Robotically assisted laparoscopy benefits surgical performance under stress

2.50
Hdl Handle:
http://hdl.handle.net/11287/593950
Title:
Robotically assisted laparoscopy benefits surgical performance under stress
Authors:
Moore, L. J.; Wilson, M R.; Waine, Elizabeth; McGrath, John S; Masters, R. S.; Vine, S. J.
Abstract:
While the benefits of robotic surgery for the patient have been relatively well established, little is known about the benefits for the surgeon. This study examined whether the advantages of robotically assisted laparoscopy (improved dexterity, a 3-dimensional view, reduction in tremors, etc.) enable the surgeon to better deal with stressful tasks. Subjective and objective (i.e. cardiovascular) responses to stress were assessed while surgeons performed on either a robotic or conventional laparoscopic system. Thirty-two surgeons were assigned to perform a surgical task on either a robotic system or a laparoscopic system, under three stress conditions. The surgeons completed self-report measures of stress before each condition. Furthermore, the surgeons' cardiovascular responses to stress were recorded prior to each condition. Finally, task performance was recorded throughout each condition. While both groups reported experiencing similar levels of stress, compared to the laparoscopic group, the robotic group displayed a more adaptive cardiovascular response to the stress conditions, reflecting a challenge state (i.e. higher blood flow and lower vascular resistance). Furthermore, despite no differences in completion time, the robotic group performed the tasks more accurately than the laparoscopic group across the stress conditions. These results highlight the benefits of using robotic technology during stressful situations. Specifically, the results show that stressful tasks can be performed more accurately with a robotic platform, and that surgeons' cardiovascular responses to stress are more favourable. Importantly, the 'challenge' cardiovascular response to stress displayed when using the robotic system has been associated with more positive long-term health outcomes in domains where stress is commonly experienced (e.g. lower cardiovascular disease risk).
Citation:
J Robot Surg. 2015 Dec;9(4):277-84. Epub 2015 Aug 2.
Publisher:
Springer
Journal:
Journal of robotic surgery
Issue Date:
1-Dec-2015
URI:
http://hdl.handle.net/11287/593950
DOI:
10.1007/s11701-015-0527-y
PubMed ID:
26530839
Additional Links:
http://dx.doi.org/10.1007/s11701-015-0527-y
Type:
Journal Article
Language:
eng
ISSN:
1863-2491
Appears in Collections:
2015 RD&E publications; HeSRU publications

Full metadata record

DC FieldValue Language
dc.contributor.authorMoore, L. J.en
dc.contributor.authorWilson, M R.en
dc.contributor.authorWaine, Elizabethen
dc.contributor.authorMcGrath, John Sen
dc.contributor.authorMasters, R. S.en
dc.contributor.authorVine, S. J.en
dc.date.accessioned2016-01-19T12:37:53Zen
dc.date.available2016-01-19T12:37:53Zen
dc.date.issued2015-12-01en
dc.identifier.citationJ Robot Surg. 2015 Dec;9(4):277-84. Epub 2015 Aug 2.en
dc.identifier.issn1863-2491en
dc.identifier.pmid26530839en
dc.identifier.doi10.1007/s11701-015-0527-yen
dc.identifier.urihttp://hdl.handle.net/11287/593950en
dc.description.abstractWhile the benefits of robotic surgery for the patient have been relatively well established, little is known about the benefits for the surgeon. This study examined whether the advantages of robotically assisted laparoscopy (improved dexterity, a 3-dimensional view, reduction in tremors, etc.) enable the surgeon to better deal with stressful tasks. Subjective and objective (i.e. cardiovascular) responses to stress were assessed while surgeons performed on either a robotic or conventional laparoscopic system. Thirty-two surgeons were assigned to perform a surgical task on either a robotic system or a laparoscopic system, under three stress conditions. The surgeons completed self-report measures of stress before each condition. Furthermore, the surgeons' cardiovascular responses to stress were recorded prior to each condition. Finally, task performance was recorded throughout each condition. While both groups reported experiencing similar levels of stress, compared to the laparoscopic group, the robotic group displayed a more adaptive cardiovascular response to the stress conditions, reflecting a challenge state (i.e. higher blood flow and lower vascular resistance). Furthermore, despite no differences in completion time, the robotic group performed the tasks more accurately than the laparoscopic group across the stress conditions. These results highlight the benefits of using robotic technology during stressful situations. Specifically, the results show that stressful tasks can be performed more accurately with a robotic platform, and that surgeons' cardiovascular responses to stress are more favourable. Importantly, the 'challenge' cardiovascular response to stress displayed when using the robotic system has been associated with more positive long-term health outcomes in domains where stress is commonly experienced (e.g. lower cardiovascular disease risk).en
dc.language.isoengen
dc.publisherSpringeren
dc.relation.urlhttp://dx.doi.org/10.1007/s11701-015-0527-yen
dc.titleRobotically assisted laparoscopy benefits surgical performance under stressen
dc.typeJournal Articleen
dc.identifier.journalJournal of robotic surgeryen

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