A Comparative Study of the Ergonomic Risk to the Surgeon During Vesicoscopic and Robotic Cross-Trigonal Ureteric Reimplantation

Anand, Sachit; Sandlas, Gursev; Pednekar, A.; Jadhav, Bhushan; Terdal, Mohan

doi:10.1089/lap.2021.0471

Cited by 5 publications

(7 citation statements)

References 11 publications

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“…The current armamentarium for paediatric surgery includes open surgery (traditional) and MAS (conventional laparo-thoracoscopic surgery and robot-assisted surgery). The most advanced surgical tool (i.e., robotic-assisted surgery) improves laparoscopic surgical skills by its more refined hand–eye coordination, fine motor movement, wristed instruments, superior suturing skills, improved vision, better dexterity, more precise movements, as well as greater precision in dissection [ 6 ].…”

Section: Advantages Of Robotic Surgery In Paediatricsmentioning

confidence: 99%

“…Robot-assisted surgery intends to address these issues by improving ergonomics and, therefore, lowering the physical stress for surgeons while still providing patients with the benefits of MAS [ 4 , 5 ]. Since the advent of the first robotic system in 1994, robot-assisted surgery has been continuously evolving with increasing precision and effectiveness and has now been adopted by a variety of surgeons all over the world [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Robot-assisted surgery has also been utilized in the paediatric population for the past two decades, with numerous reported clinical benefits including less postoperative pain, shorter hospital length of stay, reduced operative trauma, minimal scarring, less postoperative pain, reduced opioid use, reduced risk of infection, and improved cosmetic outcomes [ 6 , 8 ]. Following the first described use of robot-assisted surgery in children in 2001 [ 9 ], its applications in the paediatric population have expanded to include multiple procedures across specialties such as urology, cardiothoracic surgery, and general paediatric surgery for patients ranging in age from infants to adolescents [ 10 ], with studies indicating its safety and efficacy in children [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

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The Role of the Versius Surgical Robotic System in the Paediatric Population

Brownlee

Slack

2022

Children

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The uptake of robot-assisted surgery has continuously grown since its advent in the 1990s. While robot-assisted surgery is well-established in adult surgery, the rate of uptake in paediatric surgical centres has been slower. The advantages of a robot-assisted system, such as improved visibility, dexterity, and ergonomics, could make it a superior choice over the traditional laparoscopic approach. However, its implementation in the paediatric surgery arena has been limited primarily due to the unavailability of appropriately sized instruments as per paediatric body habitus, therefore, requiring more technologically advanced systems. The Versius surgical robotic system is a new modular platform that offers several benefits such as articulated instruments which pass through conventional 5 mm ports, compact arms for easier manoeuvrability and patient access, the ability to mimic conventional port placements, and adaptive machine learning concepts. Prior to its introduction to paediatric surgery, it needs to go through a careful pre-clinical and clinical research program.

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Section: Advantages Of Robotic Surgery In Paediatricsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Role of the Versius Surgical Robotic System in the Paediatric Population

Brownlee

Slack

2022

Children

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“…Notably, an overall high risk of musculoskeletal disorders was observed among surgeons performing vesicoscopic ureteric reimplantation. However, the associated risk was significantly lower with the robotic (medium risk) versus laparoscopic approach (very high risk) [99]. In turn, this reduced human "consumption" might be useful in order to complete some important short-and longterm tasks: a greater number of procedures can be scheduled in the same session and, further surgeon longevity can be better preserved over time.…”

Section: The "Impalpable" Factorsmentioning

confidence: 99%

Robotics in Urology: No More Shadows?

Luciani

Mattevi

Cai

et al. 2021

Uro

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Robotic surgery saw unprecedented success throughout the world, with urology as a key discipline. Robotic-assisted radical prostatectomy (RARP) and partial nephrectomy (RAPN) were the frontline procedures. Many other urologic procedures have since been standardized over time. However, there is no universal consensus in current research on the recognition of robotics as the standard of care. Although better operative outcomes have been reported for most robotic procedures compared to open and laparoscopic surgery, no superiority has been proven as far as oncologic outcomes are concerned. This review aims to describe current research on robotic surgery concerning each urologic procedure, showing its applications and limits. The non-classic parameters in part responsible for the planetary success of robotics, such as the shorter learning curve, improved ergonomics, and surgeon’s comfort, as well immersive three-dimensional vision, are further areas of focus.

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“…Of note, 50% of the surgeons participating in that study reported moderate or higher levels of fatigue and clinically significantly neck and lower back pain immediately after the operation. Other studies have also studied the ergonomic risks the surgeons are exposed to during surgeries, using objective ergonomic assessment tools [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Work-Related Musculoskeletal Complaints in Surgeons

Rata

Barac

Garleanu³

et al. 2021

Healthcare

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The aim of the present study was to examine the prevalence of work-related musculoskeletal complaints and potential risk factors among Romanian surgeons. Ninety-five surgeons of different specialties (62.11% males) completed a questionnaire about work-related musculoskeletal complaints (WMSCs). Ninety-one surgeons (95.78%) experienced WMSCs at least in one body part in the last year. Most surgeons reported pain in four body parts (33.68%). The most common WMSCs were reported on the lower back (74.73%), followed by complaints in the neck region (55.79%), shoulder and upper back (46.32%), knee (31.58%), wrist–hand (16.84%), elbow (14.74%), hip (11.58%) and ankle–foot (4.21%). Surgeons rated their pain more severe on upper back, lower back and knees. A higher percentage of male surgeons reported upper back pain (χ2(1) = 5.818, p = 0.015). Significant age differences were found between the reported pain sites (F8,278 = 2.666, p = 0.008); the surgeons reporting wrist–hand pain were younger than those reporting neck, shoulders, elbows, dorsal and lumbar pain. Surgeons with significantly less experience in years reported significantly more WMSCs in wrist–hand, hip and ankle–foot regions compared with those more experienced (p < 0.05). Surgeons are at high risk of developing work-related musculoskeletal complaints, which affects both their professional and personal life. Further studies are needed to identify all risk factors and ergonomic strategies to reduce the prevalence and the negative impact of WMSCs.

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A Comparative Study of the Ergonomic Risk to the Surgeon During Vesicoscopic and Robotic Cross-Trigonal Ureteric Reimplantation

Cited by 5 publications

References 11 publications

The Role of the Versius Surgical Robotic System in the Paediatric Population

The Role of the Versius Surgical Robotic System in the Paediatric Population

Robotics in Urology: No More Shadows?

Work-Related Musculoskeletal Complaints in Surgeons

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