Ergonomics in Laparoscopic Training: A Systematic Review
Author Information
Author(s): Muacevic Alexander, Adler John R, Karim Md Rezaul, Kim Sola, Islam Rafiza, Kong Amos, Patel Bijendra
Primary Institution: Barts Cancer Institute, Queen Mary University of London
Hypothesis
This study aims to assess the ergonomic outcomes and musculoskeletal strain in individuals undergoing laparoscopic surgery training with box trainers or VR simulations.
Conclusion
The study found reduced muscle activity and physical demand among trained individuals in laparoscopic surgery with both box trainers and VR simulators.
Supporting Evidence
- 12 studies were included in the review, involving a total of 275 participants.
- EMG results indicated a higher %MVC in box training in poor ergonomic settings.
- Both training modalities showed a significant decrease in NASA-TLX scores after training.
- Experts performed better than novices in a VR appendicectomy scenario.
Takeaway
This study shows that practicing laparoscopic surgery with special training tools can help surgeons use less muscle and feel less tired.
Methodology
A systematic review was conducted by searching multiple databases for studies that utilized EMG or NASA-TLX to measure ergonomics, with two reviewers independently assessing eligibility and extracting data.
Potential Biases
Most studies had a serious risk of bias, affecting the reliability of the findings.
Limitations
The study lacks high-quality evidence due to a high risk of bias in most included studies and the absence of a meta-analysis.
Participant Demographics
Participants varied from medical students to experienced surgeons across different specialties.
Statistical Information
P-Value
p<0.01
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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