Self-reported prevalence of injury and discomfort experienced by surgeons performing traditional and robot-assisted laparoscopic surgery: a meta-analysis demonstrating the value of RALS for surgeons

Hislop, Jaime; Hensman, Chris; Isaksson, Mats; Tirosh, Oren; McCormick, John

doi:10.1007/s00464-020-07810-2

Cited by 7 publications

(5 citation statements)

References 57 publications

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“…Compared to a previously conducted meta-analysis [ 1 ], the prevalence rate of neck and shoulder symptoms of any severity was approximately 20% higher for both TLS and RALS. Several previous survey studies provide data on the perceived severity of intraoperative pain during TLS on a scale given in either a numerical or descriptive (i.e., from mild to severe) terms for different anatomical sites [ 10 – 12 ].…”

Section: Discussioncontrasting

confidence: 66%

“…Studies evaluating the pain prevalence among laparoscopic surgeons are rife in the literature; there are also multiple reviews on the matter [ 1 – 3 ]. However, more nuance is required to draw meaningful conclusions from this data.…”

Section: Introductionmentioning

confidence: 99%

“…A previous meta-analysis found that 77.8% of surgeons practicing Traditional Laparoscopic Surgery (TLS) and 53.8% of those practicing Robot-Assisted Laparoscopic Surgery (RALS) experienced pain while operating. In the reviewed studies, the examination of contributing factors primarily focused on demographic or surgical factors, such as biological sex, age, experience, caseload, or operating room ergonomics, rather than tool usability [ 1 ]. Numerous studies have found increased risk of discomfort for female and small-handed surgeons, with one study reporting a sevenfold increase in the risk of pain or injury [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Perceived comfort and tool usability during robot-assisted and traditional laparoscopic surgery: a survey study

Hislop,

Tirosh,

Isaksson

et al. 2024

J Robotic Surg

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It is known that over half of previously surveyed surgeons performing Robot-Assisted Laparoscopic Surgery (RALS) and three-quarters of those performing Traditional Laparoscopic Surgery (TLS) experience intraoperative pain. This survey study aimed to expand upon the ongoing impact of that pain as well as perceived tool usability associated with TLS and RALS, for which considerably less documentation exists. A survey regarding the presence and impact, either immediate or ongoing, of intraoperative pain and Likert scale questions regarding tool usability was administered to TLS and RALS surgeons on the European Association for Endoscopic Surgery (EAES) mailing list. Prevalence statistics as well as trends based on biological sex and glove size were obtained from the 323 responses. Most respondents were right-handed European males (83−88%) with a medium glove size (55.8%). Moderate or severe shoulder symptoms were experienced by one-third of TLS surgeons. Twenty-one percent of RALS surgeons experienced neck symptoms that impacted their concentration. Small-handed surgeons experienced wrist symptoms significantly more frequently than large-handed surgeons, regardless of modality. RALS was associated with a significantly more optimal back and wrist posture compared to TLS. TLS surgeons reported increased ease with applying and moderating force while operating. These results suggest that intraoperative pain may be severe enough in many cases to interfere with surgeon concentration, negatively impacting patient care. Continuing to understand the relationship between tool usability and comfort is crucial in guaranteeing the health and well-being of both surgeons and patients.

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Section: Discussioncontrasting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perceived comfort and tool usability during robot-assisted and traditional laparoscopic surgery: a survey study

Hislop,

Tirosh,

Isaksson

et al. 2024

J Robotic Surg

Self Cite

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“…22 Limited data suggest that roboticassisted surgery diminishes discomfort and injuries associated with traditional minimally invasive surgery. 23 Furthermore, some studies show that robotic surgery may shorten the learning curves for complex minimally invasive procedures such as rectal cancer surgery. 24,25 Additionally, the ability to master technical skills on a simulator before attempting them on patients allows the initial learning stages to be undertaken without risk to patients.…”

Section: Discussionmentioning

confidence: 99%

Robotic colorectal surgery in Australia: evolution over a decade

Larach

Flynn

Kong

et al. 2021

ANZ Journal of Surgery

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Background: Despite reports of increasing adoption of robotics in colorectal surgery worldwide, data regarding its uptake in Australasia are lacking. This study examines the trends of robotic colorectal surgery in Australia during the last 10 years. Methods: Data from patients undergoing robotic colorectal surgery with the da Vinci robotic platform between 2010 and 2019 were obtained. Overall, numbers of specific colorectal procedures across Australia were obtained from the Medicare Benefit Schedule data over the same period. Pearson's correlation analysis was used to determine the statistical trends of overall and specific robotic colorectal procedures over time. Results: A total of 6110 robotic general surgery procedures were performed across Australia during the study period. Of these, 3522 (57.6%) were robotic colorectal procedures. An increasing trend of overall robotic colorectal procedures was seen over 10 years (Pearson's coefficient of 0.875; P = 0.001). While this applied to both the public and private sectors, 90.7% of the procedures were undertaken in the private sector. Restorative rectal resections, rectopexies, and right hemicolectomies accounted for 82.6% of the robotic colorectal procedures performed during this period with an increasing trend seen over time for each intervention. Moreover, a robotic approach was utilized in 12.5%, 41.0% and 9.0% of all restorative rectal resections, rectopexies and right hemicolectomies undertaken in Australia during 2019, respectively. Conclusion: Robotic colorectal surgery has increased dramatically in Australia over the last 10 years, especially in the private sector. Penetration of robotic colorectal surgery in the public healthcare system will require focussed cost-benefit evaluations and governmental investment.

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“…While robotics is superior ergonomically to standard laparoscopy for complex tasks, some shortcomings do exist 8 . The ‘ideal’ console and hand control design are the subject of new research being considered by robotics manufacturers, engineers and researchers.…”

mentioning

confidence: 99%

Addressing ergonomic, skill acquisition and mentoring constraints that may be contributory to gender disparity in surgery: a ‘value add’ for robotics?

Fei

Karatassas

Cheah

et al. 2022

ANZ Journal of Surgery

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Self-reported prevalence of injury and discomfort experienced by surgeons performing traditional and robot-assisted laparoscopic surgery: a meta-analysis demonstrating the value of RALS for surgeons

Cited by 7 publications

References 57 publications

Perceived comfort and tool usability during robot-assisted and traditional laparoscopic surgery: a survey study

Perceived comfort and tool usability during robot-assisted and traditional laparoscopic surgery: a survey study

Robotic colorectal surgery in Australia: evolution over a decade

Addressing ergonomic, skill acquisition and mentoring constraints that may be contributory to gender disparity in surgery: a ‘value add’ for robotics?

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