Should All Minimal Access Surgery Be Robot-Assisted? A Systematic Review into the Musculoskeletal and Cognitive Demands of Laparoscopic and Robot-Assisted Laparoscopic Surgery.
Should All Minimal Access Surgery Be Robot-Assisted? A Systematic Review into the Musculoskeletal and Cognitive Demands of Laparoscopic and Robot-Assisted Laparoscopic Surgery.
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所有微创手术都应该由机器人辅助吗？腹腔镜和机器人辅助腹腔镜手术的肌肉骨骼和认知需求的系统性综述。
DOI：
10.1007/s11605-022-05319-8
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发表时间：
2022-07
影响因子：
3.2
通讯作者：
Subar, Daren A.
中科院分区：
文献类型：
--
作者：
Shugaba, Abdul;Lambert, Joel E.;Bampouras, Theodoros M.;Nuttall, Helen E.;Gaffney, Christopher J.;Subar, Daren A.
外科医生是最有可能出现与工作相关的肌肉骨骼健康下降的人群之一，因为手术的身体需求也与认知疲劳有关。微创手术为患者提供了极好的益处，但机器人或腹腔镜手术对外科医生健康的影响尚不清楚。这项工作研究了机器人辅助与标准腹腔镜手术的肌肉骨骼和认知需求。系统检索Medline、Embase和科克伦数据库中的“肌肉劳损”和“肌肉骨骼疲劳”和“职业病”或“认知疲劳”和“精神疲劳”或“标准腹腔镜手术”和“机器人辅助腹腔镜手术”。测量的主要结果是肌肉骨骼疲劳的肌电图（EMG）活动和认知疲劳的问卷调查（NASA-TLX、SMEQ或博格CR-10）。根据无荟萃分析综合（SWiM）指南进行系统评价。本研究已在Prospero ID：CRD 42020184881上预注册。确定了298个原始标题。10项均为观察性研究的研究被纳入系统综述。机器人手术中竖脊肌和趾屈肌的EMG活动始终低于腹腔镜手术，但竖脊肌的EMG活动高于腹腔镜手术。在10项研究中，有7项与机器人手术的认知负荷显著低于腹腔镜手术相关。有证据表明，在机器人手术期间，肌肉骨骼需求减少，但不包括肌肉，这与大多数报告认知负荷减少的研究有关。与腹腔镜手术相比，机器人手术似乎对外科医生的认知和肌肉骨骼影响较小。在线版本包含补充材料，可通过10.1007/s11605-022-05319-8获取。
Surgeons are among the most at risk of work-related musculoskeletal health decline because of the physical demands of surgery, which is also associated with cognitive fatigue. Minimally invasive surgery offers excellent benefits to patients but the impact of robotic or laparoscopic surgery on surgeon well-being is less well understood. This work examined the musculoskeletal and cognitive demands of robot-assisted versus standard laparoscopic surgery. Medline, Embase and Cochrane databases were systematically searched for ‘Muscle strain’ AND ‘musculoskeletal fatigue’ AND ‘occupational diseases’ OR ‘cognitive fatigue’ AND ‘mental fatigue’ OR ‘standard laparoscopic surgery’ AND ‘robot-assisted laparoscopic surgery’. Primary outcomes measured were electromyographic (EMG) activity for musculoskeletal fatigue and questionnaires (NASA-TLX, SMEQ, or Borg CR-10) for cognitive fatigue. A systematic review was conducted in accordance with the Synthesis Without Meta-analysis (SWiM) Guidelines. The study was preregistered on Prospero ID: CRD42020184881. Two hundred and ninety-eight original titles were identified. Ten studies that were all observational studies were included in the systematic review. EMG activity was consistently lower in robotic than in laparoscopic surgery in the erector spinae and flexor digitorum muscles but higher in the trapezius muscle. This was associated with significantly lower cognitive load in robotic than laparoscopic surgery in 7 of 10 studies. Evidence suggests a reduction in musculoskeletal demands during robotic surgery in muscles excluding the trapezius, and this is associated with most studies reporting a reduced cognitive load. Robotic surgery appears to have less negative cognitive and musculoskeletal impact on surgeons compared to laparoscopic surgery. The online version contains supplementary material available at 10.1007/s11605-022-05319-8.
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DOI：
10.1007/bf00386939
发表时间：
1992-02-01
影响因子：
3
作者：
KANT, IJ;DEJONG, LCGM;BORM, PJA
通讯作者：
BORM, PJA
影响因子：
2.6
作者：
Inoue, Shogo;Ikeda, Kenichiro;Teishima, Jun
通讯作者：
Teishima, Jun
影响因子：
2.5
作者：
Huysmans, M. A.;Hoozemans, M. J. M.;van Dieen, J. H.
通讯作者：
van Dieen, J. H.
影响因子：
2.2
作者：
Berguer, Ramon;Smith, Warren
通讯作者：
Smith, Warren
DOI：
10.1016/j.ergon.2008.04.004
发表时间：
2009-01-01
影响因子：
3.1
作者：
Ma, Liang;Chablat, Damien;Zhang, Wei
通讯作者：
Zhang, Wei