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    The impact of obesity on surgeon ergonomics in robotic and straight stick laparoscopic surgery

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    Authors
    Moss, E
    Sarhanis, P
    Ind, T
    Smith, Michael
    Davies, Q
    Zecca, M
    Affiliation
    Leicester Cancer Research Centre, University of Leicester, Department of Gynaecological Oncology, University Hospitals of Leicester
    Issue Date
    2019
    
    Metadata
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    Abstract
    OBJECTIVE: Work-related musculoskeletal symptoms (WMS) are reported to be increasing in surgeons performing minimally invasive procedures. To investigate the use of Inertial Measurement Units (IMU) and electromyography sensor (EMG) recorders to record real-time information on the muscle movement/activity required to perform training exercises in simulated in normal and high body mass index (BMI) models. DESIGN: Prospective study SETTING: University Hospital SAMPLE: Four consultant gynaecological Oncol.ogy surgeons experienced in complex straight-stick laparoscopic (SS) and robotic surgery (RA). INTERVENTIONS: Three exercises (hoops onto pegs and wire chase) using SS and RA on two abdominal models: A) normal BMI; B) high BMI. MEASUREMENTS AND MAIN RESULTS: Time to complete exercise and surgeon muscle movement/activity. The time to complete the all the exercises was significantly lower RA as compared to SS (p<0.001). The movement of the surgeons' core was significantly greater in model SS-B compared to SS-A for all three exercises (p<0.001). Muscle usage, as determined by EMG peak, was significantly higher in SS-A, and even higher in SS-B, but generally flat for all the RA-A and RA-B exercises (p<0.05). CONCLUSIONS: Detailed real-time information can be collected through IMU/EMG sensors Our results indicate that RA requires less surgeon movements and muscle activity to complete tasks compared to SS, particularly in a high BMI model. The implications of these results are that RA in high BMI patients may therefore have less physical impact on the surgeon compare to SS, and may result in lower WMS rates.
    Citation
    Moss EL, Sarhanis P, Ind T, Smith M, Davies Q, Zecca M. The impact of obesity on surgeon ergonomics in robotic and straight stick laparoscopic surgery. J Minim Invasive Gynecol. 2019.
    Journal
    Journal of Minimally Invasive Gynecology
    URI
    http://hdl.handle.net/10541/622057
    DOI
    10.1016/j.jmig.2019.07.009
    PubMed ID
    31326633
    Additional Links
    https://dx.doi.org/10.1016/j.jmig.2019.07.009
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jmig.2019.07.009
    Scopus Count
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