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Erschienen in:
05.09.2018 | Original Contributions
Physical and Mental Impact of Laparoscopic Sleeve Gastrectomy on the Surgeon: French vs. American Positions. A Randomized and Controlled Study
Erschienen in: Obesity Surgery | Ausgabe 1/2019
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Purpose
To determine the physical and mental impact on the primary surgeon, by the patient’s and surgical staff’s dispositions at the operating table, during laparoscopic vertical sleeve gastrectomy.
Materials and Methods
This is a randomized and controlled study that included 18 laparoscopic sleeve gastrectomy procedures performed by two surgeons in a private and academic hospital. The cases were randomized for the American or French position. After surgery, the National Aeronautics and Space Administration - Task Load Index (NASA-TLX) and the Body Part Discomfort (BPD) scales were applied to the primary surgeon.
Results
An increased workload and more discomfort were reported when using the French position. The NASA-TLX was 28 ± 8 vs. 57 ± 18 (p = 0.001), and the BPD was 2 vs. 8 (p = 0.001).
Conclusions
The American position resulted in a lower physical and mental impact on the surgeon when performing a laparoscopic sleeve gastrectomy.