Evaluation of posture in four different robotic surgical systems.
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| Title: | Evaluation of posture in four different robotic surgical systems. |
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| Authors: | Krauss DT; Department for General, Visceral, Thoracic and Transplant Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany., Brunner S; Department for General, Visceral, Thoracic and Transplant Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany., Eckhoff JA; Department for General, Visceral, Thoracic and Transplant Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany., Storms C; Department for General, Visceral, Thoracic and Transplant Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany., Babic B; Department for General and Visceral Surgery, Sana Klinikum Offenbach, Offenbach, Germany., Schulz T; Department of General and Visceral Surgery, St. Elisabethen Krankenhaus, Frankfurt, Germany., Macone L; Department for General, Visceral, Thoracic and Transplant Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany., Kinoshita J; Department of Gastroenterological Surgery, Ishikawa Prefectural Central Hospital, Kuratsuki Higashi 2-1, Kanazawa City, Ishikawa, 920-8211, Japan., Hayashi K; Department of Gastroenterological Surgery, Ishikawa Prefectural Central Hospital, Kuratsuki Higashi 2-1, Kanazawa City, Ishikawa, 920-8211, Japan., Hayashi S; Department of Gastroenterological Surgery, Ishikawa Prefectural Central Hospital, Kuratsuki Higashi 2-1, Kanazawa City, Ishikawa, 920-8211, Japan., Schmidt T; Department for General, Visceral, Thoracic and Transplant Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany., Bruns CJ; Department for General, Visceral, Thoracic and Transplant Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany., Fuchs HF; Department for General, Visceral, Thoracic and Transplant Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany. Hans.fuchs@uk-koeln.de. |
| Source: | Surgical endoscopy [Surg Endosc] 2025 Nov; Vol. 39 (11), pp. 7649-7657. Date of Electronic Publication: 2025 Sep 08. |
| Publication Type: | Journal Article; Comparative Study |
| Language: | English |
| Journal Info: | Publisher: Springer Country of Publication: Germany NLM ID: 8806653 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2218 (Electronic) Linking ISSN: 09302794 NLM ISO Abbreviation: Surg Endosc Subsets: MEDLINE |
| Imprint Name(s): | Publication: 1992- : New York : Springer Original Publication: [Berlin] : Springer International, c1987- |
| MeSH Terms: | Robotic Surgical Procedures*/instrumentation , Ergonomics* , Posture*, Humans ; Laparoscopy |
| Abstract: | Background: While many ergonomic challenges traditionally faced in open and laparoscopic surgery have been overcome by robotic surgery, new challenges have been created. This study aims to identify and compare the ergonomic characteristics of a variety of robotic systems to ultimately lay the foundation for ergonomic guidelines. Methods: Measurements evaluating the surgeon and their interaction with the new technology were applied in either a laboratory or a real-life setting. A video camera was used to capture the surgeon at the console during surgery. For evaluation of the images, axes were placed along the joints of the surgeon. Corresponding angles were calculated based on the position of the individual axes in relation to each other and compared to recommendations for a healthy workspace. Results: A total of 13 surgeries were measured during actual cases using the DaVinci with a total of n = 20,250 pictures used for analysis; 2 surgeries were measured using the Dexter, with a total of 1,994 pictures used for analysis; 17 measurements were taken with the Hugo™ RAS System in a simulation setting, with a total of 1,179 pictures used for analysis. In addition, a total of 327 pictures from a simulation setting were used for analysis of the Hinotori. Corresponding angles for knee, elbow, and back were within recommendations for all systems; hip angles were not within recommendations for any system, and the neck posture was only within recommendations for the Hinotori. Conclusion: A variety of different robotic systems differ in ergonomic requirements. The neck can be identified as an area of need for improvement for most systems. Future studies, particularly in a randomized controlled fashion, need to be performed to further analyze ergonomic features of the different systems, and guidelines displaying the variety of systems need to be implemented to create a healthy and safe workplace. (© 2025. The Author(s).) |
| References: | J Robot Surg. 2007;1(1):61-7. (PMID: 25484939) Asian J Endosc Surg. 2024 Jul;17(3):e13349. (PMID: 38953286) JAMA Surg. 2018 Feb 21;153(2):e174947. (PMID: 29282463) Surg Endosc. 2019 Jul;33(7):2323-2331. (PMID: 30341653) Surg Endosc. 2025 Jan;39(1):229-236. (PMID: 39496947) Surg Endosc. 2024 Oct;38(10):6128-6138. (PMID: 39187727) Surg Endosc. 2023 Nov;37(11):8594-8600. (PMID: 37488444) J Robot Surg. 2024 May 4;18(1):198. (PMID: 38703230) J Robot Surg. 2024 Mar 11;18(1):114. (PMID: 38466477) Surg Endosc. 2024 Mar;38(3):1180-1190. (PMID: 38082007) JAMA Surg. 2020 May 1;155(5):444-446. (PMID: 32159745) Surg Endosc. 2024 Mar;38(3):1626-1636. (PMID: 38332175) Surg Endosc. 2017 Feb;31(2):877-886. (PMID: 27495330) Life (Basel). 2024 Jul 12;14(7):. (PMID: 39063627) Surg Endosc. 2018 May;32(5):2533-2540. (PMID: 29264759) Surg Innov. 2012 Mar;19(1):50-9. (PMID: 21868419) J Surg Educ. 2023 Nov;80(11):1723-1735. (PMID: 37770293) Surg Endosc. 2021 Nov;35(11):6335-6343. (PMID: 33083930) Surg Case Rep. 2023 Sep 5;9(1):156. (PMID: 37668746) Surg Endosc. 2017 Apr;31(4):1697-1706. (PMID: 27515836) J Am Coll Health. 2023 Feb-Mar;71(2):600-606. (PMID: 33760702) J Robot Surg. 2012 Mar;6(1):65-72. (PMID: 27637981) J Surg Case Rep. 2023 Jan 24;2023(1):rjad007. (PMID: 36711439) Surg Case Rep. 2024 Jan 18;10(1):22. (PMID: 38233726) Surgery. 2024 Nov;176(5):1534-1537. (PMID: 39209609) JSLS. 2014 Oct-Dec;18(4):. (PMID: 25489213) J Laparoendosc Adv Surg Tech A. 2024 May;34(5):393-400. (PMID: 38593412) |
| Contributed Indexing: | Keywords: DaVinci surgical system; Dexter surgical system; Ergonomics; Hinotori surgical system; Hugo surgical system; Robotic surgery |
| Entry Date(s): | Date Created: 20250908 Date Completed: 20251114 Latest Revision: 20251117 |
| Update Code: | 20251117 |
| PubMed Central ID: | PMC12618326 |
| DOI: | 10.1007/s00464-025-12136-y |
| PMID: | 40921839 |
| Database: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstract: | Background: While many ergonomic challenges traditionally faced in open and laparoscopic surgery have been overcome by robotic surgery, new challenges have been created. This study aims to identify and compare the ergonomic characteristics of a variety of robotic systems to ultimately lay the foundation for ergonomic guidelines.<br />Methods: Measurements evaluating the surgeon and their interaction with the new technology were applied in either a laboratory or a real-life setting. A video camera was used to capture the surgeon at the console during surgery. For evaluation of the images, axes were placed along the joints of the surgeon. Corresponding angles were calculated based on the position of the individual axes in relation to each other and compared to recommendations for a healthy workspace.<br />Results: A total of 13 surgeries were measured during actual cases using the DaVinci with a total of n = 20,250 pictures used for analysis; 2 surgeries were measured using the Dexter, with a total of 1,994 pictures used for analysis; 17 measurements were taken with the Hugo™ RAS System in a simulation setting, with a total of 1,179 pictures used for analysis. In addition, a total of 327 pictures from a simulation setting were used for analysis of the Hinotori. Corresponding angles for knee, elbow, and back were within recommendations for all systems; hip angles were not within recommendations for any system, and the neck posture was only within recommendations for the Hinotori.<br />Conclusion: A variety of different robotic systems differ in ergonomic requirements. The neck can be identified as an area of need for improvement for most systems. Future studies, particularly in a randomized controlled fashion, need to be performed to further analyze ergonomic features of the different systems, and guidelines displaying the variety of systems need to be implemented to create a healthy and safe workplace.<br /> (© 2025. The Author(s).) |
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| ISSN: | 1432-2218 |
| DOI: | 10.1007/s00464-025-12136-y |