Comparative assessment of physical and cognitive ergonomics associated with robotic and traditional laparoscopic surgeries

Lee, Gyusung I.; Lee, Mija R.; Clanton, Tamera; Sutton, Erica; Park, Adrian E.; Marohn, Michael R.

doi:10.1007/s00464-013-3213-z

Cited by 152 publications

(116 citation statements)

References 24 publications

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“…This may have been due to the proposed benefits of robotic technology (3-dimensional field of view, improved dexterity etc.) and supports previous research that has identified that surgeons make fewer errors when performing training and stressful tasks on a robotic rather than laparoscopic system [5,6,11]. This finding is particularly interesting given the limited robotic experience of the participating surgeons.…”

Section: Stress In Robotic Surgery 13supporting

confidence: 87%

“…Indeed, previous research has shown that surgeons with vast laparoscopic experience and limited robotic experience often make more errors when utilizing robotic compared to laparoscopic systems [6]. Interestingly, despite no differences between the other conditions, all surgeons made more errors during the evaluative pressure condition than the time pressure condition.…”

Section: Stress In Robotic Surgery 13mentioning

confidence: 80%

“…While the poor precision and ergonomics of laparoscopy may exacerbate stress, the improved vision and dexterity associated with robotic technology might help surgeons cope better with stress [3,4]. Although robotic techniques have been associated with better training task performance and less workload than laparoscopic techniques [5,6], limited research has examined if robotic techniques are more beneficial during stressful surgical tasks. Thus, the present study aimed to explore surgeons' cardiovascular responses to, and performance during, a surgical task performed either on a robotic or laparoscopic platform under three stress conditions (time pressure, multi-tasking, and evaluative pressure).…”

Section: Discussionmentioning

confidence: 99%

“…By addressing these limitations and reducing the demands placed upon the surgeon, robotic technology may help surgeons cope better with stress. However, despite research showing that robotic techniques are associated with better training task performance as well as less mental and physical workload [5,6], limited research has examined if robotic techniques are more beneficial during stressful surgical tasks than laparoscopic techniques.…”

Section: Stress In Robotic Surgerymentioning

confidence: 99%

“…Consequently, it appears that the surgeons using the robotic system had more cognitive resources to apply to the secondary task than surgeons using the laparoscopic system. Spare resources might be a consequence of lower cognitive workload required to perform surgical tasks on the robotic platform than the laparoscopic platform [5,6]. In the operating room, these extra cognitive resources could be used to more effectively deal with other demands, such as decision-making and communication, or to better cope with the many Stress in robotic surgery 15 noises and distractions that are often encountered [32].…”

Section: Stress In Robotic Surgery 13mentioning

confidence: 99%

See 4 more Smart Citations

Robotically assisted laparoscopy benefits surgical performance under stress

et al. 2015

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Section: Stress In Robotic Surgery 13supporting

confidence: 87%

Section: Stress In Robotic Surgery 13mentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Stress In Robotic Surgerymentioning

confidence: 99%

Section: Stress In Robotic Surgery 13mentioning

confidence: 99%

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Robotically assisted laparoscopy benefits surgical performance under stress

et al. 2015

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Robotic Inguinal vs Transabdominal Laparoscopic Inguinal Hernia Repair

et al. 2020

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IMPORTANCE Despite rapid adoption of the robotic platform for inguinal hernia repair in the US, to date, no level I trials have ever compared robotic inguinal hernia repair to laparoscopic repair. This multicenter randomized clinical trial is the first to compare the robotic platform to laparoscopic approach for minimally invasive inguinal hernia repair.OBJECTIVE To determine whether the robotic approach to inguinal hernia repair results in improved postoperative outcomes compared with traditional laparoscopic inguinal hernia repairs. DESIGN, SETTING, AND PARTICIPANTSThis multicenter, single-blinded, prospective randomized clinical pilot study was conducted from April 2016 to April 2019, with a follow-up duration of 30 days in 6 academic and academic-affiliated sites. Enrolled in this study were 113 patients with a unilateral primary or recurrent inguinal hernia. After exclusions 102 remained for analysis.INTERVENTIONS Standard laparoscopic transabdominal preperitoneal repair or robotic transabdominal preperitoneal repair. MAIN OUTCOMES AND MEASURESMain outcomes included postoperative pain, health-related quality of life, mobility, wound morbidity, and cosmesis. Secondary outcomes included cost, surgeon ergonomics, and surgeon mental workload. A primary outcome was not selected because this study was designed as a pilot study. The hypothesis was formulated prior to data collection.RESULTS A total of 102 patients were included in the study (54 in the laparoscopic group, mean [SD] age, 57.2 [13.3] years and 48 [88.9%] male; 48 in the robotic group, mean [SD] age, 56.1 [14.1] years and 44 [91.6%] male). There were no differences at the preoperative, 1-week, or 30-day points between the groups in terms of wound events, readmissions, pain as measured by the Visual Analog Scale, or quality of life as measured by the 36-Item Short Form Health Survey. Compared with traditional laparoscopic inguinal hernia repair, robotic transabdominal preperitoneal repair was associated with longer median (interquartile range) operative times (75.5 [59.0-93.8] minutes vs 40.5 [29.2-63.8] minutes, respectively; P < .001), higher median (interquartile range

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Technology and Surgical Training—Friend or Foe?

2022

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The role of technology in patient care and surgical training continues to evolve. For educators, the rapid implementation of technology has been met with both enthusiasm and skepticism. Given the disruptive potential such rapid evolution may have, it is imperative that educators work to optimize the increasingly digital workplace to ensure that advances in technology are strategically implemented to enhance, not hinder, the trainee experience. Used optimally, learner-centered technology can help drive a competency-based curriculum. We highlight technologies commonly encountered in surgery and suggest ways to convert technologic foes to friends in surgical training, as shown in the Table.

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Comparative assessment of physical and cognitive ergonomics associated with robotic and traditional laparoscopic surgeries

Cited by 152 publications

References 24 publications

Robotically assisted laparoscopy benefits surgical performance under stress

Robotically assisted laparoscopy benefits surgical performance under stress

Robotic Inguinal vs Transabdominal Laparoscopic Inguinal Hernia Repair

Technology and Surgical Training—Friend or Foe?

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