Ergonomic risk assessment of surgeon's position during radical prostatectomy: Laparoscopic versus robotic approach

Abstract

Background and ObjectivesRadical prostatectomy (RP) is a definitive surgical therapy for localized prostate cancer. Evidence suggests that the poor ergonomics of surgeons during RP may lead to work‐related musculoskeletal disorders and loss of productivity. Since each surgery modality has its physical demands, we compared the ergonomic risk between laparoscopic (LRP) and robotic‐assisted (RARP) radical prostatectomy.MethodsThe study assessed the posture of 10 urological surgeons during LRP and RARP surgeries with the Rapid Entire Body Assessment (REBA) scale.ResultsWe found that the RARP approach resulted in lower REBA scores over the LRP procedure.ConclusionsRobotic surgery improves body posture for the urological surgeon like in other medical specialties. However, the surgeons display harmful postures in both surgeries.

Ergonomic risks and musculoskeletal disorders in surgeons

“…Por ejemplo, mientras que la cirugía robótica puede reducir las malas posturas al proporcionar una interfaz más ergonómica para los cirujanos, aún se pueden presentar posturas perjudiciales debido a la naturaleza prolongada de los procedimientos y la manipulación de los controles. (4)…”

“…2 2023 Hayashi, MC (4) Ergonomic risk assessment of surgeon's position during radical prostatectomy: Laparoscopic versus robotic approach…”