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    Rights statement: The final publication is available at Springer via http://dx.doi.org/10.1007/s11605-022-05319-8

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Should all minimal access surgery be robot-assisted?: A systematic review into the musculoskeletal and cognitive demands of laparoscopic and robot-assisted laparoscopic surgery

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Should all minimal access surgery be robot-assisted? A systematic review into the musculoskeletal and cognitive demands of laparoscopic and robot-assisted laparoscopic surgery. / Shugaba, Abdulwarith; Lambert, Joel; Bampouras, Theo et al.
In: Journal of Gastrointestinal Surgery, Vol. 26, No. 7, 31.07.2022, p. 1520-1530.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Shugaba, A, Lambert, J, Bampouras, T, Nuttall, HE, Gaffney, C & Subar, D 2022, 'Should all minimal access surgery be robot-assisted? A systematic review into the musculoskeletal and cognitive demands of laparoscopic and robot-assisted laparoscopic surgery', Journal of Gastrointestinal Surgery, vol. 26, no. 7, pp. 1520-1530. https://doi.org/10.1007/s11605-022-05319-8

APA

Shugaba, A., Lambert, J., Bampouras, T., Nuttall, H. E., Gaffney, C., & Subar, D. (2022). Should all minimal access surgery be robot-assisted? A systematic review into the musculoskeletal and cognitive demands of laparoscopic and robot-assisted laparoscopic surgery. Journal of Gastrointestinal Surgery, 26(7), 1520-1530. https://doi.org/10.1007/s11605-022-05319-8

Vancouver

Shugaba A, Lambert J, Bampouras T, Nuttall HE, Gaffney C, Subar D. Should all minimal access surgery be robot-assisted? A systematic review into the musculoskeletal and cognitive demands of laparoscopic and robot-assisted laparoscopic surgery. Journal of Gastrointestinal Surgery. 2022 Jul 31;26(7):1520-1530. Epub 2022 Apr 14. doi: 10.1007/s11605-022-05319-8

Author

Shugaba, Abdulwarith ; Lambert, Joel ; Bampouras, Theo et al. / Should all minimal access surgery be robot-assisted? A systematic review into the musculoskeletal and cognitive demands of laparoscopic and robot-assisted laparoscopic surgery. In: Journal of Gastrointestinal Surgery. 2022 ; Vol. 26, No. 7. pp. 1520-1530.

Bibtex

@article{701d1d050b5041c89cb43e482385a2b9,
title = "Should all minimal access surgery be robot-assisted?: A systematic review into the musculoskeletal and cognitive demands of laparoscopic and robot-assisted laparoscopic surgery",
abstract = "Background: Surgeons are amongst the most at risk of work-related musculoskeletal health decline because of the physical demands of surgery, which is also associated with cognitive fatigue. Minimally invasive surgery offers excellent benefits to patients but the impact of robotic or laparoscopic surgery on surgeon well-being is less well understood. This work examined the musculoskeletal and cognitive demands of robot-assisted versus standard laparoscopic surgery.Methods: Medline, Embase, and Cochrane databases were systematically searched for “Muscle strain” AND “musculoskeletal fatigue” AND “occupational diseases” OR “cognitive fatigue” AND “mental fatigue” OR “standard laparoscopic surgery” AND “robot-assisted laparoscopic surgery”. Primary outcomes measured were electromyographic (EMG) activity for musculoskeletal fatigue and questionnaires (NASA TLX, SMEQ, or Borg CR-10) for cognitive fatigue. A systematic review was conducted in accordance with the Synthesis Without Meta-analysis (SWiM) Guidelines. The study was preregistered on Prospero ID: CRD42020184881. Results: Two hundred and ninety-eight original titles were identified. Ten studies that were all observational studies were included in the systematic review. EMG activity was consistently lower in robotic than in laparoscopic surgery in the erector spinae and flexor digitorum muscles but higher in the trapezius muscle. This was associated with significantly lower cognitive load in robotic than laparoscopic surgery in 7 of 10 studies. Conclusions: Evidence suggests a reduction in musculoskeletal demands during robotic surgery in muscles excluding the trapezius, and this is associated with most studies reporting a reduced cognitive load. Robotic surgery appears to have less negative cognitive and musculoskeletal impact on surgeons compared to laparoscopic surgery. ",
keywords = "Posture, Ergonomics, Fatigue, Cognitive, Mental",
author = "Abdulwarith Shugaba and Joel Lambert and Theo Bampouras and Nuttall, {Helen E} and Christopher Gaffney and Daren Subar",
note = "The final publication is available at Springer via http://dx.doi.org/10.1007/s11605-022-05319-8",
year = "2022",
month = jul,
day = "31",
doi = "10.1007/s11605-022-05319-8",
language = "English",
volume = "26",
pages = "1520--1530",
journal = "Journal of Gastrointestinal Surgery",
issn = "1873-4626",
publisher = "Springer New York",
number = "7",

}

RIS

TY - JOUR

T1 - Should all minimal access surgery be robot-assisted?

T2 - A systematic review into the musculoskeletal and cognitive demands of laparoscopic and robot-assisted laparoscopic surgery

AU - Shugaba, Abdulwarith

AU - Lambert, Joel

AU - Bampouras, Theo

AU - Nuttall, Helen E

AU - Gaffney, Christopher

AU - Subar, Daren

N1 - The final publication is available at Springer via http://dx.doi.org/10.1007/s11605-022-05319-8

PY - 2022/7/31

Y1 - 2022/7/31

N2 - Background: Surgeons are amongst the most at risk of work-related musculoskeletal health decline because of the physical demands of surgery, which is also associated with cognitive fatigue. Minimally invasive surgery offers excellent benefits to patients but the impact of robotic or laparoscopic surgery on surgeon well-being is less well understood. This work examined the musculoskeletal and cognitive demands of robot-assisted versus standard laparoscopic surgery.Methods: Medline, Embase, and Cochrane databases were systematically searched for “Muscle strain” AND “musculoskeletal fatigue” AND “occupational diseases” OR “cognitive fatigue” AND “mental fatigue” OR “standard laparoscopic surgery” AND “robot-assisted laparoscopic surgery”. Primary outcomes measured were electromyographic (EMG) activity for musculoskeletal fatigue and questionnaires (NASA TLX, SMEQ, or Borg CR-10) for cognitive fatigue. A systematic review was conducted in accordance with the Synthesis Without Meta-analysis (SWiM) Guidelines. The study was preregistered on Prospero ID: CRD42020184881. Results: Two hundred and ninety-eight original titles were identified. Ten studies that were all observational studies were included in the systematic review. EMG activity was consistently lower in robotic than in laparoscopic surgery in the erector spinae and flexor digitorum muscles but higher in the trapezius muscle. This was associated with significantly lower cognitive load in robotic than laparoscopic surgery in 7 of 10 studies. Conclusions: Evidence suggests a reduction in musculoskeletal demands during robotic surgery in muscles excluding the trapezius, and this is associated with most studies reporting a reduced cognitive load. Robotic surgery appears to have less negative cognitive and musculoskeletal impact on surgeons compared to laparoscopic surgery.

AB - Background: Surgeons are amongst the most at risk of work-related musculoskeletal health decline because of the physical demands of surgery, which is also associated with cognitive fatigue. Minimally invasive surgery offers excellent benefits to patients but the impact of robotic or laparoscopic surgery on surgeon well-being is less well understood. This work examined the musculoskeletal and cognitive demands of robot-assisted versus standard laparoscopic surgery.Methods: Medline, Embase, and Cochrane databases were systematically searched for “Muscle strain” AND “musculoskeletal fatigue” AND “occupational diseases” OR “cognitive fatigue” AND “mental fatigue” OR “standard laparoscopic surgery” AND “robot-assisted laparoscopic surgery”. Primary outcomes measured were electromyographic (EMG) activity for musculoskeletal fatigue and questionnaires (NASA TLX, SMEQ, or Borg CR-10) for cognitive fatigue. A systematic review was conducted in accordance with the Synthesis Without Meta-analysis (SWiM) Guidelines. The study was preregistered on Prospero ID: CRD42020184881. Results: Two hundred and ninety-eight original titles were identified. Ten studies that were all observational studies were included in the systematic review. EMG activity was consistently lower in robotic than in laparoscopic surgery in the erector spinae and flexor digitorum muscles but higher in the trapezius muscle. This was associated with significantly lower cognitive load in robotic than laparoscopic surgery in 7 of 10 studies. Conclusions: Evidence suggests a reduction in musculoskeletal demands during robotic surgery in muscles excluding the trapezius, and this is associated with most studies reporting a reduced cognitive load. Robotic surgery appears to have less negative cognitive and musculoskeletal impact on surgeons compared to laparoscopic surgery.

KW - Posture

KW - Ergonomics

KW - Fatigue

KW - Cognitive

KW - Mental

U2 - 10.1007/s11605-022-05319-8

DO - 10.1007/s11605-022-05319-8

M3 - Journal article

C2 - 35426034

VL - 26

SP - 1520

EP - 1530

JO - Journal of Gastrointestinal Surgery

JF - Journal of Gastrointestinal Surgery

SN - 1873-4626

IS - 7

ER -