SOS save our surgeons: Stress levels reduced by robotic surgery

This study is an analytical, within subjects, crossover design study. Sixteen surgically inexperienced medical students performed tasks with both SLS and RALS instrumentation. Blood pressure (BP) was taken before and after task performance. Skin conductance level (SCL), heart rate (HR) and HR variability (HRV) were measured continuously during task performance. Pre- and post-task saliva samples were collected to determine cortisol levels using ELISA. SCL was significantly lower during RALS in comparison to SLS task performance (p < 0.05). HR was significantly lower during RALS vs. SLS tasks (p < 0.01). Both HRV measures were significantly higher during RALS vs. SLS tasks (p < 0.01). Cortisol levels and BP were lower during RALS vs. SLS but did not reach statistical significance (p = 0.73 and p = 0.22, respectively). Stress can impair surgeon’s technical and nontechnical skills. These results indicate that the improved ergonomic setup of RALS has a beneficial impact on physiological indicators of stress. This also demonstrates the potential of RALS to reduce the negative effects of long-term stress exposure on the surgeon.
Source: Gynecological Surgery - Category: OBGYN Source Type: research