Evaluating the surgeon's stress when using surgical assistant robots

We propose a method for using surgeon's biological information to evaluate the surgeon's stress in his/her using a surgical assistant system. The surgeon's biological information were saliva and heart rate. The stress was measured by analyzing Cortisol, alpha-amylase, and total protein in saliva, and we analyzed the acceleration plethysmogram variability as the indexes of autonomic nervous activity, those were coefficient of variance of the a-a interval and low-frequency band power spectrum(LF), high-frequency band power spectrum (HF), the ratio of LF to HF (LF/HF). To validate the effectiveness of the proposed method, we conducted a laparoscopic cholecystectomy simulation. In conclusion, we confirmed our method had an ability to objectively evaluate the surgeon's stress during surgery.

[1]  G. F. Buess,et al.  Experimental trial on solo surgery for minimally invasive therapy , 2000, Surgical Endoscopy.

[2]  G. Buess,et al.  A new remote-controlled endoscope positioning system for endoscopic solo surgery , 2000, Surgical Endoscopy.

[3]  Fumio Miyazaki,et al.  Design of an endoscopic solo surgery simulator for quantitative evaluation of the human–machine interface in robotic camera positioning systems , 2003, Adv. Robotics.

[4]  C. Collier,et al.  Salivary cortisol on ROCHE Elecsys immunoassay system: pilot biological variation studies. , 2003, Clinical biochemistry.

[5]  K Masamune,et al.  A new safe laparoscopic manipulator system with a five-bar linkage mechanism and an optical zoom. , 1999, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[6]  Robert G. Moore,et al.  Laparoscopic visual field , 1998, Surgical Endoscopy.

[7]  Nicolas Rohleder,et al.  Salivary alpha amylase as marker for adrenergic activity during stress: Effect of betablockade , 2006, Psychoneuroendocrinology.

[8]  Y. Yavuz,et al.  A Comparative Experimental Study Evaluating the Performance of Surgical Robots Aesop and Endosista , 2000, Surgical laparoscopy, endoscopy & percutaneous techniques.

[9]  P. Ballester,et al.  Comparison of task performance of robotic camera holders EndoAssist and Aesop , 2001, CARS.

[10]  J. M. Sackier,et al.  Robotically assisted laparoscopic surgery , 2008, Surgical Endoscopy.

[11]  H. Alho,et al.  Saliva flow rate, amylase activity, and protein and electrolyte concentrations in saliva after acute alcohol consumption. , 2001, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[12]  小林 英津子,et al.  安全性・操作性を考慮した腹腔鏡マニピュレータ用マン・マシンインタフェースシステム(第1報) : 命令入力方式の検討 , 2001 .

[13]  Ken Masamune,et al.  Safe and simple man-machine interface for a laparoscopic manipulator system , 2001, European Conference on Biomedical Optics.

[14]  Paul Breedveld,et al.  Camera and Instrument Holders and Their Clinical Value in Minimally Invasive Surgery , 2004, Surgical laparoscopy, endoscopy & percutaneous techniques.

[15]  B R Lee,et al.  Laparoscopic visual field. Voice vs foot pedal interfaces for control of the AESOP robot. , 1998, Surgical endoscopy.

[16]  H. Selye.  A Syndrome produced by Diverse Nocuous Agents , 1936, Nature.

[17]  N. J. Dowler,et al.  The evolutionary design of an endoscopic telemanipulator , 1996, IEEE Robotics Autom. Mag..

[18]  Fumio Miyazaki,et al.  FAce MOUSe: A novel human-machine interface for controlling the position of a laparoscope , 2003, IEEE Trans. Robotics Autom..

[19]  R. L. Marca,et al.  Stress-induced changes in human salivary alpha-amylase activity—associations with adrenergic activity , 2006, Psychoneuroendocrinology.