duct; Cl: clip; Fo: forceps; Ga: gallbladder; Gr: grasper; Hc: hook cautery; Hs: hook scissors; Ir: irrigator; Li: liver; Tr: trocar.

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