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Musculoskeletal disorders among robotic surgeons: a questionnaire analysis
Claudio Giberti1, Fabrizio Gallo, Luca Francini
1Department of Surgery, Division of Urology, San Paolo Hospital, Savona. fabrizio.gallo@fastwebmail.it.
Summary
Robotic surgery may cause musculoskeletal disorders in surgeons, particularly affecting the neck and upper limbs. Improved ergonomic setups, like specialized chairs, are needed to enhance surgeon comfort and surgical outcomes.
Area of Science:
- Surgical Technology
- Occupational Health
- Ergonomics
Background:
- Robotic surgical systems aim to improve surgeon comfort and patient outcomes.
- However, prolonged use may lead to musculoskeletal disorders due to static postures and console design.
- No prior studies have investigated the link between robotic surgery and musculoskeletal pain.
Purpose of the Study:
- To determine the prevalence of musculoskeletal disorders among Italian robotic surgeons.
- To identify specific body parts affected by these disorders.
- To assess surgeon-reported comfort levels with robotic console ergonomics.
Main Methods:
- A modified Standardized Nordic Questionnaire was distributed to 39 Italian robotic centers.
- Data was collected between July 2011 and April 2012.
- Seventeen questionnaires (43.5%) were ultimately analyzed.
Main Results:
- Musculoskeletal disorders were reported by 41.2% of surgeons, persisting from initial robot use.
- The cervical spine (29.4%) and upper limbs (23.5%) were most commonly affected.
- 35.3% of surgeons found the robotic console uncomfortable, negatively impacting procedures.
Conclusions:
- Robotic surgery is associated with musculoskeletal disorders stemming from postural discomfort.
- Inadequate spinal posture may result from non-ergonomic seating and fixed console viewing.
- Developing integrated, ergonomic solutions is crucial for surgeon well-being and potentially enhancing surgical performance.
