Abstract：
BACKGROUND: Surgeons are expected to work long hours in operating theatres. A high prevalence of work-related musculoskeletal (WRMSK) injuries and pain in healthcare professions exists. We aimed to study WRMSK pain and injuries in general surgeons and study their risk in different surgical techniques comprising open, laparoscopic and robotic-assisted surgery.
METHODS: A systematic search was performed in compliance with The PRISMA checklist. Search was performed in PubMed and Cochrane library databases for 6 years to 2024. The search terms used were \"disability and surgeon\", \"occupational injuries and surgeon\", and \"musculoskeletal pain and surgeons\", in addition to MESH terms in PubMed database. Risk of bias was calculated among studies.
RESULTS: The search revealed 3648 citations from which a final list of 24 citations were included after application of inclusion and exclusion criteria. The citations comprised over 1900 surgeons including consultants and surgical trainees from different subspecialities. Incorporated citations consisted of 21 cross-sectional 3 observational studies. Most common pain sites, risks and preventative measure for MSK injuries were revealed.
CONCLUSIONS: There is high prevalence of WRMSK pain among general surgeons. Surgeons were primarily affected at physical body parts ranging from the neck, shoulders, upper back and lower back to upper extremity. Robotic-assisted surgery led to lower post-operative discomfort and decreased demanding muscle activity in upper extremities but enhanced static neck position resulting in subjective back stiffness compared with laparoscopic surgery.
METHODS: A systematic search was performed in compliance with The PRISMA checklist. Search was performed in PubMed and Cochrane library databases for 6 years to 2024. The search terms used were \"disability and surgeon\", \"occupational injuries and surgeon\", and \"musculoskeletal pain and surgeons\", in addition to MESH terms in PubMed database. Risk of bias was calculated among studies.
RESULTS: The search revealed 3648 citations from which a final list of 24 citations were included after application of inclusion and exclusion criteria. The citations comprised over 1900 surgeons including consultants and surgical trainees from different subspecialities. Incorporated citations consisted of 21 cross-sectional 3 observational studies. Most common pain sites, risks and preventative measure for MSK injuries were revealed.
CONCLUSIONS: There is high prevalence of WRMSK pain among general surgeons. Surgeons were primarily affected at physical body parts ranging from the neck, shoulders, upper back and lower back to upper extremity. Robotic-assisted surgery led to lower post-operative discomfort and decreased demanding muscle activity in upper extremities but enhanced static neck position resulting in subjective back stiffness compared with laparoscopic surgery.
摘要：
背景：预计外科医生将在手术室长时间工作。在医疗保健行业中，与工作相关的肌肉骨骼（WRMSK）损伤和疼痛的患病率很高。我们旨在研究普通外科医生的WRMSK疼痛和损伤，并研究其在不同手术技术中的风险，包括开放，腹腔镜和机器人辅助手术。
方法：按照PRISMA检查表进行系统检索。到2024年，在PubMed和Cochrane图书馆数据库中进行了6年的搜索。使用的搜索词是“残疾和外科医生”，“职业伤害和外科医生”，和“肌肉骨骼疼痛和外科医生”，除了PubMed数据库中的MESH术语。在研究中计算偏倚风险。
结果：搜索显示3648条引文，在应用纳入和排除标准后，最终纳入了24条引文。引文包括1900多名外科医生，包括来自不同亚专业的顾问和外科学员。纳入的引文包括21项横断面3观察性研究。最常见的疼痛部位，揭示了MSK损伤的风险和预防措施。
结论：在普通外科医生中WRMSK疼痛的患病率很高。外科医生主要在身体部位受到影响，从颈部，肩膀,上背部和下背部到上肢。与腹腔镜手术相比，机器人辅助手术导致术后不适感降低，上肢的肌肉活动减少，但颈部静态位置增强，导致主观背部僵硬。
方法：按照PRISMA检查表进行系统检索。到2024年，在PubMed和Cochrane图书馆数据库中进行了6年的搜索。使用的搜索词是“残疾和外科医生”，“职业伤害和外科医生”，和“肌肉骨骼疼痛和外科医生”，除了PubMed数据库中的MESH术语。在研究中计算偏倚风险。
结果：搜索显示3648条引文，在应用纳入和排除标准后，最终纳入了24条引文。引文包括1900多名外科医生，包括来自不同亚专业的顾问和外科学员。纳入的引文包括21项横断面3观察性研究。最常见的疼痛部位，揭示了MSK损伤的风险和预防措施。
结论：在普通外科医生中WRMSK疼痛的患病率很高。外科医生主要在身体部位受到影响，从颈部，肩膀,上背部和下背部到上肢。与腹腔镜手术相比，机器人辅助手术导致术后不适感降低，上肢的肌肉活动减少，但颈部静态位置增强，导致主观背部僵硬。
