Top

Published in:

2018 | OriginalPaper | Chapter

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

Authors : Jazmín Ximena Suárez-Revelo, Any Ruiz-Duque, Juan Pablo Toro, Ana María Mejía-Bueno, Alher Mauricio Hernández-Valdivieso

Published in: Applied Computer Sciences in Engineering

Publisher: Springer International Publishing

Activate our intelligent search to find suitable subject content or patents.

search-config

AI-assisted search

Off

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.

Dont have a licence yet? Then find out more about our products and how to get one now:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

über 102.000 Bücher
über 537 Zeitschriften

aus folgenden Fachgebieten:

Automobil + Motoren
Bauwesen + Immobilien
Business IT + Informatik
Elektrotechnik + Elektronik
Energie + Nachhaltigkeit
Finance + Banking
Management + Führung
Marketing + Vertrieb
Maschinenbau + Werkstoffe
Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

inform now

Springer Professional "Technik"

Online-Abonnement

Mit Springer Professional "Technik" erhalten Sie Zugriff auf:

über 67.000 Bücher
über 390 Zeitschriften

aus folgenden Fachgebieten:

Automobil + Motoren
Bauwesen + Immobilien
Business IT + Informatik
Elektrotechnik + Elektronik
Energie + Nachhaltigkeit
Maschinenbau + Werkstoffe

Jetzt Wissensvorsprung sichern!

inform now

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

über 67.000 Bücher
über 340 Zeitschriften

aus folgenden Fachgebieten:

Bauwesen + Immobilien
Business IT + Informatik
Finance + Banking
Management + Führung
Marketing + Vertrieb
Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

inform now

previous chapter A Non-linear Dynamics Approach to Classify Gait Signals of Patients with Parkinson’s Disease

next chapter Validation of EEG Pre-processing Pipeline by Test-Retest Reliability

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)

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

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.2010.02.011CrossRef

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.2005.05.005CrossRef

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

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.2008.12.003CrossRef

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.2015.06.001CrossRef

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.2012.05.019CrossRef

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.2016.03.034CrossRef

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)CrossRef

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/s17050988CrossRef

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)

13.

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

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.2005.04.004CrossRef

15.

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

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.2011.06.034CrossRef

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-071516-044435CrossRef

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.0000000000001962CrossRef

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.2012.10.003CrossRef

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/s10548-015-0425-7CrossRef

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.2014.00512CrossRef

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)

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/s00464-015-4092-2CrossRef

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 882CrossRef

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-yCrossRef

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/s00464-002-9176-0CrossRef

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.2009.06.001CrossRef

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)

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.47.589CrossRef

Title: Changes in Electrocardiographic Signals During Training in Laparoscopic Surgery Simulator: A Preliminary Report
Authors: Jazmín Ximena Suárez-Revelo
Any Ruiz-Duque
Juan Pablo Toro
Ana María Mejía-Bueno
Alher Mauricio Hernández-Valdivieso
Publisher: Springer International Publishing
Book: Applied Computer Sciences in Engineering
Print ISBN: 978-3-030-00352-4

Electronic ISBN: 978-3-030-00353-1

Copyright Year: 2018
DOI: https://doi.org/10.1007/978-3-030-00353-1_25

Springer Professional

Abstract

Please log in to get access to your license.

Dont have a licence yet? Then find out more about our products and how to get one now:

Springer Professional "Wirtschaft+Technik"

Springer Professional "Technik"

Springer Professional "Wirtschaft"

Premium Partner