OBJECTIVE: The aim of this study was to review musculoskeletal disorder (MSD) prevalence among surgeons performing minimally invasive surgery. BACKGROUND: Advancements in laparoscopic surgery have primarily focused on enhancing patient benefits. However, compared with open surgery, laparoscopic surgery imposes greater ergonomic constraints on surgeons. Recent reports indicate a 73% to 88% prevalence of physical complaints among laparoscopic surgeons, which is greater than in the general working population, supporting the need to address the surgeons' physical health. METHODS: To summarize the prevalence of MSDs among surgeons performing laparoscopic surgery, we performed a systematic review of studies addressing physical ergonomics as a determinant, and reporting MSD prevalence. On April 15 2016, we searched Pubmed, EMBASE, the Cochrane Library, Web of Science, CINAHL, and PsychINFO. Meta-analyses were performed using the Hartung-Knapp-Sidik-Jonkman method. RESULTS: We identified 35 articles, including 7112 respondents. The weighted average prevalence of complaints was 74% [95% confidence interval (95% CI) 65-83]. We found high inconsistency across study results (I = 98.3%) and the overall response rate was low. If all nonresponders were without complaints, the prevalence would be 22% (95% CI 16-30). CONCLUSIONS: From the available literature, we found a 74% prevalence of physical complaints among laparoscopic surgeons. However, the low response rates and the high inconsistency across studies leave some uncertainty, suggesting an actual prevalence of between 22% and 74%. Fatigue and MSDs impact psychomotor performance; therefore, these results warrant further investigation. Continuous changes are enacted to increase patient safety and surgical care quality, and should also include efforts to improve surgeons' well-being.
OBJECTIVE: The aim of this study was to review musculoskeletal disorder (MSD) prevalence among surgeons performing minimally invasive surgery. BACKGROUND: Advancements in laparoscopic surgery have primarily focused on enhancing patient benefits. However, compared with open surgery, laparoscopic surgery imposes greater ergonomic constraints on surgeons. Recent reports indicate a 73% to 88% prevalence of physical complaints among laparoscopic surgeons, which is greater than in the general working population, supporting the need to address the surgeons' physical health. METHODS: To summarize the prevalence of MSDs among surgeons performing laparoscopic surgery, we performed a systematic review of studies addressing physical ergonomics as a determinant, and reporting MSD prevalence. On April 15 2016, we searched Pubmed, EMBASE, the Cochrane Library, Web of Science, CINAHL, and PsychINFO. Meta-analyses were performed using the Hartung-Knapp-Sidik-Jonkman method. RESULTS: We identified 35 articles, including 7112 respondents. The weighted average prevalence of complaints was 74% [95% confidence interval (95% CI) 65-83]. We found high inconsistency across study results (I = 98.3%) and the overall response rate was low. If all nonresponders were without complaints, the prevalence would be 22% (95% CI 16-30). CONCLUSIONS: From the available literature, we found a 74% prevalence of physical complaints among laparoscopic surgeons. However, the low response rates and the high inconsistency across studies leave some uncertainty, suggesting an actual prevalence of between 22% and 74%. Fatigue and MSDs impact psychomotor performance; therefore, these results warrant further investigation. Continuous changes are enacted to increase patient safety and surgical care quality, and should also include efforts to improve surgeons' well-being.
Authors: Abdulaziz AlQahtani; Nyall R London; Paolo Castelnuovo; Davide Locatelli; Aldo Stamm; Aaron A Cohen-Gadol; Hussam Elbosraty; Roy Casiano; Jacques Morcos; Ernesto Pasquini; Georgio Frank; Diego Mazzatenta; Garni Barkhoudarian; Chester Griffiths; Daniel Kelly; Christos Georgalas; Narayanan Janakiram; Piero Nicolai; Daniel M Prevedello; Ricardo L Carrau Journal: JAMA Otolaryngol Head Neck Surg Date: 2020-04-01 Impact factor: 6.223
Authors: Pier Paolo Mattogno; Filippo Marciano; Michael P Catalino; Davide Mattavelli; Paola Cocca; Nicola Francesco Lopomo; Piero Nicolai; Edward R Laws; Ian Witterick; Shaan M Raza; Anand K Devaiah; Liverana Lauretti; Alessandro Olivi; Marco M Fontanella; Fred Gentili; Francesco Doglietto Journal: J Neurol Surg B Skull Base Date: 2021-05-17
Authors: Georgios Mavrovounis; Torstein R Meling; Jesus Lafuente; Konstantinos N Fountas; Andreas K Demetriades Journal: Acta Neurochir (Wien) Date: 2021-02-17 Impact factor: 2.216
Authors: Antonia C Wells; Magnus Kjellman; Simon J F Harper; Mikael Forsman; M Susan Hallbeck Journal: Surg Endosc Date: 2018-11-19 Impact factor: 4.584