Zehetner J, Kaltenbacher A, Wayand W, Shamiyeh A
Ludwig Boltzmann Institute for Operative Laparoscopy, 2nd Surgical Department, AKH-Linz, Academic Teaching Hospital of Linz, Krankenhausstrasse 9, 4020, Linz, Austria.
Surg Endosc. 2006 Jan;20(1):139-41. doi: 10.1007/s00464-005-0251-1. Epub 2005 Dec 7.
The increasing number of routinely performed laparoscopic operations causes the surgeons' "screen work" time to rise constantly. A new ergonomic workload on the surgeons' upper spine and shoulders is created as a result of the standard screen height position on top of the laparoscopy towers.
Eight surgeons in the authors' surgical department were evaluated for the inclination/reclination angle of their cervical spine when using the laparoscopy towers in the authors' department and also at their favorable screen height.
The laparoscopy towers used in the authors' department made 3 degrees to 14 degrees reclination of the cervical spine necessary. The interviewed surgeons preferred a position of slight inclination, with a median of 160 cm measured from the central screen height to the floor.
Monitors of laparoscopy towers should be adapted to the surgeon's preferred screen height: at eye level frontally with a neutral or slight inclination of the cervical spine. The authors suggest a central screen height of 160 cm, with the monitor positioned in front of the surgeon. Newer equipment from the industry should be provided.
常规进行的腹腔镜手术数量不断增加，导致外科医生的“屏幕工作”时间持续上升。腹腔镜手术塔顶部的标准屏幕高度位置在外科医生的上脊柱和肩部产生了新的人体工程学工作负荷。
对作者所在外科科室的8名外科医生在使用科室的腹腔镜手术塔时以及在他们认为合适的屏幕高度时的颈椎倾斜/后倾角度进行了评估。
作者所在科室使用的腹腔镜手术塔使颈椎需要后倾3度至14度。接受访谈的外科医生更喜欢轻微倾斜的位置，从中央屏幕高度到地面的测量中位数为160厘米。
腹腔镜手术塔的监视器应根据外科医生喜欢的屏幕高度进行调整：在眼睛水平前方，颈椎保持中立或轻微倾斜。作者建议中央屏幕高度为160厘米，监视器位于外科医生前方。应提供行业更新的设备。
