Despite robot-assisted surgery (RAS) becoming increasingly common, little is known about the impact of the underlying work organization on the stress levels of members of the operating room (OR) team. To this end, assessing whether RAS may impact work-related stress, identifying associated stress factors and surveying relevant measurement methods seems critical. Using three databases (Scopus, Medline, Google Scholar), a systematic review was conducted leading to the analysis of 20 articles. Results regarding OR team stress levels and measurement methods were heterogeneous, which could be explained by differing research conditions (i.e., lab. vs. real-life). Relevant stressors such as (in)experience with RAS and quality of team communication were identified. Development of a common, more reliable methodology of stress assessment is required. Research should focus on real-life conditions in order to develop valid and actionable knowledge. Surgical teams would greatly benefit from discussing RAS-related stressors and developing team-specific strategies to handle them.

中文翻译：

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机器人手术和工作相关压力：系统评价

尽管机器人辅助手术 (RAS) 变得越来越普遍，但人们对底层工作组织对手术室 (OR) 团队成员压力水平的影响知之甚少。为此，评估 RAS 是否会影响工作相关压力、识别相关压力因素并调查相关测量方法似乎至关重要。使用三个数据库（Scopus、Medline、Google Scholar）进行系统评价，对 20 篇文章进行了分析。关于手术室团队压力水平和测量方法的结果是异质的，这可以通过不同的研究条件（即实验室与现实生活）来解释。确定了相关压力源，例如 RAS 经验和团队沟通质量。需要开发一种通用的、更可靠的压力评估方法。研究应关注现实生活条件，以发展有效且可操作的知识。讨论与 RAS 相关的压力源并制定针对团队的特定策略来处理这些压力源，将使手术团队受益匪浅。