Robotic Surgery Improves Technical Performance and Enhances Prefrontal Activation During High Temporal Demand
Adult
Male
Technology
CORTEX
NEAR-INFRARED SPECTROSCOPY
Biomedical
Surgical skills
0206 medical engineering
Biomedical Engineering
610
Prefrontal Cortex
Neuroimaging
Brain function
02 engineering and technology
Stress
09 Engineering
03 medical and health sciences
Engineering
STANDARD
0302 clinical medicine
Robotic Surgical Procedures
617
Humans
Attention
BRAIN
Engineering, Biomedical
11 Medical and Health Sciences
Science & Technology
HUMANS
Cognitive workload
Medical Robotics
Brain Waves
NERVOUS-SYSTEM
FNIRS
WORKLOAD
SKILLS
TASK
Suturing
Female
Laparoscopy
DOI:
10.1007/s10439-018-2049-z
Publication Date:
2018-06-04T16:46:43Z
AUTHORS (8)
ABSTRACT
Robotic surgery may improve technical performance and reduce mental demands compared to laparoscopic surgery. However, no studies have directly the impact of robotic techniques on surgeons' brain function. This study aimed assess effect operative platform (robotic or conventional laparoscopy) prefrontal cortical activation during a suturing task performed under temporal demand. Eight surgeons (mean age ± SD = 34.5 2.9 years, male:female ratio 7:1) an intracorporeal in self-paced manner 2 min time restriction using techniques. Prefrontal was assessed near-infrared spectroscopy, subjective workload captured SURG-TLX questionnaires, continuous heart rate monitor measured systemic stress responses. Task progression scores (au), error leak volumes (mL) knot tensile strengths (N) provided objective assessment performance. Under pressure, led improved (median score: 4.5 vs. 5.0; z - 2.107, p 0.035; median 3.0 mm 2.1 mm; 2.488, 0.013). Compared suturing, greater identified seven channels located primarily lateral regions. These results suggest that improves high conditions is associated with enhanced regions attention, concentration engagement.
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