surgeon is responsible for the overall management of
the patient's diagnosis and treatment and the operational
steps of the procedure.
endoscopic procedures require an assistant. His or her
primary responsibility is to retract and manipulate
the tissue to provide adequate exposure for the surgeon.
resident must have intimate knowledge of the procedure
performed, anatomy and physiology, and tissue handling
resident is experienced, he or she may perform the surgery
while the attending guides the resident.
present as an educational opportunity to learn about
the surgical treatment of a disease process.
the medical student often assists by retracting or driving
scrub nurse is responsible for assembling and preparing
the sterile field, e.g., the scope, the camera head
cable, the light guide, and all surgical instruments.
sterile instruments must be arranged on the back table
and the Mayo stand in a way that facilitates easy access
to equipment and does not directly interfere with the
movement of the surgical team.
important that the instrument nurse follow the progress
of the procedure closely and anticipate the surgeon's
needs for instrumentation, irrigation, and suctioning.
circulating nurse is in charge of all tasks outside
of the sterile surgical field. This nurse is assigned
to the patient and is responsible of taking care of
anesthesiologist is positioned at the patient's head.
the assistance of the circulator, the anesthesiologist
positions the patient, inserts the intravenous lines,
attaches the monitoring equipment, induces anesthesia
and intubates the patient, and monitors the patient's
is the camera operator's responsibility to keep the
camera oriented and focused correctly and to troubleshoot
problems with the camera head.
could be the surgeon, resident, or medical student.
operators must have steady hands, good concentration,
and good spatial orientation.
must understand the procedure and be able to follow
the surgeon' s instruments to give the best possible
view of the operative site, while keeping the instruments
the slightest tremor can cause the monitor image to
here to learn
how to drive the camera.