Mental Stress Experienced by First-year Residents and Expert Surgeons with Robotic and Laparoscopic Surgery Interfaces

Overview

Journal J Robot Surg

Publisher Springer

Specialties Biotechnology
General Surgery

Date 2016 Sep 18

PMID 27637524

Citations 8

Authors

Martina I Klein

Vladimir Mouraviev

Curtis Craig

Lou Salamone

Timothy A Plerhoples

Sherry M Wren

Krishnanath Gaitonde

Affiliations

Soon will be listed here.

Abstract

Prior research has indicated that novices experienced a beneficial stress profile in the robotic surgery (da Vinci) training environment when compared to the laparoscopic surgery training environment. The objective of this study was to assess whether this finding generalizes to expert surgeons. Towards that end, first-year residents' and attending surgeons' performances and subjective stress experiences were assessed in a surgical training task that was performed with the da Vinci and laparoscopic surgery interfaces. This study indicated that both groups exhibited superior performance and lower stress with the da Vinci surgical system than the laparoscopic system. The results provide further support for the sensitivity of the Dundee Stress State Questionnaire in identifying different stress responses experienced by trainees and experts in the minimally invasive surgery environment.

Citing Articles

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References

Welch R, Bridgeman B, Anand S, Browman K . Alternating prism exposure causes dual adaptation and generalization to a novel displacement. Percept Psychophys. 1993; 54(2):195-204. DOI: 10.3758/bf03211756. View

Klein M, Warm J, Riley M, Matthews G, Doarn C, Donovan J . Mental workload and stress perceived by novice operators in the laparoscopic and robotic minimally invasive surgical interfaces. J Endourol. 2012; 26(8):1089-94. DOI: 10.1089/end.2011.0641. View

Cuschieri A . Whither minimal access surgery: tribulations and expectations. Am J Surg. 1995; 169(1):9-19. DOI: 10.1016/s0002-9610(99)80104-4. View

Arora S, Sevdalis N, Nestel D, Tierney T, Woloshynowych M, Kneebone R . Managing intraoperative stress: what do surgeons want from a crisis training program?. Am J Surg. 2009; 197(4):537-43. DOI: 10.1016/j.amjsurg.2008.02.009. View

Rassweiler J, Hruza M, Teber D, Su L . Laparoscopic and robotic assisted radical prostatectomy--critical analysis of the results. Eur Urol. 2006; 49(4):612-24. DOI: 10.1016/j.eururo.2005.12.054. View

Reyes J, Smaldone M, Uzzo R, Viterbo R . Current status of robot-assisted partial nephrectomy. Curr Urol Rep. 2011; 13(1):24-37. DOI: 10.1007/s11934-011-0223-z. View

Cunningham H . Aiming error under transformed spatial mappings suggests a structure for visual-motor maps. J Exp Psychol Hum Percept Perform. 1989; 15(3):493-506. DOI: 10.1037//0096-1523.15.3.493. View

Matthews G, Campbell S, Falconer S, Joyner L, Huggins J, Gilliland K . Fundamental dimensions of subjective state in performance settings: task engagement, distress, and worry. Emotion. 2003; 2(4):315-40. DOI: 10.1037/1528-3542.2.4.315. View

Wetzel C, Kneebone R, Woloshynowych M, Nestel D, Moorthy K, Kidd J . The effects of stress on surgical performance. Am J Surg. 2006; 191(1):5-10. DOI: 10.1016/j.amjsurg.2005.08.034. View

10.

Hockey G . Compensatory control in the regulation of human performance under stress and high workload; a cognitive-energetical framework. Biol Psychol. 1997; 45(1-3):73-93. DOI: 10.1016/s0301-0511(96)05223-4. View

11.

Klein M, Warm J, Riley M, Matthews G, Gaitonde K, Donovan J . Perceptual distortions produce multidimensional stress profiles in novice users of an endoscopic surgery simulator. Hum Factors. 2008; 50(2):291-300. DOI: 10.1518/001872008X288312. View

12.

Mattei P . Minimally invasive surgery in the diagnosis and treatment of abdominal pain in children. Curr Opin Pediatr. 2007; 19(3):338-43. DOI: 10.1097/MOP.0b013e32810c8eaf. View

13.

Varela J, Wilson S, Nguyen N . Laparoscopic surgery significantly reduces surgical-site infections compared with open surgery. Surg Endosc. 2009; 24(2):270-6. DOI: 10.1007/s00464-009-0569-1. View

14.

Gallagher A, McClure N, McGuigan J, Ritchie K, Sheehy N . An ergonomic analysis of the fulcrum effect in the acquisition of endoscopic skills. Endoscopy. 1998; 30(7):617-20. DOI: 10.1055/s-2007-1001366. View

15.

Rassweiler J, Frede T . [Geometry of laparoscopy, telesurgery, training and telementoring]. Urologe A. 2002; 41(2):131-43. DOI: 10.1007/s00120-002-0186-2. View