Smith Meghan R, Buote Nicole J, Sumner Julia P, Freeman Lynetta J
Ryan Veterinary Hospital, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Vet Surg. 2025 Feb;54(2):268-275. doi: 10.1111/vsu.14119. Epub 2024 May 28.
To investigate the relationship between physical attributes and difficulty performing laparoscopic maneuvers with the prevalence of self-reported musculoskeletal injury.
Online survey.
Surgeons (n = 140) with 3 or more years of laparoscopic experience.
Electronic survey distributed via LISTSERVEs and Facebook groups. Responses collected included surgeon attributes, presence of musculoskeletal injuries, and surgical practice data. Statistical analysis was performed using the Shapiro-Wilk test, linear regression, logistic regression, and Wilcoxon rank sum tests.
A total of 52 of the 140 respondents reported a musculoskeletal injury with 38 specifying at least one injury (72%). Neck strain was the most prevalent reported musculoskeletal injury (18/52, 34.6%), followed by shoulder tendinopathies (16/52, 30.8%), arm/hand tendonitis (8/52, 15.4%), carpal tunnel (7/52, 13.5%), back pain (4/52, 7.7%) and arm/hand arthritis (1/52, 1.9%). Women were significantly more likely to report a musculoskeletal problem than men (p = .011) with the odds of women reporting a musculoskeletal injury 2.59 times greater than men. Women and surgeons with smaller glove sizes were significantly more likely to report shoulder tendonitis (p = .034, p = .1) and neck strain (p = .009, p = .001). Respondents with a musculoskeletal problem experienced significantly more difficulty using rotating cup biopsy forceps (p < .001) and perceived this as difficult a greater amount of time (p = .006).
Female surgeons report more musculoskeletal injuries than their male counterparts. Surgeons with musculoskeletal injuries experience more difficulty performing particular laparoscopic maneuvers.
Improving ergonomics for women and surgeons with smaller glove sizes must be prioritized to improve surgeon health and laparoscopic instrument use.
研究身体特征与腹腔镜操作难度之间的关系，以及自我报告的肌肉骨骼损伤的患病率。
在线调查。
具有3年或以上腹腔镜手术经验的外科医生（n = 140）。
通过邮件列表和脸书群组分发电子调查问卷。收集的回复包括外科医生的特征、肌肉骨骼损伤情况以及手术实践数据。使用夏皮罗-威尔克检验、线性回归、逻辑回归和威尔科克森秩和检验进行统计分析。
140名受访者中共有52人报告有肌肉骨骼损伤，其中38人明确指出至少有一种损伤（72%）。颈部拉伤是报告中最常见的肌肉骨骼损伤（18/52，34.6%），其次是肩部肌腱病（16/52，30.8%）、手臂/手部肌腱炎（8/52，15.4%）、腕管综合征（7/52，13.5%）、背痛（4/52，7.7%）和手臂/手部关节炎（1/52，1.9%）。女性报告肌肉骨骼问题的可能性显著高于男性（p = 0.011），女性报告肌肉骨骼损伤的几率是男性的2.59倍。女性和手套尺寸较小的外科医生报告肩部肌腱炎（p = 0.034，p = 0.1）和颈部拉伤（p = 0.009，p = 0.001）的可能性显著更高。有肌肉骨骼问题的受访者在使用旋转杯活检钳时遇到的困难显著更多（p < 0.001），并且认为在更长时间内都很困难（p = 0.006）。
女外科医生报告的肌肉骨骼损伤比男外科医生更多。有肌肉骨骼损伤的外科医生在进行特定的腹腔镜操作时遇到更多困难。
必须优先改善女性和手套尺寸较小的外科医生的人体工程学，以改善外科医生的健康状况和腹腔镜器械的使用。
