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Ergonomic Considerations in Robotic-assisted Microsurgery.

Felix Struebing1, Ulrich Kneser1, Amir Bigdeli1

  • 1Department for Plastic, Hand, and Reconstructive Surgery, BG Trauma Center Ludwigshafen, and Department of Plastic Surgery, University of Heidelberg, Ludwigshafen Germany.

The Journal of Craniofacial Surgery
|December 2, 2024
PubMed
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Robot-assisted microsurgery with 3D exoscopes reduces surgeon discomfort, particularly in the neck and back. This ergonomic improvement is crucial for advancing microsurgical techniques and surgeon well-being.

Area of Science:

  • Microsurgery
  • Surgical Robotics
  • Ergonomics

Background:

  • Conventional microsurgery poses ergonomic challenges for surgeons due to prolonged static postures.
  • Robot-assisted systems and 3D exoscopes offer potential solutions to enhance precision and surgeon comfort.

Purpose of the Study:

  • To evaluate the ergonomic benefits of robot-assisted microsurgery using the Symani surgical system and a 3D exoscope.
  • To assess surgeon discomfort levels during robot-assisted procedures compared to traditional methods.

Main Methods:

  • Prospective clinical study involving 50 preclinical sessions and 87 robot-assisted microsurgical procedures.
  • Ergonomic assessment using the Localized Experienced Discomfort (LED) questionnaire post-procedure.
  • Procedures included free flap reconstructions, nerve, and lymphatic surgeries.

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Main Results:

  • The neck and back regions reported the highest discomfort levels.
  • Exoscope use significantly lowered discomfort scores in the occipital and neck regions compared to traditional microscopes.
  • A correlation was found between LED scores and operating time.

Conclusions:

  • Robot-assisted microsurgery with 3D exoscopes shows promise for more ergonomic surgical practices.
  • This technology is vital for the evolution of microsurgical techniques and surgeon well-being.
  • Further research is needed to fully integrate these advancements into microsurgery.