Mp20-15 Assessing Intra-operative Ergonomics and Workload in Robotic Surgery Using Inertia Measuring Unit Sensors and Validated Questionnaires
Year: 2016
Type: article
Abstract: You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment II1 Apr 2016MP20-15 ASSESSING INTRA-OPERATIVE ERGONOMICS AND WORKLOAD IN ROBOTIC SURGERY USING INERTIA MEASURING UNIT SENSORS AND VALIDATED QUESTIONNAIRES Justin Collins, Denny Yu, Susan Hallbeck, Melissa Morrow, Cem Dural, Peter Wiklund, Magnus Kjellman, and Mikael Forsman Justin CollinsJustin Collins , Denny YuDenny Yu , Susan HallbeckSusan Hallbeck , Melissa MorrowMelissa Morrow , Cem DuralCem Dural , Peter WiklundPeter Wiklund , Magnus KjellmanMagnus Kjellman , and Mikael ForsmanMikael Forsman View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2784AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Robotic approaches have revolutionized radical prostatectomy surgery. The 3D vision and 10 fold magnification provide surgeons improved anatomical vision and more precise instrument control compared to open or laparoscopic techniques. However, the potential benefits of robotic techniques may have tradeoffs in increased mental and physical demands for the surgeons. The assisting surgeon, also has the added workload of maintaining working postures that do not impede the robotic arms. This study implemented an innovative motion tracking tool along with validated workload questionnaires to assess the ergonomics and workload for both assisting and console surgeons during robotic surgery. METHODS Ten individual surgeons (6 console surgeons and 4 assistant surgeons) performed 15 robotic prostatectomy cases while wearing inertia measurement units (IMUs) to track neck, shoulder, and torso motion during each case. Postoperatively, participants completed a validated workload questionnaire (NASA-TLX). Analysis of variance was performed on all response variables that do not violate the assumption of normality to identify the impact of surgeon role (Console vs. Assistant). RESULTS Twenty-six questionnaires were completed from 13 assisting and 13 console surgeons over the 15 cases. Self-reported mental demand was 41% higher for surgeons at the console than assisting (p<0.05), but physical demand was not statistically different. Post-operative pain was reported highest for the right shoulder and neck and this was more frequently seen in the console surgeons. On IMU readings, the assisting surgeon experienced high neck flexion (>10 degrees) duration over 42% of the procedure compared to only 24% in the console surgeon. In general, surgeons posture on the console was primarily static resulting in fewer movements compared to assisting surgeons. Table 1 summarizes posture movements and durations of static postures. CONCLUSIONS Postures were more ergonomic during console tasks than assisting by the operating table. However, the console constrains postures leading to static postural loads that have been associated with musculoskeletal symptoms for the neck, torso and shoulders. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e218-e219 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Justin Collins More articles by this author Denny Yu More articles by this author Susan Hallbeck More articles by this author Melissa Morrow More articles by this author Cem Dural More articles by this author Peter Wiklund More articles by this author Magnus Kjellman More articles by this author Mikael Forsman More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
Source: The Journal of Urology
Authors: Justin Collins, Denny Yu, Susan Hallbeck, Melissa Morrow, Cem Dural, Peter Wiklund, Magnus Kjellman, Mikael Forsman
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
Funder: National Institutes of Health
OpenAlex ID: W4233371040