Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado 80045, USA.
Am J Rhinol Allergy. 2013 May-Jun;27(3):245-50. doi: 10.2500/ajra.2013.27.3872.
Endoscopic sinus procedures are increasingly common, and more technically difficult procedures are being undertaken to provide patients with minimally invasive alternatives to traditional open surgical techniques. However, such endoscopic approaches have increasing physical demands on the surgeon. The aim of this review is to summarize current literature on surgical ergonomic principles as they relate to endoscopic sinus and skull base surgery and focus on future needs for our specialty.
Literature review was performed of surgical ergonomics and, particularly, laparoscopic ergonomic principles.
Existing ergonomic principles for laparoscopic surgery can be applied to endoscopic sinus and skull base surgery and can be expected to offer benefits in terms of surgeon fatigue, physical discomfort, and task efficiency.
Increasing surgeon awareness will allow for many basic ergonomic principles to be applied to endoscopic sinus and skull base surgery. Although many simple changes can be immediately made, there is a clear need for further study and abundant room for innovation.
内镜鼻窦手术越来越常见，为了给患者提供微创替代传统开放手术的方法，技术难度更大的手术也在进行中。然而，这种内镜方法对外科医生的体力要求越来越高。本综述的目的是总结目前关于手术工效学原则的文献，这些原则与内镜鼻窦和颅底手术有关，并关注我们专业的未来需求。
对手术工效学，特别是腹腔镜手术工效学原则进行了文献回顾。
现有的腹腔镜手术工效学原则可以应用于内镜鼻窦和颅底手术，并有望在外科医生疲劳、身体不适和任务效率方面带来益处。
提高外科医生的意识将使许多基本的工效学原则能够应用于内镜鼻窦和颅底手术。虽然可以立即进行许多简单的改变，但显然需要进一步研究，并有很大的创新空间。
