Muscle activation during traditional laparoscopic surgery compared with robot-assisted laparoscopic surgery: a meta-analysis

Jaime Hislop¹, Oren Tirosh², John McCormick³, Romesh Nagarajah⁴, Chris Hensman⁵, Mats Isaksson⁶

Affiliations

¹ Department of Mechanical Engineering and Product Design Engineering, Swinburne University of Technology, Melbourne, Australia. jhislop@swin.edu.au.
² School of Health Sciences, Swinburne University of Technology, Melbourne, Australia.
³ Centre for Transformative Media Technologies, Swinburne University of Technology, Melbourne, Australia.
⁴ School of Software and Electrical Engineering, Swinburne University of Technology, Melbourne, Australia.
⁵ FRACS, CLAM Conjoint Senior lecturer Monash University Department of Surgery and University of Adelaide, University of Adelaide, LapSurgery Australia, Melbourne, Australia.
⁶ Department of Mechanical Engineering and Product Design Engineering, Swinburne University of Technology, Melbourne, Australia.

PMID: 31583468
DOI: 10.1007/s00464-019-07161-7

Meta-Analysis

Muscle activation during traditional laparoscopic surgery compared with robot-assisted laparoscopic surgery: a meta-analysis

Jaime Hislop et al. Surg Endosc. 2020 Jan.

. 2020 Jan;34(1):31-38.

doi: 10.1007/s00464-019-07161-7. Epub 2019 Oct 3.

Authors

Jaime Hislop¹, Oren Tirosh², John McCormick³, Romesh Nagarajah⁴, Chris Hensman⁵, Mats Isaksson⁶

Affiliations

¹ Department of Mechanical Engineering and Product Design Engineering, Swinburne University of Technology, Melbourne, Australia. jhislop@swin.edu.au.
² School of Health Sciences, Swinburne University of Technology, Melbourne, Australia.
³ Centre for Transformative Media Technologies, Swinburne University of Technology, Melbourne, Australia.
⁴ School of Software and Electrical Engineering, Swinburne University of Technology, Melbourne, Australia.
⁵ FRACS, CLAM Conjoint Senior lecturer Monash University Department of Surgery and University of Adelaide, University of Adelaide, LapSurgery Australia, Melbourne, Australia.
⁶ Department of Mechanical Engineering and Product Design Engineering, Swinburne University of Technology, Melbourne, Australia.

PMID: 31583468
DOI: 10.1007/s00464-019-07161-7

Abstract

Background: The repetitive and forceful motions used by operating surgeons increase the risk of developing musculoskeletal disorders. Most ergonomists consider the surgical environment to be incredibly harsh for its workers. Traditional Laparoscopic Surgery (TLS) in particular has a number of physical and mental challenges associated with it, and while Robotic-Assisted Laparoscopic Surgery (RALS) provides several features that improve upon TLS, some surgeons have still reported musculoskeletal symptoms they attribute to RALS. In this paper, we endeavored to systematically review muscle activation for both TLS and RALS, to compare the modalities and present the results as a meta-analysis.

Methods: A literature search was conducted using Pubmed, Embase, and Cochrane databases in November 2018 with the following inclusion criteria: full text was available in English, the paper contained original data, EMG was one of the primary measurement techniques, and the paper included EMG data for both TLS and RALS. Results from studies were compared using standardized mean difference analysis.

Results: A total of 379 papers were found, and through screening ten were selected for inclusion. Sample populations ranged from 1 to 31 surgeons, and a variety of study designs and metrics were used between studies. The biceps were the only muscle group that consistently and significantly demonstrated lower muscle activation for RALS for all included studies.

Conclusions: The results may support the belief that RALS is ergonomically superior to TLS, shown through generally lower muscle activation scores. However, these results must be interpreted with caution due to the heterogeneity between the studies and multiple potential sources for bias within studies. This analysis would be strengthened with a higher number of homogenous, high-quality studies examining larger sample sizes.

Keywords: Electromyography; Musculoskeletal disorders; Robot-assisted laparoscopic surgery (RALS); Traditional laparoscopic surgery (TLS).

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References

1. Surg Endosc. 2017 Feb;31(2):516-526 - PubMed
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1. Surg Endosc. 2017 Mar;31(3):1119-1135 - PubMed
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Muscle activation during traditional laparoscopic surgery compared with robot-assisted laparoscopic surgery: a meta-analysis

Affiliations

Muscle activation during traditional laparoscopic surgery compared with robot-assisted laparoscopic surgery: a meta-analysis

Authors

Affiliations

Abstract

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical