PDF(Pubmed)
Abstract：
BACKGROUND: This study aims to implement a set of wearable technologies to record and analyze the surgeon\'s physiological and ergonomic parameters during the performance of conventional and robotic-assisted laparoscopic surgery, comparing the ergonomics and stress levels of surgeons during surgical procedures.
METHODS: This study was organized in two different settings: simulator tasks and experimental model surgical procedures. The participating surgeons performed the tasks and surgical procedures in both laparoscopic and robotic-assisted surgery in a randomized fashion. Different wearable technologies were used to record the surgeons\' posture, muscle activity, electrodermal activity and electrocardiography signal during the surgical practice.
RESULTS: The simulator study involved six surgeons: three experienced (>100 laparoscopic procedures performed; 36.33 ± 13.65 years old) and three novices (<100 laparoscopic procedures; 29.33 ± 8.39 years old). Three surgeons of different surgical specialties with experience in laparoscopic surgery (>100 laparoscopic procedures performed; 37.00 ± 5.29 years old), but without experience in surgical robotics, participated in the experimental model study. The participating surgeons showed an increased level of stress during the robotic-assisted surgical procedures. Overall, improved surgeon posture was obtained during robotic-assisted surgery, with a reduction in localized muscle fatigue.
CONCLUSIONS: A set of wearable technologies was implemented to measure and analyze surgeon physiological and ergonomic parameters. Robotic-assisted procedures showed better ergonomic outcomes for the surgeon compared to conventional laparoscopic surgery. Ergonomic analysis allows us to optimize surgeon performance and improve surgical training.
METHODS: This study was organized in two different settings: simulator tasks and experimental model surgical procedures. The participating surgeons performed the tasks and surgical procedures in both laparoscopic and robotic-assisted surgery in a randomized fashion. Different wearable technologies were used to record the surgeons\' posture, muscle activity, electrodermal activity and electrocardiography signal during the surgical practice.
RESULTS: The simulator study involved six surgeons: three experienced (>100 laparoscopic procedures performed; 36.33 ± 13.65 years old) and three novices (<100 laparoscopic procedures; 29.33 ± 8.39 years old). Three surgeons of different surgical specialties with experience in laparoscopic surgery (>100 laparoscopic procedures performed; 37.00 ± 5.29 years old), but without experience in surgical robotics, participated in the experimental model study. The participating surgeons showed an increased level of stress during the robotic-assisted surgical procedures. Overall, improved surgeon posture was obtained during robotic-assisted surgery, with a reduction in localized muscle fatigue.
CONCLUSIONS: A set of wearable technologies was implemented to measure and analyze surgeon physiological and ergonomic parameters. Robotic-assisted procedures showed better ergonomic outcomes for the surgeon compared to conventional laparoscopic surgery. Ergonomic analysis allows us to optimize surgeon performance and improve surgical training.
摘要：
背景：这项研究旨在实施一套可穿戴技术，以记录和分析外科医生在进行常规和机器人辅助腹腔镜手术期间的生理和人体工程学参数，比较外科手术过程中外科医生的人体工程学和压力水平。
方法：本研究以两种不同的设置进行组织：模拟器任务和实验模型外科手术。参与的外科医生以随机方式在腹腔镜和机器人辅助手术中执行任务和外科手术。不同的可穿戴技术被用来记录外科医生的姿势，肌肉活动，手术期间的皮肤电活动和心电图信号。
结果：模拟器研究涉及6名外科医生：3名经验丰富（>100例腹腔镜手术；36.33±13.65岁）和3名新手（<100例腹腔镜手术；29.33±8.39岁）。3名具有腹腔镜手术经验的不同外科专业的外科医生（>100例腹腔镜手术；37.00±5.29岁），但是没有手术机器人的经验，参加了实验模型研究。参与的外科医生在机器人辅助外科手术期间显示出增加的压力水平。总的来说,在机器人辅助手术中获得了改善的外科医生姿势，减少局部肌肉疲劳。
结论：实施了一套可穿戴技术来测量和分析外科医生的生理和人体工程学参数。与传统的腹腔镜手术相比，机器人辅助手术对外科医生显示出更好的人体工程学结果。人体工程学分析使我们能够优化外科医生的表现并改善手术训练。
方法：本研究以两种不同的设置进行组织：模拟器任务和实验模型外科手术。参与的外科医生以随机方式在腹腔镜和机器人辅助手术中执行任务和外科手术。不同的可穿戴技术被用来记录外科医生的姿势，肌肉活动，手术期间的皮肤电活动和心电图信号。
结果：模拟器研究涉及6名外科医生：3名经验丰富（>100例腹腔镜手术；36.33±13.65岁）和3名新手（<100例腹腔镜手术；29.33±8.39岁）。3名具有腹腔镜手术经验的不同外科专业的外科医生（>100例腹腔镜手术；37.00±5.29岁），但是没有手术机器人的经验，参加了实验模型研究。参与的外科医生在机器人辅助外科手术期间显示出增加的压力水平。总的来说,在机器人辅助手术中获得了改善的外科医生姿势，减少局部肌肉疲劳。
结论：实施了一套可穿戴技术来测量和分析外科医生的生理和人体工程学参数。与传统的腹腔镜手术相比，机器人辅助手术对外科医生显示出更好的人体工程学结果。人体工程学分析使我们能够优化外科医生的表现并改善手术训练。
