Ergonomic risk assessment of surgeon's position during radical prostatectomy: Laparoscopic versus robotic approach

J Surg Oncol. 2023 Dec;128(8):1453-1458. doi: 10.1002/jso.27419. Epub 2023 Aug 21.


Background and objectives: Radical prostatectomy (RP) is a definitive surgical therapy for localized prostate cancer. Evidence suggests that the poor ergonomics of surgeons during RP may lead to work-related musculoskeletal disorders and loss of productivity. Since each surgery modality has its physical demands, we compared the ergonomic risk between laparoscopic (LRP) and robotic-assisted (RARP) radical prostatectomy.

Methods: The study assessed the posture of 10 urological surgeons during LRP and RARP surgeries with the Rapid Entire Body Assessment (REBA) scale.

Results: We found that the RARP approach resulted in lower REBA scores over the LRP procedure.

Conclusions: Robotic surgery improves body posture for the urological surgeon like in other medical specialties. However, the surgeons display harmful postures in both surgeries.

Keywords: ergonomics; laparoscopy; musculoskeletal diseases; prostate cancer; radical prostatectomy; robot surgery.

MeSH terms

  • Ergonomics
  • Humans
  • Laparoscopy* / methods
  • Male
  • Prostatectomy / methods
  • Prostatic Neoplasms* / surgery
  • Risk Assessment
  • Robotic Surgical Procedures* / methods
  • Surgeons*
  • Treatment Outcome