Open AccessA pilot study comparing ergonomics in laparoscopy and robotics: beyond anecdotes, and subjective claims
Author(s) -
Li-Jen Kuo,
James ChiYong Ngu,
YenKuang Lin,
ChiaChe Chen,
Yue-Her Tang
Publication year - 2020
Publication title -
journal of surgical case reports
Language(s) - English
Resource type - Journals
ISSN - 2042-8812
DOI - 10.1093/jscr/rjaa005
Subject(s) - robotics , grip strength , medicine , dynamometer , significant difference , physical medicine and rehabilitation , physical therapy , test (biology) , laparoscopic surgery , laparoscopy , artificial intelligence , simulation , robot , surgery , computer science , engineering , mechanical engineering , paleontology , biology
We aimed to use hand dexterity and grip strength test as objective measures to compare the difference in surgeon fatigue associated with robotic and laparoscopic colorectal surgery. We used the Purdue Pegboard Test to assess hand dexterity and the Camry Electronic Handgrip Dynamometer to assess hand grip strength. Eighteen patients were operated on, including 10 robotic and 8 laparoscopic cases. Statistical analysis revealed no difference in dexterity or muscle fatigue after operating with the robot. In contrast, there was a significant difference in the hand grip strength of both hands after laparoscopic surgery. Our results show that the resultant fatigue after laparoscopy affects both hands of the surgeon. In contrast, there was no difference in dexterity or muscle fatigue after operating with the robot. Given the demands of complex colorectal surgeries, robotics may be a means of optimizing surgeon performance by reducing fatigue.