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Ergonomic assessment of the surgeon's physical workload during standard and robotic assisted laparoscopic procedures.
Int J Med Robot. 2013 Jun; 9(2):142-7.IJ

Abstract

BACKGROUND

Standard laparoscopy is responsible for musculoskeletal problems because of surgeons anti-ergonomic positions. Robot-assisted laparoscopy seems to reduce these musculoskeletal disorders thanks to the surgeons seated position. The objective of this study is to evaluate the muscular strain and cognitive stress induced by these two techniques during real operations conducted on the pig.

METHODS

Electromyographic activities, heart rate, physical and mental workloads (NASA Tlx and Borg CR-10) were recorded.

RESULTS

Physical workload and perception of the effort invested was significantly greater during the standard laparoscopies (p<0.05). Mental stress was however identical for the two techniques. In Standard Laparoscopic group, greater physical activity was found for trapezius and dorso-lumbar muscles, and significant appearance of fatigue of the trapezius muscles should also be noted. Finally, heart rate during standard laparoscopy was increased (92.1 ± 1.6 bpm vs 83.7 ± 1.8, p<0,01), confirming greater physical expenditure.

CONCLUSIONS

Robot-assisted laparoscopy is a less physically stressful surgical technique than standard laparoscopy.

Authors+Show Affiliations

Urology Department, CHRU Nancy-Brabois, rue du Morvan, 54511, Vandœuvre-les-Nancy, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23529792

Citation

Hubert, N, et al. "Ergonomic Assessment of the Surgeon's Physical Workload During Standard and Robotic Assisted Laparoscopic Procedures." The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS, vol. 9, no. 2, 2013, pp. 142-7.
Hubert N, Gilles M, Desbrosses K, et al. Ergonomic assessment of the surgeon's physical workload during standard and robotic assisted laparoscopic procedures. Int J Med Robot. 2013;9(2):142-7.
Hubert, N., Gilles, M., Desbrosses, K., Meyer, J. P., Felblinger, J., & Hubert, J. (2013). Ergonomic assessment of the surgeon's physical workload during standard and robotic assisted laparoscopic procedures. The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS, 9(2), 142-7. https://doi.org/10.1002/rcs.1489
Hubert N, et al. Ergonomic Assessment of the Surgeon's Physical Workload During Standard and Robotic Assisted Laparoscopic Procedures. Int J Med Robot. 2013;9(2):142-7. PubMed PMID: 23529792.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ergonomic assessment of the surgeon's physical workload during standard and robotic assisted laparoscopic procedures. AU - Hubert,N, AU - Gilles,M, AU - Desbrosses,K, AU - Meyer,J P, AU - Felblinger,J, AU - Hubert,J, Y1 - 2013/03/26/ PY - 2013/01/25/accepted PY - 2013/3/27/entrez PY - 2013/3/27/pubmed PY - 2014/1/9/medline SP - 142 EP - 7 JF - The international journal of medical robotics + computer assisted surgery : MRCAS JO - Int J Med Robot VL - 9 IS - 2 N2 - BACKGROUND: Standard laparoscopy is responsible for musculoskeletal problems because of surgeons anti-ergonomic positions. Robot-assisted laparoscopy seems to reduce these musculoskeletal disorders thanks to the surgeons seated position. The objective of this study is to evaluate the muscular strain and cognitive stress induced by these two techniques during real operations conducted on the pig. METHODS: Electromyographic activities, heart rate, physical and mental workloads (NASA Tlx and Borg CR-10) were recorded. RESULTS: Physical workload and perception of the effort invested was significantly greater during the standard laparoscopies (p<0.05). Mental stress was however identical for the two techniques. In Standard Laparoscopic group, greater physical activity was found for trapezius and dorso-lumbar muscles, and significant appearance of fatigue of the trapezius muscles should also be noted. Finally, heart rate during standard laparoscopy was increased (92.1 ± 1.6 bpm vs 83.7 ± 1.8, p<0,01), confirming greater physical expenditure. CONCLUSIONS: Robot-assisted laparoscopy is a less physically stressful surgical technique than standard laparoscopy. SN - 1478-596X UR - https://www.unboundmedicine.com/medline/citation/23529792/Ergonomic_assessment_of_the_surgeon's_physical_workload_during_standard_and_robotic_assisted_laparoscopic_procedures_ L2 - https://doi.org/10.1002/rcs.1489 DB - PRIME DP - Unbound Medicine ER -