title: Mental stress experienced by first-year residents and expert surgeons with robotic and laparoscopic surgery interfaces.
abstract: Prior research has indicated that novices experienced a beneficial stress profile in the robotic surgery (da Vinci) training environment when compared to the laparoscopic surgery training environment. The objective of this study was to assess whether this finding generalizes to expert surgeons. Towards that end, first-year residents' and attending surgeons' performances and subjective stress experiences were assessed in a surgical training task that was performed with the da Vinci and laparoscopic surgery interfaces. This study indicated that both groups exhibited superior performance and lower stress with the da Vinci surgical system than the laparoscopic system. The results provide further support for the sensitivity of the Dundee Stress State Questionnaire in identifying different stress responses experienced by trainees and experts in the minimally invasive surgery environment.
authors.affiliation: Department of Psychology, Texas Tech University, MS 2051, Lubbock, TX, 79409, USA. martina.i.klein@ttu.edu.
authors.forename: Martina I
authors.initials: MI
authors.lastname: Klein
authors.affiliation: Associated Medical Professionals of NY, 1226 East Water Street, Syracuse, NY, 13088, USA.
authors.forename: Vladimir
authors.initials: V
authors.lastname: Mouraviev
authors.affiliation: Department of Psychology, Texas Tech University, MS 2051, Lubbock, TX, 79409, USA.
authors.forename: Curtis
authors.initials: C
authors.lastname: Craig
authors.affiliation: Department of Surgery, Stanford University, 300 Pasteur Dr., Stanford, CA, 94305-2200, USA.
authors.forename: Lou
authors.initials: L
authors.lastname: Salamone
authors.affiliation: Department of Surgery, Stanford University, 300 Pasteur Dr., Stanford, CA, 94305-2200, USA.
authors.forename: Timothy A
authors.initials: TA
authors.lastname: Plerhoples
authors.affiliation: Department of Surgery, Stanford University, 300 Pasteur Dr., Stanford, CA, 94305-2200, USA.
authors.forename: Sherry M
authors.initials: SM
authors.lastname: Wren
authors.affiliation: Division of Urology, Department of Surgery, University of Cincinnati College of Medicine, P.O. Box 670589, Cincinnati, OH, 45267, USA.
authors.forename: Krishnanath
authors.initials: K
authors.lastname: Gaitonde
keywords: Laparoscopic surgery; Minimally invasive surgery; Robotic surgery; Stress; Surgical training