Work-related upper limb musculoskeletal disorders in paediatric laparoscopic surgery. A multicenter survey

被引：54

作者：

Esposito, Ciro ^{[1
]}

El Ghoneimi, Alaa ^{[2
]}

Yamataka, Atsuyuki ^{[3
]}

Rothenberg, Steve ^{[4
]}

Bailez, Marcela ^{[5
]}

Ferro, Marcelo ^{[6
]}

Gamba, Piergiorgio ^{[7
]}

Castagnetti, Marco ^{[8
]}

Mattioli, Girolamo ^{[9
]}

Delagausie, Pascale ^{[10
]}

Antoniou, Dimitris ^{[11
]}

Montupet, Philippe ^{[12
]}

Marte, Antonio ^{[13
]}

Saxena, Amulya ^{[14
]}

Bertozzi, Mirko ^{[15
]}

Philippe, Paul ^{[16
]}

Varlet, Francois ^{[17
]}

Lardy, Hubert ^{[18
]}

Caldamone, Antony ^{[19
]}

Settimi, Alessandro

Pelizzo, Gloria ^{[20
]}

Becmeur, Francois ^{[21
]}

Escolino, Maria ^{[1
]}

De Pascale, Teresa ^{[1
]}

Najmaldin, Azad ^{[22
]}

Schier, Felix ^{[23
]}

机构：

[1] Univ Naples Federico II, Pediat Surg Units, I-80131 Naples, Italy

[2] Hop Robert Debre, Pediat Surg Units, F-75019 Paris, France

[3] Juntendo Univ, Pediat Surg Units, Tokyo, Japan

[4] Children Hosp, Pediat Surg Units, Denver, CO USA

[5] Children Hosp, Pediat Surg Units, Buenos Aires, DF, Argentina

[6] Univ Buenos Aires, Pediat Surg Units, Buenos Aires, DF, Argentina

[7] Univ Padua, Pediat Surg Units, Padua, Italy

[8] Padua Hosp, Pediat Surg Units, Padua, Italy

[9] Gaslini Hosp, Pediat Surg Units, Genoa, Italy

[10] Hop Enfants La Timone, Pediat Surg Units, Marseille, France

[11] Aghia Sophia Hosp, Pediat Surg Units, Athens, Greece

[12] Hop Bicetre, Pediat Surg Units, Paris, France

[13] Univ Naples 2, Pediat Surg Units, Naples, Italy

[14] Children Hosp, Pediat Surg Units, Graz, Austria

[15] Univ Perugia, Pediat Surg Units, I-06100 Perugia, Italy

[16] Children Hosp, Pediat Surg Units, Luxembourg, Luxembourg

[17] CHU St Etienne, Pediat Surg Units, St Etienne, France

[18] CHU Tours, Pediat Surg Units, Tours, France

[19] Providence Univ, Pediat Surg Units, Providence, RI USA

[20] Univ Pavia, Pediat Surg Units, I-27100 Pavia, Italy

[21] Univ Strasbourg, Pediat Surg Units, Strasbourg, France

[22] Children Hosp NHS Leeds, Pediat Surg Units, Leeds, W Yorkshire, England

[23] Johannes Gutenberg Univ Mainz, Pediat Surg Units, D-55122 Mainz, Germany

来源：

JOURNAL OF PEDIATRIC SURGERY | 2013年 / 48卷 / 08期

关键词：

Laparoscopy; Ergonomics; Shoulder pain; Work-related musculoskeletal symptoms; UPPER EXTREMITY MOVEMENTS; POSTURAL DISCOMFORT; PERFORMANCE; SYSTEM;

D O I：

10.1016/j.jpedsurg.2013.01.054

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Background: Surgeons are at risk for developing work-related musculoskeletal symptoms (WMS). The present study aims to examine the physical factors and their association with WMS among pediatric laparoscopic surgeons. Methods: A questionnaire consisting of 21 questions was created and mailed to 25 pediatric laparoscopic surgeons (LG). 23/25 surgeons (92%) completed the survey. The questionnaire was analyzed and then split into 2 groups. Group 1 (LG1) included surgeons with greater laparoscopic experience, and group 2 (LG2) included surgeons with less important laparoscopic experience. In addition, we constructed and sent to the same surgeons a similar questionnaire focused on WMS after an open procedure (OG) with the aim to compare results of LG with OG. Results: The prevalence rate of WMS with shoulder symptoms was 78.2% in surgeons that performed laparoscopy for more than 10 years, with 60.8% also reporting other pain. In 66.6% this pain is evident only after a long-lasting procedure. Forty-four percent of these surgeons require painkillers at least twice a week. Fifty percent of these surgeons also suffer at home. Fifty-five and one half percent of surgeons indicate that this pain is related to their laparoscopic activity. Forty-three and a half percent think that laparoscopy is beneficial only for the patient but has a bad ergonomic effect for surgeons. Sixty-five and two-tenths percent think that robotic surgery can be helpful to improve ergonomics. Comparing the groups, WMS occur more frequently in LG (78.2%) than in OG (56.5%), but this difference was not statistically significant (chi(2) = 0.05). In addition, WMS occur more frequently in LG1 (84.6%) than in LG2 (70%), but this difference was not statistically significant (chi(2) = 0.05). Conclusions: These results confirmed a strong association between WMS and the number of laparoscopic procedures performed. Skilled laparoscopic surgeons have more pain than less skilled laparoscopic surgeons. WMS in the same group of surgeons are more frequent after laparoscopy than after open procedures. The majority of surgeons refer to shoulder symptoms. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：1750 / 1756

页数：7

共 18 条

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