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The impact of tiredness on virtual reality robotic surgical skills

INTRODUCTION: The effect of tiredness has been proved for the surgeons’ musculature performing laparoscopic or robotic procedures (physical stress). Mental stress after robotic surgery has been reported as well. It is still unclear how much the surgical skills are altered and which types of skills a...

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Autores principales: Cumpanas, Alin Adrian, Bardan, Razvan, Ferician, Ovidiu, Latcu, Silviu Constantin, Lazar, Octavian Fulger, Duta, Ciprian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233167/
https://www.ncbi.nlm.nih.gov/pubmed/32489490
http://dx.doi.org/10.5114/wiitm.2020.93201
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author Cumpanas, Alin Adrian
Bardan, Razvan
Ferician, Ovidiu
Latcu, Silviu Constantin
Lazar, Octavian Fulger
Duta, Ciprian
author_facet Cumpanas, Alin Adrian
Bardan, Razvan
Ferician, Ovidiu
Latcu, Silviu Constantin
Lazar, Octavian Fulger
Duta, Ciprian
author_sort Cumpanas, Alin Adrian
collection PubMed
description INTRODUCTION: The effect of tiredness has been proved for the surgeons’ musculature performing laparoscopic or robotic procedures (physical stress). Mental stress after robotic surgery has been reported as well. It is still unclear how much the surgical skills are altered and which types of skills are more affected at the final steps of long, complex robotic surgical procedures. AIM: To evaluate to what extent the surgeon’s skills are influenced by long procedures, using the objective assessment of different surgical skills by a virtual reality robotic simulator. MATERIAL AND METHODS: Fifteen surgeons were asked to perform a continuous 4 h virtual robotic surgical simulator training session. At the beginning of simulator training and at the end of each of the 4 h of training, three exercises of increasing difficulty were selected to be performed in order to assess the surgeons’ skills. RESULTS: There were statistically significant differences between the initial and final overall scores for all the three exercises, the final outcomes being inferior. The specific metrics for each exercise slightly improved within 1 h from the beginning and thereafter decreased to a statistically significantly inferior value. CONCLUSIONS: The specific metrics on the virtual reality robotic surgical simulator were altered after a 4-hour console training period. Further larger and more complex studies are necessary to evaluate the translation from the simulator to real-life robotic surgery.
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spelling pubmed-72331672020-06-01 The impact of tiredness on virtual reality robotic surgical skills Cumpanas, Alin Adrian Bardan, Razvan Ferician, Ovidiu Latcu, Silviu Constantin Lazar, Octavian Fulger Duta, Ciprian Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: The effect of tiredness has been proved for the surgeons’ musculature performing laparoscopic or robotic procedures (physical stress). Mental stress after robotic surgery has been reported as well. It is still unclear how much the surgical skills are altered and which types of skills are more affected at the final steps of long, complex robotic surgical procedures. AIM: To evaluate to what extent the surgeon’s skills are influenced by long procedures, using the objective assessment of different surgical skills by a virtual reality robotic simulator. MATERIAL AND METHODS: Fifteen surgeons were asked to perform a continuous 4 h virtual robotic surgical simulator training session. At the beginning of simulator training and at the end of each of the 4 h of training, three exercises of increasing difficulty were selected to be performed in order to assess the surgeons’ skills. RESULTS: There were statistically significant differences between the initial and final overall scores for all the three exercises, the final outcomes being inferior. The specific metrics for each exercise slightly improved within 1 h from the beginning and thereafter decreased to a statistically significantly inferior value. CONCLUSIONS: The specific metrics on the virtual reality robotic surgical simulator were altered after a 4-hour console training period. Further larger and more complex studies are necessary to evaluate the translation from the simulator to real-life robotic surgery. Termedia Publishing House 2020-02-24 2020-06 /pmc/articles/PMC7233167/ /pubmed/32489490 http://dx.doi.org/10.5114/wiitm.2020.93201 Text en Copyright: © 2020 Fundacja Videochirurgii http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original Paper
Cumpanas, Alin Adrian
Bardan, Razvan
Ferician, Ovidiu
Latcu, Silviu Constantin
Lazar, Octavian Fulger
Duta, Ciprian
The impact of tiredness on virtual reality robotic surgical skills
title The impact of tiredness on virtual reality robotic surgical skills
title_full The impact of tiredness on virtual reality robotic surgical skills
title_fullStr The impact of tiredness on virtual reality robotic surgical skills
title_full_unstemmed The impact of tiredness on virtual reality robotic surgical skills
title_short The impact of tiredness on virtual reality robotic surgical skills
title_sort impact of tiredness on virtual reality robotic surgical skills
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233167/
https://www.ncbi.nlm.nih.gov/pubmed/32489490
http://dx.doi.org/10.5114/wiitm.2020.93201
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