综述解读

患者康复而外科医生受损:腹腔镜手术工效学叙述性综述

来源:BMC surgery · PMID 42972363 · DOI 10.1186/s12893-026-04100-x · 来源:IMA 知识库《文献层·文献监控卡片》2026-11-05 期 · 全文级(file_id dAlZBwueyWSz,实际下载核验 1,395,640 B) · 全文已获取并通过三重归属校验

时间标签:数据日期 2026-11-05 · 生成时间 2026-11-05 05:30(Asia/Shanghai)| 检索窗口 PubMed edat 2026/11/02 – 2026/11/06 | 情报发生日期 2026-11-05

研究问题

Surgical ergonomics measurementTo address these complex ergonomic issues comprehensively, various measurement and assessment tools have been developed and refined over time to objectively quantify and analyze the physical and cognitive demands placed on surgeons during laparoscopic procedures.;These tools range from subjective questionnaires and observational methods to more objective physiological measurements, each offering unique insights into the ergonomic stressors encountered in the operating room.;Furthermore, its focus primarily on static postures may underestimate the impact of repetitive motions and sustained muscle contractions, which are prevalent in laparoscopic surgery.Surface electromyography (sEMG)Surface electromyography (sEMG) is a non-invasive technique that measures the electrical activity of muscles, providing objective data on muscle fatigue and loading during surgical tasks [33].

方法

The search was intended to identify representative literature and articles included were peer-reviewed primary research studies, such as case-control studies, prospective cohort studies and systematic reviews.;For example, a questionnaire-based study done by Kono et al. demonstrated that standard ring-handled laparoscopic forceps present notable ergonomic challenges and lower satisfaction among female surgeons due to their generally smaller hand sizes and weaker grip strength [23].;These tools range from subjective questionnaires and observational methods to more objective physiological measurements, each offering unique insights into the ergonomic stressors encountered in the operating room.

核心结论

For example, a questionnaire-based study done by Kono et al. demonstrated that standard ring-handled laparoscopic forceps present notable ergonomic challenges and lower satisfaction among female surgeons due to their generally smaller hand sizes and weaker grip strength [23].;The efficacy of this targeted approach is notable; a pilot study by Reddy et al. demonstrated an 84% reduction in musculoskeletal strain among surgeons following this specific postural training [45].Wearable technology offers a promising avenue to bridge the gap between theoretical ergonomic knowledge and practical application by providing real-time monitoring and biofeedback in the operating room [46].;For example, an observational study by Carbonaro et al. [47] demonstrated that immediate vibrational feedback during simulated laparoscopic procedures was significantly more effective at correcting harmful postures than standard education alone.

局限

This effort, however, may face challenges from the culture of silence.;However, RULA’s reliance on observational data means that it may not fully capture the dynamic and subtle postural adjustments made by surgeons, potentially overlooking transient yet impactful ergonomic stressors that contribute to cumulative musculoskeletal load.;Its major limitations include recall bias.

对本项目的价值

中等价值:属「脑老化与神经退行」方向;脑老化 / 神经退行 / 认知栏目可用作本项目文献库与综述素材。 | 价值分 2.9/5(★★★☆☆)

全文来源

PubMed PMC JATS(正文 42,799 字符,题名指纹 0.73,已过 PubMed PMCID 官方关联 + 题名指纹 + 正文长度归属校验)

原文题录

  • 中文题名:患者康复而外科医生受损:腹腔镜手术工效学叙述性综述
  • 英文标题:Patients recover while surgeons suffer: a narrative review on surgical ergonomics in laparoscopic surgery.
  • 期刊与标识:BMC surgery · PMID 42972363 · DOI 10.1186/s12893-026-04100-x · PMC PMC13729325

C 级证据分级:C 级(预印本 / 观点评论,非原始研究)

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