Relax, It's Just Laparoscopy! A Prospective Randomized Trial on Heart Rate Variability of the Surgeon in Robot-Assisted versus Conventional Laparoscopic Cholecystectomy
| Autor: | V. Svircevic, Cor G. M. I. Baeten, Jeroen Heemskerk, Rob J.A. Peters, S.W.M. Keet, R.A. Bouwman, I. Martijnse, G. van Montfort, H.R. Zandbergen, Nicole D. Bouvy |
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| Přispěvatelé: | Anesthesiology, Physics and medical technology, ICaR - Circulation and metabolism, Surgery, RS: NUTRIM - R2 - Gut-liver homeostasis, RS: NUTRIM - R1 - Metabolic Syndrome, RS: CARIM - R2 - Cardiac function and failure, CTC |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Laparoscopic surgery medicine.medical_specialty medicine.medical_treatment Statistics Nonparametric law.invention Electrocardiography Robotic Surgical Procedures Randomized controlled trial Heart Rate law Heart rate medicine Humans Heart rate variability Prospective Studies Laparoscopy Prospective cohort study Netherlands Surgeons Analysis of Variance medicine.diagnostic_test business.industry General surgery Gastroenterology Middle Aged Surgery Occupational Diseases Cholecystectomy Laparoscopic Female business Stress Psychological |
| Zdroj: | Digestive Surgery, 31(3), 225-232. S. Karger AG Digestive Surgery, 31(3), 225-232. Karger Heemskerk, J, Zandbergen, H R, Keet, S W M, Martijnse, I, van Montfort, G, Peters, R J A, Svircevic, V, Bouwman, R A, Baeten, C G M I & Bouvy, N D 2014, ' Relax, It's Just Laparoscopy! A Prospective Randomized Trial on Heart Rate Variability of the Surgeon in Robot-Assisted versus Conventional Laparoscopic Cholecystectomy ', Digestive Surgery, vol. 31, no. 3, pp. 225-232 . https://doi.org/10.1159/000365580 |
| ISSN: | 0253-4886 |
| DOI: | 10.1159/000365580 |
| Popis: | Background: Laparoscopic surgery might be beneficial for the patient, but it imposes increased physical and mental strain on the surgeon. Robot-assisted laparoscopic surgery addresses some of the laparoscopic drawbacks and may potentially reduce mental strain. This could reduce the risk of surgeon's fatigue, mishaps and strain-induced illnesses, which may eventually improve the safety of laparoscopic surgical procedures. Methods: To test this hypothesis, a randomized study was performed, comparing both heart rate and heart rate variability (HRV) of the surgeon as a measure of total and mental strain, respectively, during conventional and robot-assisted laparoscopic cholecystectomy. Results: Both heart rate and HRV (the low-frequency band/high-frequency band ratio) were significantly decreased when using robotic assistance. Conclusions: These data suggest the use of the daVinci® Surgical System leads to less physical and mental strain of the surgeon during surgery. However, assessing mental strain by means of HRV is cumbersome since there is no clear cutoff point or scale for maximum tolerated strain levels and its related effects on surgeon's health. |
| Databáze: | OpenAIRE |
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