Department of Obstetrics and Gynecology, Division of Urogynecology, Hartford Hospital, Hartford, CT, USA.
, 5841 S. Maryland Ave, MC 2050, Chicago, IL, 60637, USA.
J Robot Surg. 2012 Dec;6(4):333-6. doi: 10.1007/s11701-011-0317-0. Epub 2011 Oct 20.
One proposed advantage of robotic surgery is improved ergonomics and decreased surgeon fatigue. The objective of this study is to quantify and compare the physical activity of surgeons during robotic and abdominal surgery using accelerometers. Eight gynecologic surgeons who perform both abdominal and robotic surgery were the subjects of this study. Each wore an accelerometer on the hip during one procedure performed abdominally and during a similar procedure performed robotically. Activity parameters analyzed were average activity counts (AAC) and percentage of time spent in sedentary, light, moderate, and vigorous activity. The paired t-test was used to evaluate differences between robotic and abdominal procedures. AAC was similar between the robotic and abdominal approaches (mean ± SD: 83.9 ± 50.9 versus 79.1 ± 37.8 counts/min, respectively, P = 0.820). The majority of activity spent in robotic and abdominal surgery was sedentary (79.0% ± 5.9% versus 80.9% ± 8.6%, respectively; P = 0.625) followed by light activity (14.7% ± 3.9% versus 12.8% ± 6.1%, respectively; P = 0.541) and then by moderate activity (6.3% ± 3.4% versus 6.3% ± 2.8%, respectively; P = 0.981). None of the activity for either surgical approach qualified as vigorous. There were no differences in activity parameters by surgical approach. Accelerometer data demonstrate that surgeon activity expenditure is similar in robotic and abdominal surgery. Future studies comparing measures of physical activity and strain between surgical approaches are needed to determine whether the robot's improved ergonomics translates to improved surgeon experience.
机器人手术的一个优势是改善了人体工程学和减少了外科医生的疲劳。本研究的目的是使用加速度计量化和比较外科医生在机器人手术和腹部手术中的体力活动。八位同时进行腹部和机器人手术的妇科外科医生是本研究的对象。每位外科医生在一次腹部手术和一次类似的机器人手术中都在臀部佩戴一个加速度计。分析的活动参数包括平均活动计数 (AAC) 和久坐、轻度、中度和剧烈活动时间的百分比。使用配对 t 检验评估机器人和腹部手术之间的差异。机器人和腹部方法之间的 AAC 相似（平均值 ± 标准差：分别为 83.9 ± 50.9 与 79.1 ± 37.8 计数/分钟，P = 0.820）。机器人和腹部手术中大部分活动都是久坐（分别为 79.0% ± 5.9% 和 80.9% ± 8.6%，P = 0.625），其次是轻度活动（分别为 14.7% ± 3.9% 和 12.8% ± 6.1%，P = 0.541），然后是中度活动（分别为 6.3% ± 3.4% 和 6.3% ± 2.8%，P = 0.981）。两种手术方式均无剧烈活动。手术方式对活动参数无影响。加速度计数据表明，机器人手术和腹部手术中外科医生的活动量相似。需要进行比较手术方法之间的体力活动和劳损的研究，以确定机器人的改进人体工程学是否转化为外科医生体验的改善。
