Ogawa Moe, Miyoshi Norikatsu, Tamura Satoshi, Masuda Masamune, Matuyama Kanako, Matsuki Takako, Miyoshi Ai, Onishi Junji, Miyatake Takashi
Department of Obstetrics and Gynecology, Bell-land General Hospital, Sakai, Osaka 599-8247, Japan.
Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita, Osaka 567-0871, Japan.
Biomed Rep. 2024 Sep 23;21(6):174. doi: 10.3892/br.2024.1862. eCollection 2024 Dec.
Studies have reported the emergence of work-related musculoskeletal disorders (WMSD) due to surgery. In fact, the usfige of long-shafted instruments has been suspected to induce WMSD in laparoscopic surgery. The present study therefore investigated whether differences in the range of motion of the face and neck, and the shoulder, elbow and hand on the dominant hand side, existed when using short- and long-shafted laparoscopic coagulation shears (LCS) during a gynecological laparoscopic surgery, based on images analyzed using artificial intelligence. After identifying the corresponding body parts in the video, the range of motion was illustrated graphically for each joint coordinate, followed by statistical analysis for changes in the position of each part. The range of motion for the face and neck did not significantly differ, whereas those for the shoulder, elbow and hand became noticeably broader when using the 36-cm long-shafted LCS than when using the 20-cm short-shafted LCS. Overall, the shorter LCS promoted a narrower range of motion compared with the 36-cm LCS, suggesting its potential for reducing the physical strain placed on the surgeon's body during gynecological laparoscopic surgery.
研究报告了因手术导致的与工作相关的肌肉骨骼疾病（WMSD）的出现。事实上，有人怀疑在腹腔镜手术中使用长柄器械会诱发WMSD。因此，本研究基于使用人工智能分析的图像，调查了在妇科腹腔镜手术中使用短柄和长柄腹腔镜凝血剪（LCS）时，优势手一侧的面部、颈部以及肩部、肘部和手部的运动范围是否存在差异。在视频中识别出相应身体部位后，以图形方式展示每个关节坐标的运动范围，随后对各部位位置的变化进行统计分析。面部和颈部的运动范围没有显著差异，而使用36厘米长柄LCS时肩部、肘部和手部的运动范围明显比使用20厘米短柄LCS时更宽。总体而言，与36厘米长柄LCS相比，较短的LCS导致运动范围更窄，这表明其在妇科腹腔镜手术中有可能减轻外科医生身体承受的物理压力。
