Ann Hepatobiliary Pancreat Surg.  2024 Nov;28(4):433-439. 10.14701/ahbps.24-127.

A review of ergonomic positions to improve musculoskeletal distress in hepatobiliary pancreatic surgeons according to open, laparoscopic, and robotic surgeries

• Cho YJ
• Jang JY

• KMID: 2561575
• DOI: http://doi.org/10.14701/ahbps.24-127

Abstract

Advances in surgical ergonomics are essential for the performance, health, and career longevity of surgeons. Many surgeons experience work-related musculoskeletal disorders (WMSDs) resulting from various surgical modalities, including open, laparoscopic, and robotic surgeries. To prevent WMSDs, individual differences may exist depending on the surgical method; however, the key is to maintain a neutral posture, and avoid static postures. This review aims to summarize the concepts of ergonomics and WMSDs; identify the ergonomic challenges of open, laparoscopic, and robotic surgeries; and discuss ergonomic recommendations to improve them.

Keyword

Robotic surgical procedures; Laparoscopy; Surgeons; Musculoskeletal diseases

Figure

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  Fig. 1 Differences in workload depending on body part according to the surgical method.

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  Fig. 2 Ergonomic recommendations for open surgery.

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  Fig. 3 Ergonomic recommendations for laparoscopic surgery.

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  Fig. 4 Ergonomic recommendations for robotic surgery.

Reference

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