{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T22:06:48Z","timestamp":1764194808463,"version":"3.41.2"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T00:00:00Z","timestamp":1700524800000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>\u00a0<\/jats:title>\n                  <jats:p>The aim of the study was to examine the factors which may influence suboptimal ergonomic surgeon hand positioning during robotic colorectal surgery (RCS). An observational study of 11 consecutive RCS cases from June 2022 to August 2022 was performed. Continuous video footage of RCS cases was analysed concurrently with video recordings of surgeon\u2019s hand positions at the console. The outcome studied was the frequency with which either hand remained in a suboptimal ergonomic position outside the predetermined double box outlines, as marked on the surgeon\u2019s video, for &amp;gt;1 min. Situations which resulted in poor upper limb ergonomics were dissection in the peripheral operating field location, left-hand use, use of the stapler, dissection of the main mesenteric blood vessels, and multi-quadrant surgery. Being aware of situations when suboptimal ergonomic positions occur can allow surgeons to consciously compensate by using the clutch or pausing to take a rest break.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>What does this paper add to the literature?<\/jats:title>\n                  <jats:p>The study is important because it is the first to look at factors which may influence poor upper limb ergonomics during non-simulated RCS. By recognizing these factors and compensating for them, it may improve surgeon ergonomics with resultant better performance.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jscr\/rjad632","type":"journal-article","created":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:58:27Z","timestamp":1700614707000},"source":"Crossref","is-referenced-by-count":6,"title":["Factors affecting upper limb ergonomics in robotic colorectal surgery"],"prefix":"10.1093","volume":"2023","author":[{"given":"Shing Wai","family":"Wong","sequence":"first","affiliation":[{"name":"Department of General Surgery, Prince of Wales Hospital , Sydney, New South Wales, 2031 , Australia"},{"name":"Randwick Campus , School of Clinical Medicine, , Sydney, New South Wales, 2052 , Australia"},{"name":"The University of New South Wales , School of Clinical Medicine, , Sydney, New South Wales, 2052 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen Hao","family":"Ang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Prince of Wales Hospital , Sydney, New South Wales, 2031 , Australia"},{"name":"Randwick Campus , School of Clinical Medicine, , Sydney, New South Wales, 2052 , Australia"},{"name":"The University of New South Wales , School of Clinical Medicine, , Sydney, New South Wales, 2052 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranah","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Prince of Wales Hospital , Sydney, New South Wales, 2031 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiuling Jasmine","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Prince of Wales Hospital , Sydney, New South Wales, 2031 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Crowe","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Prince of Wales Hospital , Sydney, New South Wales, 2031 , Australia"},{"name":"Randwick Campus , School of Clinical Medicine, , Sydney, New South Wales, 2052 , Australia"},{"name":"The University of New South Wales , School of Clinical Medicine, , Sydney, New South Wales, 2052 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,11,20]]},"reference":[{"key":"2023112123080439000_ref1","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/978-3-319-43256-4_13","volume-title":"Robotic Colon and Rectal Surgery","author":"Armstrong","year":"2017"},{"key":"2023112123080439000_ref2","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1055\/s-0039-1693026","article-title":"Ergonomics and musculoskeletal health of the 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