Ergonomic and sustainable posture for gynecological laparoscopic surgeons determined based on images analyzed using artificial intelligence

Ogawa,Moe; Miyoshi,Norikatsu; Tamura,Satoshi; Masuda,Masamune; Matuyama,Kanako; Matsuki,Takako; Miyoshi,Ai; Onishi,Junji; Miyatake,Takashi

doi:10.3892/br.2024.1862

December-2024 Volume 21 Issue 6

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December-2024 Volume 21 Issue 6

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Article Open Access

Ergonomic and sustainable posture for gynecological laparoscopic surgeons determined based on images analyzed using artificial intelligence

Authors:
- Moe Ogawa
- Norikatsu Miyoshi
- Satoshi Tamura
- Masamune Masuda
- Kanako Matuyama
- Takako Matsuki
- Ai Miyoshi
- Junji Onishi
- Takashi Miyatake
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Affiliations: Department of Obstetrics and Gynecology, Bell‑land General Hospital, Sakai, Osaka 599‑8247, Japan, Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita, Osaka 567‑0871, Japan, Department of Gynecology, Kanda Maternity Clinic Annex, Suita, Osaka 564‑0053, Japan

Copyright: © Ogawa et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Article Number: 174
|
Published online on: September 23, 2024

https://doi.org/10.3892/br.2024.1862
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Abstract

Studies have reported the emergence of work‑related musculoskeletal disorders (WMSD) due to surgery. In fact, the usfige of long‑shafted instruments has been suspected to induce WMSD in laparoscopic surgery. The present study therefore investigated whether differences in the range of motion of the face and neck, and the shoulder, elbow and hand on the dominant hand side, existed when using short‑ and long‑shafted laparoscopic coagulation shears (LCS) during a gynecological laparoscopic surgery, based on images analyzed using artificial intelligence. After identifying the corresponding body parts in the video, the range of motion was illustrated graphically for each joint coordinate, followed by statistical analysis for changes in the position of each part. The range of motion for the face and neck did not significantly differ, whereas those for the shoulder, elbow and hand became noticeably broader when using the 36‑cm long‑shafted LCS than when using the 20‑cm short‑shafted LCS. Overall, the shorter LCS promoted a narrower range of motion compared with the 36‑cm LCS, suggesting its potential for reducing the physical strain placed on the surgeon's body during gynecological laparoscopic surgery.

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1	Catanzarite T, Tan-Kim J and Menefee SA: Ergonomics in gynecologic surgery. Curr Opin Obstet Gynecol. 30:432–440. 2018.PubMed/NCBI View Article : Google Scholar
2	Zahiri HR, Addo A and Park AE: Musculoskeletal disorders in minimally invasive surgery. Adv Surg. 53:209–220. 2019.PubMed/NCBI View Article : Google Scholar
3	Morandeira-Rivas A, Millán-Casas L, Moreno-Sanz C, Herrero-Bogajo ML, Tenías-Burillo JM and Giménez-Salillas L: Ergonomics in laparoendoscopic single-site surgery: Survey results. J Gastrointest Surg. 16:2151–2159. 2012.PubMed/NCBI View Article : Google Scholar
4	Lin E, Young R, Shields J, Smith K and Chao L: Growing pains: Strategies for improving ergonomics in minimally invasive gynecologic surgery. Curr Opin Obstet Gynecol. 35:361–367. 2023.PubMed/NCBI View Article : Google Scholar
5	Yoshiyuki O: ‘Introduction and results of laparoscopic total hysterectomy (TLH) using a short shaft energy device with consideration for ergonomics’ of Presentaion. Japan Society for Endoscopic Surgery, Nagoya, 2022.
6	Cao Z, Hidalgo G, Simon T, Wei SE and Sheikh Y: OpenPose: Realtime Multi-Person 2D pose estimation using part affinity fields. IEEE Trans Pattern Anal Mach Intell. 43:172–186. 2021.PubMed/NCBI View Article : Google Scholar
7	Reddy PP, Reddy TP, Roig-Francoli J, Cone L, Sivan B, DeFoor WR, Gaitonde K and Noh PH: The impact of the alexander technique on improving posture and surgical ergonomics during minimally invasive surgery. pilot study. J Urol. 186 (Suppl 4):S1658–S1662. 2011.PubMed/NCBI View Article : Google Scholar
8	Manasnayakorn S, Cuschieri A and Hanna GB: Ideal manipulation angle and instrument length in hand-assisted laparoscopic surgery. Surg Endosc. 22:924–929. 2008.PubMed/NCBI View Article : Google Scholar
9	Franasiak J, Ko EM, Kidd J, Secord AA, Bell M, Boggess JF and Gehrig PA: Physical strain and urgent need for ergonomic training among gynecologic oncologists who perform minimally invasive surgery. Gynecol Oncol. 126:437–442. 2012.PubMed/NCBI View Article : Google Scholar
10	Nguyen NT, Ho HS, Smith WD, Philipps C, Lewis C, De Vera RM and Berguer R: An ergonomic evaluation of surgeons' axial skeletal and upper extremity movements during laparoscopic and open surgery. Am J Surg. 182:720–724. 2001.PubMed/NCBI View Article : Google Scholar
11	Vereczkei A, Feussner H, Negele T, Fritzsche F, Seitz T, Bubb H and Horváth OP: Ergonomic assessment of the static stress confronted by surgeons during laparoscopic cholecystectomy. Surg Endosc. 18:1118–1122. 2004.PubMed/NCBI View Article : Google Scholar
12	Berguer R, Chen J and Smith WD: A comparison of the physical effort required for laparoscopic and open surgical techniques. Arch Surg. 138:967–970. 2003.PubMed/NCBI View Article : Google Scholar
13	Berguer R, Gerber S, Kilpatrick G and Beckley D: An ergonomic comparison of in-line vs pistol-grip handle configuration in a laparoscopic grasper. Surg Endosc. 12:805–808. 1998.PubMed/NCBI View Article : Google Scholar
14	Veelen MA, Jakimowicz JJ, Goossens RH, Meijer DW and Bussmann JB: Evaluation of the usability of two types of image display systems, during laparoscopy. Surg Endosc. 16:674–678. 2002.PubMed/NCBI View Article : Google Scholar
15	Matern U, Faist M, Kehl K, Giebmeyer C and Buess G: Monitor position in laparoscopic surgery. Surg Endosc. 19:436–440. 2005.PubMed/NCBI View Article : Google Scholar

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Ergonomic and sustainable posture for gynecological laparoscopic surgeons determined based on images analyzed using artificial intelligence

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Abstract

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