Intraoperative workload of the surgeon in robot-assisted radical prostatectomy: a systematic review.

Autor: Yilmaz M; Urology, MediClin Kraichgau-Klinik, Fritz-Hagner-Promenade 15, 74906, Bad Rappenau, Germany. yilmazmehmet88@hotmail.com., Karaaslan M; Department of Urology, Bayindir Healthcare Group Kavaklidere Hospital, Ankara, Turkey., Şirin ME; Clinic of Urology, Private Inova Hospital, Aksaray, Turkey., Polat ME; Department of Urology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey., Aybal HÇ; Clinic of Urology, Polatlı Duatepe State Hospital, Ankara, Turkey., Toprak T; Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, University of Health Sciences, Istanbul, Turkey., Tonyali S; Department of Urology, Istanbul University Istanbul School of Medicine, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: Journal of robotic surgery [J Robot Surg] 2024 Jul 22; Vol. 18 (1), pp. 289. Date of Electronic Publication: 2024 Jul 22.
DOI: 10.1007/s11701-024-02049-8
Abstrakt: In the present study, we aimed to systematically evaluate the current evidence regarding the intraoperative workload of surgeons performing robot-assisted radical prostatectomy (RARP) for prostate cancer. A systematic search was carried out in the PubMed-MEDLINE and Web of Science databases through April 2024 using the following search terms: "workload AND robot assisted radical prostatectomy", "workload AND robotic radical prostatectomy", "task load AND robotic radical prostatectomy", "task load AND robot assisted radical prostatectomy" and "NASA-TLX AND robot assisted radical prostatectomy" by combining population, intervention, comparison, and outcome (PICO) terms, following preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. We therefore selected studies that included patients with prostate cancer (P) who underwent robotic radical prostatectomy (I) and reported a workload/task load questionnaire (C) to assess the intraoperative workload/task load of the surgeon performing robot-assisted radical prostatectomy (O). A total of 11 studies were identified. The surgeon's workload during RARP was assessed using the National Aeronautics and Space Administration task load index (NASA-TLX) and/or the surgery task load index (SURG-TLX) in the studies. Total NASA-TLX scores of the studies ranged from 22.7 ± 3.2 to 62.0 ± 6.4. Mental and physical demands, flow interruptions, surgeon experience, the use of single or multiple ports, and the relationship between the surgeon and other staff in the operating theater may play a role in the intraoperative workload of the console surgeon. The studies we reviewed suggest that RARP offers an acceptable workload for the console surgeon despite its mental demands.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.)
Databáze: MEDLINE
Externí odkaz: