Skip to main content
main-content
Erschienen in: Journal of Robotic Surgery 1/2012

01.03.2012 | Original Article

The aching surgeon: a survey of physical discomfort and symptoms following open, laparoscopic, and robotic surgery

verfasst von: Timothy A. Plerhoples, Tina Hernandez-Boussard, Sherry M. Wren

Erschienen in: Journal of Robotic Surgery | Ausgabe 1/2012

Einloggen, um Zugang zu erhalten

Abstract

There is increasing interest in understanding the toll that operating takes on a surgeon’s body. The effect of robotic surgery on surgeon discomfort has not been studied. We sought to document the discomfort of robotic surgery compared with open and laparoscopic surgery and to investigate the factors that affect the risk of physical symptoms. Nineteen-thousand eight-hundred and sixty-eight surgeons from all specialties trained in the use of robots were sent a 26-question online survey and 1,407 responded. One-thousand two-hundred and fifteen surgeons who practiced all three approaches were used in the analysis. Eight-hundred and seventy-one surgeons had physical discomfort or symptoms attributable to operating. Of those with symptoms, 55.4% attributed most of the symptoms to laparoscopic surgery, 36.3% to open surgery, and 8.3% to robotic surgery. A higher case load was predictive of increased symptoms for open and laparoscopic surgery, but not for robotic surgery. Robotic surgery was less likely than open or laparoscopic surgery to lead to neck, back, hip, knee, ankle, foot, and shoulder pain and less likely than laparoscopic surgery to lead to elbow and wrist pain. Robotic surgery was more likely than either open or laparoscopic surgery to lead to eye pain, and more likely than open surgery to lead to finger pain. Nearly a third (30.3%) of surgeons admit to giving consideration to their own discomfort when choosing an operative modality. Robotic surgery has promise in reducing the risk of physical discomfort for the operator. This is important as more surgeons consider their own health when choosing a surgical modality.
Literatur
1.
Zurück zum Zitat Park A, Lee G, Seagull FJ, Meenaghan N, Dexter D (2010) Patients benefit while surgeons suffer: an impending epidemic. J Am Coll Surg 210(3):306–313 PubMedCrossRef Park A, Lee G, Seagull FJ, Meenaghan N, Dexter D (2010) Patients benefit while surgeons suffer: an impending epidemic. J Am Coll Surg 210(3):306–313 PubMedCrossRef
2.
Zurück zum Zitat Berguer R, Rab GT, Abu-Ghaida H, Alarcon A, Chung J (1997) A comparison of surgeons’ posture during laparoscopic and open surgical procedures. Surg Endosc 11(2):139–142 PubMedCrossRef Berguer R, Rab GT, Abu-Ghaida H, Alarcon A, Chung J (1997) A comparison of surgeons’ posture during laparoscopic and open surgical procedures. Surg Endosc 11(2):139–142 PubMedCrossRef
3.
Zurück zum Zitat Nguyen NT, Ho HS, Smith WD et al (2001) An ergonomic evaluation of surgeons’ axial skeletal and upper extremity movements during laparoscopic and open surgery. Am J Surg 182(6):720–724 PubMedCrossRef Nguyen NT, Ho HS, Smith WD et al (2001) An ergonomic evaluation of surgeons’ axial skeletal and upper extremity movements during laparoscopic and open surgery. Am J Surg 182(6):720–724 PubMedCrossRef
4.
Zurück zum Zitat Gofrit ON, Mikahail AA, Zorn KC et al (2008) Surgeons’ perceptions and injuries during and after urologic laparoscopic surgery. Urology 71(3):404–407 PubMedCrossRef Gofrit ON, Mikahail AA, Zorn KC et al (2008) Surgeons’ perceptions and injuries during and after urologic laparoscopic surgery. Urology 71(3):404–407 PubMedCrossRef
5.
Zurück zum Zitat Stomberg MW, Tronstad S-E, Hedberg K et al (2010) Work-related musculoskeletal disorders when performing laparoscopic surgery. Surg Laparosc Endosc Percutan Tech 20(1):49–53 PubMedCrossRef Stomberg MW, Tronstad S-E, Hedberg K et al (2010) Work-related musculoskeletal disorders when performing laparoscopic surgery. Surg Laparosc Endosc Percutan Tech 20(1):49–53 PubMedCrossRef
6.
Zurück zum Zitat Szeto GPY, Ho P, Ting ACW et al (2009) Work-related musculoskeletal symptoms in surgeons. J Occup Rehabil 19(2):175–184 PubMedCrossRef Szeto GPY, Ho P, Ting ACW et al (2009) Work-related musculoskeletal symptoms in surgeons. J Occup Rehabil 19(2):175–184 PubMedCrossRef
7.
Zurück zum Zitat van Det MJ, Meijerink WJHJ, Hoff C, van Veelen MA, Pierie JPEN (2008) Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy. Surg Endosc 22(11):2421–2427 PubMedCrossRef van Det MJ, Meijerink WJHJ, Hoff C, van Veelen MA, Pierie JPEN (2008) Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy. Surg Endosc 22(11):2421–2427 PubMedCrossRef
8.
Zurück zum Zitat Liberman AS, Shrier I, Gordon PH (2005) Injuries sustained by colorectal surgeons performing colonoscopy. Surg Endosc 19(12):1606–1609 PubMedCrossRef Liberman AS, Shrier I, Gordon PH (2005) Injuries sustained by colorectal surgeons performing colonoscopy. Surg Endosc 19(12):1606–1609 PubMedCrossRef
9.
Zurück zum Zitat van Det MJ, Meijerink WJHJ, Hoff C, Totté ER, Pierie JPEN (2009) Optimal ergonomics for laparoscopic surgery in minimally invasive surgery suites: a review and guidelines. Surg Endosc 23(6):1279–1285 PubMedCrossRef van Det MJ, Meijerink WJHJ, Hoff C, Totté ER, Pierie JPEN (2009) Optimal ergonomics for laparoscopic surgery in minimally invasive surgery suites: a review and guidelines. Surg Endosc 23(6):1279–1285 PubMedCrossRef
10.
Zurück zum Zitat van Veelan MA, Jakimowicz JJ, Kazemier G (2004) Improved physical ergonomics of laparoscopic surgery. Minim Invasive Ther Allied Technol 13(3):161–166 CrossRef van Veelan MA, Jakimowicz JJ, Kazemier G (2004) Improved physical ergonomics of laparoscopic surgery. Minim Invasive Ther Allied Technol 13(3):161–166 CrossRef
11.
Zurück zum Zitat Wauben LSGL, van Veelen MA, Gossot D, Goossens RHM (2006) Application of ergonomic guidelines during minimally invasive surgery: a questionnaire survey of 284 surgeons. Surg Endosc 20(8):1268–1274 PubMedCrossRef Wauben LSGL, van Veelen MA, Gossot D, Goossens RHM (2006) Application of ergonomic guidelines during minimally invasive surgery: a questionnaire survey of 284 surgeons. Surg Endosc 20(8):1268–1274 PubMedCrossRef
14.
Zurück zum Zitat Berguer R, Smith W (2006) An ergonomic comparison of robotic and laparoscopic technique: the influence of surgeon experience and task complexity. J Surg Res 134(1):87–92 PubMedCrossRef Berguer R, Smith W (2006) An ergonomic comparison of robotic and laparoscopic technique: the influence of surgeon experience and task complexity. J Surg Res 134(1):87–92 PubMedCrossRef
15.
Zurück zum Zitat van der Schatte Olivier RH, Van’t Hullenaar CDP, Ruurda JP, Broeders IAMJ (2009) Ergonomics, user comfort, and performance in standard and robot-assisted laparoscopic surgery. Surg Endosc 23(6):1365–1371 PubMedCrossRef van der Schatte Olivier RH, Van’t Hullenaar CDP, Ruurda JP, Broeders IAMJ (2009) Ergonomics, user comfort, and performance in standard and robot-assisted laparoscopic surgery. Surg Endosc 23(6):1365–1371 PubMedCrossRef
16.
Zurück zum Zitat Bagrodia A, Raman JD (2009) Ergonomics considerations of radical prostatectomy: physician perspective of open, laparoscopic, and robot-assisted techniques. J Endourol 23(4):627–633 PubMedCrossRef Bagrodia A, Raman JD (2009) Ergonomics considerations of radical prostatectomy: physician perspective of open, laparoscopic, and robot-assisted techniques. J Endourol 23(4):627–633 PubMedCrossRef
17.
Zurück zum Zitat Elhage O, Murphy D, Challacombe B, Shortland A, Dasgupta P (2007) Ergonomics in minimally invasive surgery. Int J Clin Pract 61(2):186–188 PubMedCrossRef Elhage O, Murphy D, Challacombe B, Shortland A, Dasgupta P (2007) Ergonomics in minimally invasive surgery. Int J Clin Pract 61(2):186–188 PubMedCrossRef
19.
Zurück zum Zitat Berguer R, Smith WD, Chung YH (2001) Performing laparoscopic surgery is significantly more stressful for the surgeon than open surgery. Surg Endosc 15(10):1204–1207 PubMedCrossRef Berguer R, Smith WD, Chung YH (2001) Performing laparoscopic surgery is significantly more stressful for the surgeon than open surgery. Surg Endosc 15(10):1204–1207 PubMedCrossRef
20.
Zurück zum Zitat Sprague S, Quigley L, Bhandari M (2009) Survey design in orthopaedic surgery: getting surgeons to respond. J Bone Joint Surg Am 91(Suppl 3):27–34 PubMedCrossRef Sprague S, Quigley L, Bhandari M (2009) Survey design in orthopaedic surgery: getting surgeons to respond. J Bone Joint Surg Am 91(Suppl 3):27–34 PubMedCrossRef
Metadaten
Titel
The aching surgeon: a survey of physical discomfort and symptoms following open, laparoscopic, and robotic surgery
verfasst von
Timothy A. Plerhoples
Tina Hernandez-Boussard
Sherry M. Wren
Publikationsdatum
01.03.2012
Verlag
Springer-Verlag
Erschienen in
Journal of Robotic Surgery / Ausgabe 1/2012
Print ISSN: 1863-2483
Elektronische ISSN: 1863-2491
DOI
https://doi.org/10.1007/s11701-011-0330-3

Weitere Artikel der Ausgabe 1/2012

Journal of Robotic Surgery 1/2012 Zur Ausgabe

Neu im Fachgebiet Chirurgie

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Chirurgie und bleiben Sie gut informiert – ganz bequem per eMail.