Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Division of Colorectal Surgery, Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan.
Int J Med Robot. 2020 Aug;16(4):e2113. doi: 10.1002/rcs.2113. Epub 2020 May 6.
Ergonomics, as defined by the optimization of one's physical environment to enhance work performance, is an important consideration in surgery. While there have been reviews on the ergonomics of laparoscopy, this has not been the case for robotic surgery despite the rising number of publications.
This study was performed in accordance to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. A search was performed on main databases to identify relevant articles.
Twenty-nine articles were included, comprising 3074 participants. Studies employing objective measurement tools showed that robotics conferred superior ergonomic benefits and reduced work load compared to laparoscopy, for both surgeons and trainees. Survey studies also demonstrated that self-reported discomfort was lower in robotic procedures compared to laparoscopy and open surgery. Compared to other subspecialities, gynecological procedures seem to be associated with greater surgeon-reported strain.
Robotic surgery is ergonomically superior to open and laparoscopic surgery. However, rates of physical strain remain significant and should be addressed by formal ergonomic training and adequate console familiarization.
人体工程学是通过优化物理环境来提高工作表现，这在外科手术中是一个重要的考虑因素。虽然已经有关于腹腔镜手术人体工程学的综述，但机器人手术却没有，尽管相关出版物的数量在不断增加。
本研究按照系统评价和荟萃分析的首选报告项目（PRISMA）指南进行。在主要数据库中进行了检索，以确定相关文章。
共纳入 29 篇文章，包括 3074 名参与者。使用客观测量工具的研究表明，与腹腔镜相比，机器人手术为外科医生和学员提供了更好的人体工程学效益，并减轻了工作负荷。调查研究还表明，与腹腔镜和开放手术相比，机器人手术中自我报告的不适程度较低。与其他亚专业相比，妇科手术似乎与外科医生报告的更大压力有关。
机器人手术在人体工程学方面优于开放手术和腹腔镜手术。然而，身体疲劳的发生率仍然很高，应通过正式的人体工程学培训和充分的控制台熟悉程度来解决。
