Liounakos Jason I, Urakov Timur, Wang Michael Y
Department of Neurological Surgery, University of Miami-Miller School of Medicine, Miami, Florida.
Int J Med Robot. 2020 Jun;16(3):e2089. doi: 10.1002/rcs.2089. Epub 2020 Mar 17.
Minimally invasive surgery is heavily dependent on indirect visualization and image guidance, often resulting in non-ergonomic postures. Minimally invasive surgeons are more likely to experience neck pain, shoulder pain, and fatigue compared to open surgeons. Spinal endoscopy is rapidly increasing in popularity among minimally invasive spine surgeons. A primary ergonomic issue is the position of the endoscope display, which is often not in line with the operative field or the surgeon's natural line of sight.
Smart glasses providing a head-up display are used in a case of percutaneous endoscopic lumbar discectomy to bring the surgeon's line of sight into parallel with the operative field.
Bringing the surgeon's visual and motor axes into parallel resulted in a more comfortable and ergonomic operating position.
Head-up displays may provide an elegant and relatively simple solution to the issue of inadequate ergonomics in minimally invasive surgery.
微创手术严重依赖间接可视化和图像引导，常常导致不符合人体工程学的姿势。与开放手术医生相比，微创手术医生更易出现颈部疼痛、肩部疼痛和疲劳。脊柱内镜在微创脊柱外科医生中越来越受欢迎。一个主要的人体工程学问题是内镜显示器的位置，它常常与手术视野或外科医生的自然视线不一致。
在一例经皮内镜下腰椎间盘切除术病例中使用了提供抬头显示的智能眼镜，以使外科医生的视线与手术视野平行。
使外科医生的视觉轴和运动轴平行可带来更舒适且符合人体工程学的手术位置。
抬头显示可能为微创手术中人体工程学不足的问题提供一个巧妙且相对简单的解决方案。
