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Obesity Surgery
Published in: Obesity Surgery 1/2019

01-01-2019 | Original Contributions

Physical and Mental Impact of Laparoscopic Sleeve Gastrectomy on the Surgeon: French vs. American Positions. A Randomized and Controlled Study

Authors: José E. Carmona, Jorge A. Higuerey, Doubraska Gil, Mabel Castillo, Valentina Escalona

Published in: Obesity Surgery | Issue 1/2019

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Abstract

Purpose

To determine the physical and mental impact on the primary surgeon, by the patient’s and surgical staff’s dispositions at the operating table, during laparoscopic vertical sleeve gastrectomy.

Materials and Methods

This is a randomized and controlled study that included 18 laparoscopic sleeve gastrectomy procedures performed by two surgeons in a private and academic hospital. The cases were randomized for the American or French position. After surgery, the National Aeronautics and Space Administration - Task Load Index (NASA-TLX) and the Body Part Discomfort (BPD) scales were applied to the primary surgeon.

Results

An increased workload and more discomfort were reported when using the French position. The NASA-TLX was 28 ± 8 vs. 57 ± 18 (p = 0.001), and the BPD was 2 vs. 8 (p = 0.001).

Conclusions

The American position resulted in a lower physical and mental impact on the surgeon when performing a laparoscopic sleeve gastrectomy.
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Metadata
Title
Physical and Mental Impact of Laparoscopic Sleeve Gastrectomy on the Surgeon: French vs. American Positions. A Randomized and Controlled Study
Authors
José E. Carmona
Jorge A. Higuerey
Doubraska Gil
Mabel Castillo
Valentina Escalona
Publication date
01-01-2019
Publisher
Springer US
Published in
Obesity Surgery / Issue 1/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-018-3496-1

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