Impact of robotic assistance on mental workload and cognitive performance of surgical trainees performing a complex minimally invasive suturing task

Esther Lau1,2, Nawar A. Alkhamesi2,1, Christopher M. Schlachta1,2
1CSTAR (Canadian Surgical Technologies & Advanced Robotics), London Health Sciences Centre, London, Canada
2Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Canada

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Park A, Lee G, Seagull FJ, Meenaghan N, Dexter D (2010) Patients benefit while surgeons suffer: an impending epidemic. J Am Coll Surg 210:306–313. https://doi.org/10.1016/j.jamcollsurg.2009.10.017

Carswell CM, Clarke D, Seales WB (2005) Assessing mental workload during laparoscopic surgery. Surg Innov 12:80–90

Heemskerk J, Zandbergen HR, Keet SWM, Martijnse I, van Montfort G, Peters RJA, Svircevic V, Bouwman RA, Baeten CGMI, Bouvy ND (2014) Relax, it’s just laparoscopy! A prospective randomized trial on heart rate variability of the surgeon in robot-assisted versus conventional laparoscopic cholecystectomy. Dig Surg 31:225–232. https://doi.org/10.1159/000365580

Guru KA, Esfahani ET, Raza SJ, Bhat R, Wang K, Hammond Y, Wilding G, Peabody JO, Chowriappa AJ (2015) Cognitive skills assessment during robot-assisted surgery: separating the wheat from the chaff. BJU Int 115:166–174. https://doi.org/10.1111/bju.12657

Yurko YY, Scerbo MW, Prabhu AS, Acker CE, Stefanidis D (2010) Higher mental workload is associated with poorer laparoscopic performance as measured by the NASA-TLX tool. Simul Healthc J Soc Simul Healthc 5:267–271. https://doi.org/10.1097/SIH.0b013e3181e3f329

Zheng B, Jiang X, Tien G, Meneghetti A, Panton ONM, Atkins MS (2012) Workload assessment of surgeons: correlation between NASA TLX and blinks. Surg Endosc 26:2746–2750. https://doi.org/10.1007/s00464-012-2268-6

Berguer R, Smith W (2006) An ergonomic comparison of robotic and laparoscopic technique: the influence of surgeon experience and task complexity. J Surg Res 134:87–92. https://doi.org/10.1016/j.jss.2005.10.003

Klein MI, Warm JS, Riley MA, Matthews G, Doarn C, Donovan JF, Gaitonde K (2012) Mental workload and stress perceived by novice operators in the laparoscopic and robotic minimally invasive surgical interfaces. J Endourol Endourol Soc 26:1089–1094. https://doi.org/10.1089/end.2011.0641

Stefanidis D, Wang F, Korndorffer JR, Dunne JB, Scott DJ (2010) Robotic assistance improves intracorporeal suturing performance and safety in the operating room while decreasing operator workload. Surg Endosc 24:377–382. https://doi.org/10.1007/s00464-009-0578-0

Boksem MAS, Meijman TF, Lorist MM (2005) Effects of mental fatigue on attention: an ERP study. Brain Res Cogn Brain Res 25:107–116. https://doi.org/10.1016/j.cogbrainres.2005.04.011

van der Linden D, Frese M, Meijman TF (2003) Mental fatigue and the control of cognitive processes: effects on perseveration and planning. Acta Psychol (Amst) 113:45–65

Young G, Zavelina L, Hooper V (2008) Assessment of workload using NASA Task Load Index in perianesthesia nursing. J Perianesthesia Nurs 23:102–110. https://doi.org/10.1016/j.jopan.2008.01.008

Mueller ST, Piper BJ (2014) The psychology experiment building language (PEBL) and PEBL test battery. J Neurosci Methods 222:250–259. https://doi.org/10.1016/j.jneumeth.2013.10.024

Marecik SJ, Chaudhry V, Jan A, Pearl RK, Park JJ, Prasad LM (2007) A comparison of robotic, laparoscopic, and hand-sewn intestinal sutured anastomoses performed by residents. Am J Surg 193:349–355. https://doi.org/10.1016/j.amjsurg.2006.09.018 discussion 355

Panait L, Shetty S, Shewokis PA, Sanchez JA (2014) Do laparoscopic skills transfer to robotic surgery? J Surg Res 187:53–58. https://doi.org/10.1016/j.jss.2013.10.014

Chang L, Satava RM, Pellegrini CA, Sinanan MN (2003) Robotic surgery: identifying the learning curve through objective measurement of skill. Surg Endosc 17:1744–1748. https://doi.org/10.1007/s00464-003-8813-6

Stefanidis D, Hope WW, Scott DJ (2011) Robotic suturing on the FLS model possesses construct validity, is less physically demanding, and is favored by more surgeons compared with laparoscopy. Surg Endosc 25:2141–2146. https://doi.org/10.1007/s00464-010-1512-1

Ruurda JP, Broeders IA, Pulles B, Kappelhof FM, van der Werken C (2004) Manual robot assisted endoscopic suturing: time-action analysis in an experimental model. Surg Endosc 18:1249–1252. https://doi.org/10.1007/s00464-003-9191-9

Lee GI, Lee MR, Clanton T, Clanton T, Sutton E, Park AE, Marohn MR (2014) Comparative assessment of physical and cognitive ergonomics associated with robotic and traditional laparoscopic surgeries. Surg Endosc 28:456–465. https://doi.org/10.1007/s00464-013-3213-z

Engelmann C, Schneider M, Kirschbaum C, Grote G, Dingemann J, Schoof S, Ure BM (2011) Effects of intraoperative breaks on mental and somatic operator fatigue: a randomized clinical trial. Surg Endosc 25:1245–1250. https://doi.org/10.1007/s00464-010-1350-1

Gerdes J, Kahol K, Smith M, Leyba MJ, Ferrara JJ (2008) Jack Barney award: the effect of fatigue on cognitive and psychomotor skills of trauma residents and attending surgeons. Am J Surg 196:813–819. https://doi.org/10.1016/j.amjsurg.2008.07.030 discussion 819–820

Balkin TJ, Bliese PD, Belenky G, Sing H, Thorne DR, Thomas M, Redmond DP, Russo M, Wesensten NJ (2004) Comparative utility of instruments for monitoring sleepiness-related performance decrements in the operational environment. J Sleep Res 13:219–227. https://doi.org/10.1111/j.1365-2869.2004.00407.x

Barceló F, Knight RT (2002) Both random and perseverative errors underlie WCST deficits in prefrontal patients. Neuropsychologia 40:349–356