Kuo Li-Jen, Ngu James Chi-Yong, Lin Yen-Kuang, Chen Chia-Che, Tang Yue-Her
Division of Colorectal Surgery, Taipei Medical University Hospital, Taipei, Taiwan.
Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwa.
J Surg Case Rep. 2020 Feb 21;2020(2):rjaa005. doi: 10.1093/jscr/rjaa005. eCollection 2020 Feb.
We aimed to use hand dexterity and grip strength test as objective measures to compare the difference in surgeon fatigue associated with robotic and laparoscopic colorectal surgery. We used the Purdue Pegboard Test to assess hand dexterity and the Camry Electronic Handgrip Dynamometer to assess hand grip strength. Eighteen patients were operated on, including 10 robotic and 8 laparoscopic cases. Statistical analysis revealed no difference in dexterity or muscle fatigue after operating with the robot. In contrast, there was a significant difference in the hand grip strength of both hands after laparoscopic surgery. Our results show that the resultant fatigue after laparoscopy affects both hands of the surgeon. In contrast, there was no difference in dexterity or muscle fatigue after operating with the robot. Given the demands of complex colorectal surgeries, robotics may be a means of optimizing surgeon performance by reducing fatigue.
我们旨在通过手部灵巧度和握力测试作为客观指标，比较机器人辅助与腹腔镜结直肠手术相关的外科医生疲劳差异。我们使用普渡钉板测试评估手部灵巧度，使用凯美瑞电子握力计评估握力。对18例患者进行了手术，其中包括10例机器人辅助手术和8例腹腔镜手术。统计分析显示，使用机器人手术后，灵巧度或肌肉疲劳没有差异。相比之下，腹腔镜手术后双手握力存在显著差异。我们的结果表明，腹腔镜手术后产生的疲劳会影响外科医生的双手。相比之下，使用机器人手术后灵巧度或肌肉疲劳没有差异。考虑到复杂结直肠手术的要求，机器人技术可能是通过减少疲劳来优化外科医生表现的一种手段。
