The influence of simultaneous laparoscopic interventions in abdominal and pelvic surgery on the development of fatigue of the operating team

Background. Simultaneous surgery (SS) is an approach in surgery that allows simultaneous treatment of several pathologies, reducing the risk of repeated interventions, and also improves the economic aspect for the health care system. However, an increase in the volume of surgical intervention during SS may affect the level of the surgical team fatigue, which requires a detailed study and assessment of this effect. The purpose: to evaluate the early postoperative results and the safety of performing SS, as well as their influence on the level of fatigue of surgeons. Materials and methods. This study highlights the results of treatment of 72 patients. In accordance with the set goal, three study groups were formed: group I (34 patients) —an isolated intervention, group II (18 patients) — SS without changing the operator, group III (20 patients) — SS with observance of the principle of surgeons’ interchange depending on the stage of intervention. Results. A comparative prospective analysis of the clinical outcomes in patients who underwent standardized isolated and simultaneous surgical interventions was carried out. The effect of simultaneous operations on the level of fatigue of the surgical team was evaluated in comparison with isolated operations. The influence of the principle of interchange of the surgical team members during simultaneous operations was studied. Conclusions. Simultaneous laparoscopic interventions are effective and safe in the treatment of patients of low anesthetic risk with combined abdominal surgical diseases. However, they cause an increase in fatigue of the surgical team. Implementation of the principle of interchange of surgeons and formation of a multidisciplinary team is a promi­sing approach to reduce this impact. Further research is needed to optimize workflows in simultaneous surgery and find new methods to reduce the level of fatigue of the surgical team.