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

Author:

Hayashi Marcel Calegari1,Sarri Almir J.1,Pereira Pâmella Arielle Sandrin Veitas1,Rocha Mauricio Murce2,Zequi Stenio de Cassio2ORCID,Machado Marcos Tobias3,de Souza Alessandra Hübner4,Magno Luiz Alexandre Viana45ORCID,Faria Eliney Ferreira5

Affiliation:

1. Programa de Pós‐Graduação em Oncologia (PPGO) Fundação Pio XII, Hospital de Câncer de Barretos Barretos Brazil

2. AC Camargo Cancer São Paulo Brazil

3. Instituto do Câncer Dr. Arnaldo Vieira de Carvalho São Paulo Brazil

4. INCT em Neurotecnologia Responsável (INCT‐NeurotecR) Belo Horizonte Brazil

5. Programa de Pós‐Graduação em Ciências da Saúde (PPGCS) Faculdade Ciências Médicas de Minas Gerais (FCMMG) Belo Horizonte Brazil

Abstract

AbstractBackground 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.

Funder

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Publisher

Wiley

Subject

Oncology,General Medicine,Surgery

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