Marciano Filippo, Mattogno Pier Paolo, Codenotti Anna, Cocca Paola, Fontanella Marco Maria, Doglietto Francesco
Department of Mechanical and Industrial Engineering, University of Brescia, Italy.
Fondazione Policlinico Gemelli IRCCS, Università Cattolica del Sacro Cuore, Italy.
Int J Occup Saf Ergon. 2022 Mar;28(1):459-468. doi: 10.1080/10803548.2020.1774160. Epub 2020 Jul 1.
Endoscopic transsphenoidal surgery is a surgical technique introduced in the last 20 years for the treatment of skull base pathologies and, in particular, pituitary tumours. Although the prevalence of work-related musculoskeletal disorders is usually significantly higher in endoscopists and minimally invasive surgeons compared to other surgical and medical specialties, reviews on the prevalence of disorders among neurosurgeons dedicated to endoscopic transsphenoidal surgery are not available. This article performs a systematic review to identify the work-related musculoskeletal disorders among transsphenoidal neurosurgeons, their prevalence and the ergonomic interventions proposed to reduce risk factors and prevent disorders. The results show that the ergonomics of transsphenoidal neurosurgeons is an under-investigated topic. Indeed, specific prevalence data are not available. In addition, only a few papers suggest interventions and guidelines, but without objective assessment of the outcomes to confirm the ergonomic benefit. Based on these gaps in the literature, a future research agenda is proposed.
内镜经蝶窦手术是过去20年中引入的一种外科技术，用于治疗颅底病变，尤其是垂体肿瘤。尽管与其他外科和医学专科相比，内镜医师和微创外科医生中与工作相关的肌肉骨骼疾病的患病率通常显著更高，但目前尚无关于致力于内镜经蝶窦手术的神经外科医生中此类疾病患病率的综述。本文进行了一项系统综述，以确定经蝶窦神经外科医生中与工作相关的肌肉骨骼疾病、其患病率以及为降低风险因素和预防疾病而提出的人体工程学干预措施。结果表明，经蝶窦神经外科医生的人体工程学是一个研究不足的课题。事实上，尚无具体的患病率数据。此外，只有少数论文提出了干预措施和指南，但没有对结果进行客观评估以证实人体工程学益处。基于文献中的这些空白，提出了一个未来的研究议程。
