Klein Mads, Andersen Lars Peter Holst, Alamili Mahdi, Gögenur Ismail, Rosenberg Jacob
Department of Surgical Gastroenterology, Herlev Hospital, University of Copenhagen, Herlev Ringvej, Herlev, Denmark.
Surg Laparosc Endosc Percutan Tech. 2010 Aug;20(4):237-42. doi: 10.1097/SLE.0b013e3181ed851d.
There have been no studies examining the effect of optimized ergonomic and technical environment on the psychological and physiological stress of the surgeon. The aim of this study was to examine whether optimized ergonomics and technical aids within a modern operating room (OR) affect psychological and physiological stress in experienced laparoscopic surgeons.
This was a prospective case-controlled study including 10 experienced surgeons. Surgery was performed in 2 different ORs: a standard room and a modern room (OR1-suite, Karl Storz). The surgeons filled out questionnaires concerning physical and psychological wellbeing before and after surgery and had their heart rate variability registered during surgery.
Preoperative to postoperative physical strain and pain measurements revealed a systematical difference with 14 of 15 parameters favoring the modern OR. Two of these parameters reached statistical significance. We did not find any significant differences in the subjective parameters of surgeon satisfaction or the measured heart rate variability parameters.
Physical strain on the surgeon was reduced when performing laparoscopic cholecystectomy in a modern OR compared with a standard room.
目前尚无研究探讨优化的人体工程学和技术环境对外科医生心理和生理压力的影响。本研究的目的是检验现代手术室（OR）内优化的人体工程学和技术辅助工具是否会影响经验丰富的腹腔镜外科医生的心理和生理压力。
这是一项前瞻性病例对照研究，纳入了10名经验丰富的外科医生。手术在2个不同的手术室进行：一个标准手术室和一个现代化手术室（OR1套房，卡尔史托斯公司）。外科医生在手术前后填写有关身心健康的问卷，并在手术期间记录其心率变异性。
术前至术后的身体劳损和疼痛测量显示出系统性差异，15项参数中有14项有利于现代化手术室。其中两项参数具有统计学意义。我们未发现外科医生满意度的主观参数或测量的心率变异性参数有任何显著差异。
与标准手术室相比，在现代化手术室进行腹腔镜胆囊切除术时，外科医生的身体劳损有所减轻。
