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Changes in Electrocardiographic Signals During Training in Laparoscopic Surgery Simulator: A Preliminary Report

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Applied Computer Sciences in Engineering (WEA 2018)

Abstract

The aim of this work is attempting to identify physiological characteristics of the learning process in surgery residents. As an exploratory approach, we are interested in determining statistically significant changes in electrocardiographic (ECG) signals recorded while a group of eleven first year general surgery residents were performing three basic skills tasks from the virtual reality (VR) laparoscopic simulator LapSim®. These signals were processed and heart rate (HR) was calculated to analyze it along with the overall score for each exercise. Statistical analysis was performed by means of analysis of variance showing the effects of training session, difficulty of the task and participants gender on heart rate and performance. Our preliminary experimental results show that the score obtained in the tasks improves with training session, being in the women where significant changes occur. HR analysis showed that it increases with the complexity of the task. Besides, the effect of gender on HR showed that in male group there were the significant changes with the difficulty of the task, and a decrease with the training session in the intermediate level of difficulty task.

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References

  1. Rodríguez-Cañete, A., Pérez-Reyes, T., Álvarez-Alcalde, A., Gallego-Perales, J.L.: La formacion del residente en cirugía laparoscópica. Cirugía Andaluza 18, 45–48 (2007)

    Google Scholar 

  2. Cuschieri, A.: Laparoscopic surgery: current status, issues and future developments. Surgeon 3, 125–130, 132–133, 135–138 (2005)

    Article  Google Scholar 

  3. Choy, I., Okrainec, A.: Simulation in surgery: perfecting the practice. Surg. Clin. N. Am. 90, 457–473 (2010). https://doi.org/10.1016/j.suc.2010.02.011

    Article  Google Scholar 

  4. Buschemeyer, W.C., Cunningham, D.K., Edwards, M.J.: Surgical training and implementation of emerging surgical technologies. Am. J. Surg. 190, 166–172 (2005). https://doi.org/10.1016/j.amjsurg.2005.05.005

    Article  Google Scholar 

  5. León, F., et al.: Simulación en cirugía laparoscópica. Cirugía Española 93, 4–11 (2015). https://doi.org/10.1016/j.ciresp.2010.08.007

    Article  Google Scholar 

  6. Tsuda, S., Scott, D., Doyle, J., Jones, D.B.: Surgical skills training and simulation. Curr. Probl. Surg. 46, 271–370 (2009). https://doi.org/10.1067/j.cpsurg.2008.12.003

    Article  Google Scholar 

  7. Takeda, J., Kikuchi, I., Kono, A., Ozaki, R., Kumakiri, J., Takeda, S.: Efficacy of short-term training for acquisition of basic laparoscopic skills. Gynecol. Minim. Invasive Ther. 5, 112–115 (2016). https://doi.org/10.1016/j.gmit.2015.06.001

    Article  Google Scholar 

  8. Sabench Pereferrer, F., Hernández González, M., Muñoz García, A., Cabrera Vilanova, A., Del Castillo Déjardin, D.: Evaluation of surgical skills in medical students using a virtual simulator. Cirugía Española 91, 177–183 (2013). https://doi.org/10.1016/j.ciresp.2012.05.019

    Article  Google Scholar 

  9. Alaker, M., Wynn, G.R., Arulampalam, T.: Virtual reality training in laparoscopic surgery: a systematic review & meta-analysis. Int. J. Surg. 29, 85–94 (2016). https://doi.org/10.1016/j.ijsu.2016.03.034

    Article  Google Scholar 

  10. Lamata, P., Gómez, E.J., Bello, F., Kneebone, R.L., Lamata, F.: Conceptual framework for laparoscopic VR simulators. IEEE Comput. Graph. Appl. 26, 69–79 (2006)

    Article  Google Scholar 

  11. Lemos, J.D., Hernandez, A.M., Soto-Romero, G.: An instrumented glove to assess manual dexterity in simulation-based neurosurgical education. Sens. (Switz.) 17, 988 (2017). https://doi.org/10.3390/s17050988

    Article  Google Scholar 

  12. Usón-Gargallo, J., Pérez-Merino, E.M., Usón-Casaús, J.M., Sánchez-Fernández, J., Sánchez-Margallo, F.M.: Modelo de formación piramidal para la enseñanza de cirugía laparoscópica. Cir. Cir. 81, 420–430 (2013)

    Google Scholar 

  13. Martin, J.A., et al.: Objective structured assessment of technical skill (OSATS) for surgical residents. Br. J. Surg. 84, 273–278 (1997)

    Article  Google Scholar 

  14. Vassiliou, M.C., et al.: A global assessment tool for evaluation of intraoperative laparoscopic skills. Am. J. Surg. 190, 107–113 (2005). https://doi.org/10.1016/j.amjsurg.2005.04.004

    Article  Google Scholar 

  15. Janeiro, J.M.J.: Sistemas de evaluación de destreza en cirugía endoscópica. Rev. Mex. Cirugía Endoscópica. 8, 90–96 (2007)

    Google Scholar 

  16. Oropesa, I., et al.: Methods and tools for objective assessment of psychomotor skills in laparoscopic surgery. J. Surg. Res. 171, e81–e95 (2011). https://doi.org/10.1016/j.jss.2011.06.034

    Article  Google Scholar 

  17. Vedula, S.S., Ishii, M., Hager, G.D.: Objective assessment of surgical technical skill and competency in the operating room. Annu. Rev. Biomed. Eng. 19, 301–325 (2017). https://doi.org/10.1146/annurev-bioeng-071516-044435

    Article  Google Scholar 

  18. Madani, A., et al.: What are the principles that guide behaviors in the operating room? Ann. Surg. 265, 255–267 (2017). https://doi.org/10.1097/SLA.0000000000001962

    Article  Google Scholar 

  19. Borghini, G., Astolfi, L., Vecchiato, G., Mattia, D., Babiloni, F.: Measuring neurophysiological signals in aircraft pilots and car drivers for the assessment of mental workload, fatigue and drowsiness. Neurosci. Biobehav. Rev. 44, 58–75 (2014). https://doi.org/10.1016/j.neubiorev.2012.10.003

    Article  Google Scholar 

  20. Borghini, G., et al.: Quantitative assessment of the training improvement in a motor-cognitive task by using EEG, ECG and EOG signals. Brain Topogr. 29, 149–161 (2016). https://doi.org/10.1007/s10548-015-0425-7

    Article  Google Scholar 

  21. Johnson, R.R., et al.: Identifying psychophysiological indices of expert vs. novice performance in deadly force judgment and decision making. Front. Hum. Neurosci. 8, 1–13 (2014). https://doi.org/10.3389/fnhum.2014.00512

    Article  Google Scholar 

  22. Blinowska, K.J., Zygierewicz, J.: Application to biomedical signals. In: Practical Biomedical Signal Analysis Using MATLAB®Series in Medical Physics and Biomedical Engineering, pp. 173–176. CRC Press, Taylor & Francis Group (2011)

    Google Scholar 

  23. Ali, A., Subhi, Y., Ringsted, C., Konge, L.: Gender differences in the acquisition of surgical skills: a systematic review. Surg. Endosc. Other Interv. Tech. 29, 3065–3073 (2015). https://doi.org/10.1007/s00464-015-4092-2

    Article  Google Scholar 

  24. Enochsson, L., et al.: Visuospatial skills and computer game experience influence the performance of virtual endoscopy. J. Gastrointest. Surg. 8, 876–882 (2004). https://doi.org/10.1016/j.gassur.2004.06.015. discussion 882

    Article  Google Scholar 

  25. Schlickum, M.K., Hedman, L., Enochsson, L., Kjellin, A., Fellander-Tsai, L.: Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study. World J. Surg. 33, 2360–2367 (2009). https://doi.org/10.1007/s00268-009-0151-y

    Article  Google Scholar 

  26. Grantcharov, T.P., Bardram, L., Funch-Jensen, P., Rosenberg, J.: Impact of hand dominance, gender, and experience with computer games on performance in virtual reality laparoscopy. Surg. Endosc. Other Interv. Tech. 17, 1082–1085 (2003). https://doi.org/10.1007/s00464-002-9176-0

    Article  Google Scholar 

  27. Brookhuis, K.A., de Waard, D.: Monitoring drivers’ mental workload in driving simulators using physiological measures. Accid. Anal. Prev. 42, 898–903 (2010). https://doi.org/10.1016/j.aap.2009.06.001

    Article  Google Scholar 

  28. Mulder, T., De Waard, D., Brookhuis, K.A.: Estimating mental effort using heart rate and heart rate variability. In: Stanton, N., Hedge, A., Brookhuis, K., Salas, E., Hendrick, H. (eds.) Handbook of Human Factors and Ergonomics Methods, pp. 1–20. CRC Press (2005)

    Google Scholar 

  29. Togo, F., Takahashi, M.: Heart rate variability in occupational health – a systematic review. Ind. Health 47, 589–602 (2009). https://doi.org/10.2486/indhealth.47.589

    Article  Google Scholar 

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Acknowledgment

This work was supported by Departamento Administrativo de Ciencia, Tecnología e Innovación (COLCIENCIAS), announcement N. 757 Doctorados Nacionales, and Convenio Jóvenes Investigadores e Innovadores N. 761 through the project Fortalecimiento de la plataforma tecnológica para la formación especializada en el área de la salud y el desarrollo de tecnología biomédica/Ruta N 139C.

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Correspondence to Jazmín Ximena Suárez-Revelo .

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Suárez-Revelo, J.X., Ruiz-Duque, A., Toro, J.P., Mejía-Bueno, A.M., Hernández-Valdivieso, A.M. (2018). Changes in Electrocardiographic Signals During Training in Laparoscopic Surgery Simulator: A Preliminary Report. In: Figueroa-García, J., Villegas, J., Orozco-Arroyave, J., Maya Duque, P. (eds) Applied Computer Sciences in Engineering. WEA 2018. Communications in Computer and Information Science, vol 916. Springer, Cham. https://doi.org/10.1007/978-3-030-00353-1_25

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  • DOI: https://doi.org/10.1007/978-3-030-00353-1_25

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