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Surgeons' physical discomfort and symptoms during robotic surgery: a comprehensive ergonomic survey study.
Surg Endosc. 2017 04; 31(4):1697-1706.SE

Abstract

BACKGROUND

It is commonly believed that robotic surgery systems provide surgeons with an ergonomically sound work environment; however, the actual experience of surgeons practicing robotic surgery (RS) has not been thoroughly researched. In this ergonomics survey study, we investigated surgeons' physical symptom reports and their association with factors including demographics, specialties, and robotic systems.

METHODS

Four hundred and thirty-two surgeons regularly practicing RS completed this comprehensive survey comprising 20 questions in four categories: demographics, systems, ergonomics, and physical symptoms. Chi-square and multinomial logistic regression analyses were used for statistical analysis.

RESULTS

Two hundred and thirty-six surgeons (56.1 %) reported physical symptoms or discomfort. Among those symptoms, neck stiffness, finger, and eye fatigues were the most common. With the newest robot, eye symptom rate was considerably reduced, while neck and finger symptoms did not improve significantly. A high rate of lower back stiffness was correlated with higher annual robotic case volume, and eye symptoms were more common with longer years practicing robotic surgery (p < 0.05). The symptom report rate from urology surgeons was significantly higher than other specialties (p < 0.05). Noticeably, surgeons with higher confidence and helpfulness levels with their ergonomic settings reported lower symptom report rates. Symptoms were not correlated with age and gender.

CONCLUSION

Although RS provides relatively better ergonomics, this study demonstrates that 56.1 % of regularly practicing robotic surgeons still experience related physical symptoms or discomfort. In addition to system improvement, surgeon education in optimizing the ergonomic settings may be necessary to maximize the ergonomic benefits in RS.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Lee GI
Department of Surgery, Johns Hopkins University School of Medicine, 600 North Wolfe Street Blalock 1210, Baltimore, MD, 21287, USA. glee49@jhmi.edu.
Lee MR
Department of Surgery, Johns Hopkins University School of Medicine, 600 North Wolfe Street Blalock 1210, Baltimore, MD, 21287, USA.
Green I
Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Allaf M
Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Marohn MR
Department of Surgery, Johns Hopkins University School of Medicine, 600 North Wolfe Street Blalock 1210, Baltimore, MD, 21287, USA.

MeSH

AdultErgonomicsFatigueFemaleHumansLogistic ModelsMaleMiddle AgedMusculoskeletal DiseasesOccupational DiseasesRobotic Surgical ProceduresSurgeonsSurveys and QuestionnairesUnited States

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27515836

Citation

Lee, G I., et al. "Surgeons' Physical Discomfort and Symptoms During Robotic Surgery: a Comprehensive Ergonomic Survey Study." Surgical Endoscopy, vol. 31, no. 4, 2017, pp. 1697-1706.
Lee GI, Lee MR, Green I, et al. Surgeons' physical discomfort and symptoms during robotic surgery: a comprehensive ergonomic survey study. Surg Endosc. 2017;31(4):1697-1706.
Lee, G. I., Lee, M. R., Green, I., Allaf, M., & Marohn, M. R. (2017). Surgeons' physical discomfort and symptoms during robotic surgery: a comprehensive ergonomic survey study. Surgical Endoscopy, 31(4), 1697-1706. https://doi.org/10.1007/s00464-016-5160-y
Lee GI, et al. Surgeons' Physical Discomfort and Symptoms During Robotic Surgery: a Comprehensive Ergonomic Survey Study. Surg Endosc. 2017;31(4):1697-1706. PubMed PMID: 27515836.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgeons' physical discomfort and symptoms during robotic surgery: a comprehensive ergonomic survey study. AU - Lee,G I, AU - Lee,M R, AU - Green,I, AU - Allaf,M, AU - Marohn,M R, Y1 - 2016/08/11/ PY - 2016/02/01/received PY - 2016/07/27/accepted PY - 2016/8/16/pubmed PY - 2017/9/2/medline PY - 2016/8/13/entrez KW - Da Vinci KW - Discomfort KW - Ergonomics KW - Physical symptom KW - Robotic surgery KW - Survey SP - 1697 EP - 1706 JF - Surgical endoscopy JO - Surg Endosc VL - 31 IS - 4 N2 - BACKGROUND: It is commonly believed that robotic surgery systems provide surgeons with an ergonomically sound work environment; however, the actual experience of surgeons practicing robotic surgery (RS) has not been thoroughly researched. In this ergonomics survey study, we investigated surgeons' physical symptom reports and their association with factors including demographics, specialties, and robotic systems. METHODS: Four hundred and thirty-two surgeons regularly practicing RS completed this comprehensive survey comprising 20 questions in four categories: demographics, systems, ergonomics, and physical symptoms. Chi-square and multinomial logistic regression analyses were used for statistical analysis. RESULTS: Two hundred and thirty-six surgeons (56.1 %) reported physical symptoms or discomfort. Among those symptoms, neck stiffness, finger, and eye fatigues were the most common. With the newest robot, eye symptom rate was considerably reduced, while neck and finger symptoms did not improve significantly. A high rate of lower back stiffness was correlated with higher annual robotic case volume, and eye symptoms were more common with longer years practicing robotic surgery (p < 0.05). The symptom report rate from urology surgeons was significantly higher than other specialties (p < 0.05). Noticeably, surgeons with higher confidence and helpfulness levels with their ergonomic settings reported lower symptom report rates. Symptoms were not correlated with age and gender. CONCLUSION: Although RS provides relatively better ergonomics, this study demonstrates that 56.1 % of regularly practicing robotic surgeons still experience related physical symptoms or discomfort. In addition to system improvement, surgeon education in optimizing the ergonomic settings may be necessary to maximize the ergonomic benefits in RS. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/27515836/Surgeons'_physical_discomfort_and_symptoms_during_robotic_surgery:_a_comprehensive_ergonomic_survey_study_ DB - PRIME DP - Unbound Medicine ER -