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
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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