Aarhus Universitets segl

Pernille Tine Jensen

Surgeons' posture and muscle strain during laparoscopic and robotic surgery

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Standard

Surgeons' posture and muscle strain during laparoscopic and robotic surgery. / Dalager, T.; Jensen, P. T.; Eriksen, J. R. et al.

I: British Journal of Surgery, Bind 107, Nr. 6, 05.2020, s. 756-766.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Dalager, T, Jensen, PT, Eriksen, JR, Jakobsen, HL, Mogensen, O & Sogaard, K 2020, 'Surgeons' posture and muscle strain during laparoscopic and robotic surgery', British Journal of Surgery, bind 107, nr. 6, s. 756-766. https://doi.org/10.1002/bjs.11394

APA

Dalager, T., Jensen, P. T., Eriksen, J. R., Jakobsen, H. L., Mogensen, O., & Sogaard, K. (2020). Surgeons' posture and muscle strain during laparoscopic and robotic surgery. British Journal of Surgery, 107(6), 756-766. https://doi.org/10.1002/bjs.11394

CBE

Dalager T, Jensen PT, Eriksen JR, Jakobsen HL, Mogensen O, Sogaard K. 2020. Surgeons' posture and muscle strain during laparoscopic and robotic surgery. British Journal of Surgery. 107(6):756-766. https://doi.org/10.1002/bjs.11394

MLA

Vancouver

Dalager T, Jensen PT, Eriksen JR, Jakobsen HL, Mogensen O, Sogaard K. Surgeons' posture and muscle strain during laparoscopic and robotic surgery. British Journal of Surgery. 2020 maj;107(6):756-766. https://doi.org/10.1002/bjs.11394

Author

Dalager, T. ; Jensen, P. T. ; Eriksen, J. R. et al. / Surgeons' posture and muscle strain during laparoscopic and robotic surgery. I: British Journal of Surgery. 2020 ; Bind 107, Nr. 6. s. 756-766.

Bibtex

@article{4b48e713f59a47989eb80a54b5fdd312,
title = "Surgeons' posture and muscle strain during laparoscopic and robotic surgery",
abstract = "Background It is assumed that conventional laparoscopy (LAP) and robotic-assisted laparoscopic surgery (RALS) differ in terms of the surgeon's comfort. This study compared muscle workload, work posture and perceived physical exertion of surgeons performing LAP or RALS. Methods Colorectal surgeons with experience in advanced LAP and RALS performed one of each operation. Bipolar surface electromyography (EMG) recordings were made from forearm, shoulder and neck muscles, and expressed relative to EMG maximum (%EMG(max)). The static, median and peak levels of muscle activity were calculated, and an exposure variation analysis undertaken. Postural observations were carried out every 10 min, and ratings of perceived physical exertion before and after surgery were recorded. Results The study included 13 surgeons. Surgeons performing LAP showed higher static, median, and peak forearm muscle activity than those undertaking RALS. Muscle activity at peak level was higher during RALS than LAP. Exposure variation analysis demonstrated long-lasting periods of low-level intensity muscle activity in the shoulders for LAP, in the forearms for RALS, and in the neck for both procedures. Postural observations revealed a greater need for a change in work posture when performing LAP compared with RALS. Perceived physical exertion was no different between the surgical modalities. Conclusion Minimally invasive surgery requires long-term static muscle activity with a high physical workload for surgeons. RALS is less demanding on posture.",
keywords = "MINIMALLY INVASIVE SURGERY, MUSCULOSKELETAL PAIN, ERGONOMIC ASSESSMENT, PHYSICAL WORKLOAD, LONG PERIODS, NECK, SHOULDER, FATIGUE, LOAD, ASSOCIATION",
author = "T. Dalager and Jensen, {P. T.} and Eriksen, {J. R.} and Jakobsen, {H. L.} and O. Mogensen and K. Sogaard",
year = "2020",
month = may,
doi = "10.1002/bjs.11394",
language = "English",
volume = "107",
pages = "756--766",
journal = "British Journal of Surgery",
issn = "0007-1323",
publisher = "JohnWiley & Sons Ltd.",
number = "6",

}

RIS

TY - JOUR

T1 - Surgeons' posture and muscle strain during laparoscopic and robotic surgery

AU - Dalager, T.

AU - Jensen, P. T.

AU - Eriksen, J. R.

AU - Jakobsen, H. L.

AU - Mogensen, O.

AU - Sogaard, K.

PY - 2020/5

Y1 - 2020/5

N2 - Background It is assumed that conventional laparoscopy (LAP) and robotic-assisted laparoscopic surgery (RALS) differ in terms of the surgeon's comfort. This study compared muscle workload, work posture and perceived physical exertion of surgeons performing LAP or RALS. Methods Colorectal surgeons with experience in advanced LAP and RALS performed one of each operation. Bipolar surface electromyography (EMG) recordings were made from forearm, shoulder and neck muscles, and expressed relative to EMG maximum (%EMG(max)). The static, median and peak levels of muscle activity were calculated, and an exposure variation analysis undertaken. Postural observations were carried out every 10 min, and ratings of perceived physical exertion before and after surgery were recorded. Results The study included 13 surgeons. Surgeons performing LAP showed higher static, median, and peak forearm muscle activity than those undertaking RALS. Muscle activity at peak level was higher during RALS than LAP. Exposure variation analysis demonstrated long-lasting periods of low-level intensity muscle activity in the shoulders for LAP, in the forearms for RALS, and in the neck for both procedures. Postural observations revealed a greater need for a change in work posture when performing LAP compared with RALS. Perceived physical exertion was no different between the surgical modalities. Conclusion Minimally invasive surgery requires long-term static muscle activity with a high physical workload for surgeons. RALS is less demanding on posture.

AB - Background It is assumed that conventional laparoscopy (LAP) and robotic-assisted laparoscopic surgery (RALS) differ in terms of the surgeon's comfort. This study compared muscle workload, work posture and perceived physical exertion of surgeons performing LAP or RALS. Methods Colorectal surgeons with experience in advanced LAP and RALS performed one of each operation. Bipolar surface electromyography (EMG) recordings were made from forearm, shoulder and neck muscles, and expressed relative to EMG maximum (%EMG(max)). The static, median and peak levels of muscle activity were calculated, and an exposure variation analysis undertaken. Postural observations were carried out every 10 min, and ratings of perceived physical exertion before and after surgery were recorded. Results The study included 13 surgeons. Surgeons performing LAP showed higher static, median, and peak forearm muscle activity than those undertaking RALS. Muscle activity at peak level was higher during RALS than LAP. Exposure variation analysis demonstrated long-lasting periods of low-level intensity muscle activity in the shoulders for LAP, in the forearms for RALS, and in the neck for both procedures. Postural observations revealed a greater need for a change in work posture when performing LAP compared with RALS. Perceived physical exertion was no different between the surgical modalities. Conclusion Minimally invasive surgery requires long-term static muscle activity with a high physical workload for surgeons. RALS is less demanding on posture.

KW - MINIMALLY INVASIVE SURGERY

KW - MUSCULOSKELETAL PAIN

KW - ERGONOMIC ASSESSMENT

KW - PHYSICAL WORKLOAD

KW - LONG PERIODS

KW - NECK

KW - SHOULDER

KW - FATIGUE

KW - LOAD

KW - ASSOCIATION

U2 - 10.1002/bjs.11394

DO - 10.1002/bjs.11394

M3 - Journal article

C2 - 31922258

VL - 107

SP - 756

EP - 766

JO - British Journal of Surgery

JF - British Journal of Surgery

SN - 0007-1323

IS - 6

ER -