Research output

Relax, it's just laparoscopy! A prospective randomized trial on heart rate variability of the surgeon in robot-assisted versus conventional laparoscopic cholecystectomy

Research output: Contribution to journalArticleAcademicpeer-review

Associated researcher

  • Heemskerk, J.
  • Zandbergen, H. R.
  • Keet, S. W.
  • Martijnse, I.
  • van Montfort, G.
  • Peters, R. J.
  • Svircevic, V.
  • Bouwman, R. A.
  • Baeten, C.G.M.I.

  • Bouvy, N.D.

Associated organisations

Abstract

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(R) 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.
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Details

Original languageEnglish
Pages (from-to)225-232
JournalDigestive Surgery
Volume31
Issue number3
DOIs
Publication statusPublished - 1 Jan 2014