The Economy of Motion for Laparoscopic Ball Clamping Surgery: A Feedback Educational Tool


The Ball Clamping module of the Laparoscopic Surgery Training Box involves the transfer of beads across the training board using laparoscopic tools. Fundamentals of Laparoscopic Surgery (FLS) requires practitioners to move their hands at as short a distance as possible to perform the functions in the shortest amount of time. This study introduces a feedback tool that presents to the student, after attempting their exam, the right direction (step by step) of obtaining the optimal pathway for minimizing distance traveled in the Ball Clamping Module of the Laparoscopic Surgery Training Box. The shortest distance tour for the ball clamping task is determined using the Traveling Salesman Model (TSM). A sensitivity analysis is conducted to assess the model's applicability to different types and settings of trainer boxes. • Find the best sequence of points resulting in the shortest distance tour for the ball clamping task. • The effects of adding or removing columns from the box cannot be intuitively predicted.

Publication DOI:
Divisions: College of Business and Social Sciences > Aston Business School
College of Business and Social Sciences > Aston Business School > Operations & Information Management
Additional Information: Copyright © 2023 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (
Uncontrolled Keywords: Ball clamping module,Educational Feedback Tool,Laparoscopic surgery,Travelling salesman problem,Clinical Biochemistry,Medical Laboratory Technology
Publication ISSN: 2215-0161
Last Modified: 16 May 2024 07:21
Date Deposited: 26 Apr 2023 08:55
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Related URLs: https://www.sci ... 215016123001681 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2023-04-10
Published Online Date: 2023-03-31
Accepted Date: 2023-03-30
Authors: Shbool, Mohammad A.
Al-Bazi, Ammar (ORCID Profile 0000-0002-5057-4171)
Kokash, Alma
AlAlaween, Wafa' H.
Albashabsheh, Nibal T.
Al-Taher, Raed



Version: Published Version

License: Creative Commons Attribution

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