微创手术使患者获益的同时也增加了外科医生的工作负荷，包括生理负荷和认知负荷。肌肉骨骼疾 病是微创外科医生最常见的职业病，相比传统腹腔镜手术，达芬奇机器人系统因其特殊的人体工程学设计，极大程 度地减少了外科医生的肌肉骨骼与精神压力相关疾病，减轻了外科医生的生理和认知负荷。因此，分析比较达芬奇 机器人手术和腹腔镜手术在生理负荷和认知负荷方面对外科医生的影响，有利于相关技术操作的改进及微创手术的 发展。

Minimally invasive surgery brings benefits to patients, but also increases the workload to the surgeons, including physiological and cognitive load. Musculoskeletal diseases have become the most common occupational diseases to minimally invasive surgeons. Compared with traditional laparoscopic surgery, the Da Vinci robot system greatly reduces surgeons’ musculoskeletal and mental stress due to its special ergonomic design. So the physiological and cognitive load to surgeons is reduced. Therefore, this review analyzes and compares the impact of laparoscopic surgery and Da Vinci robotic surgery on the physiological load and cognitive load to surgeons, hopefully it may improve related technical operations and promote the development of minimally invasive surgery.

收稿日期：2020-04-05  录用日期：2020-05-15 

Received Date: 2020-04-05  Accepted Date: 2020-05-15 

基金项目：辽宁省中央引导地方科技发展专项（2019JH6/10400006）；中国医科大学 2019 年度临床医学培育学科支持计划（妇 产科学 - 机器人） 

Foundation Item: Central Government Guiding the Local Science and Technology Development Special Project in Liaoning Province（2019JH6/10400006）; Key Clinical Discipline Support Plan of China Medical University in 2019 

通讯作者：张颐，Email: syzi@163.com

Corresponding Author: ZHANG Yi, Email: syzi@163.com 

引用格式：董海燕，窦磊，庞晓燕，等 . 机器人手术与腹腔镜手术对外科医生影响的比较 [J]. 机器人外科学杂志，2020，1（3）： 195-201. 

Citation: DONG H Y, DOU L, PANG X Y, et al. Comparison of workload on surgeons performing robotic and laparoscopic surgery [J]. Chinese Journal of Robotic Surgery, 2020, 1(3): 195-201.

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