Kuzbari Oumar, Crystal Howard, Bral Pedram, Atiah Rima A A, Kuzbari Imad, Khachani Amine, Aslam Muhammad Faisal, Minkoff Howard
Department of Obstetrics and Gynecology, Maimonides Medical Center, 4802 Tenth avenue, Brooklyn, NY 11219, USA.
Minim Invasive Surg. 2010;2010:486174. doi: 10.1155/2010/486174. Epub 2010 Jun 24.
Objective. To estimate if there is a relationship between the results of tests of neurocognition and performance on a laparoscopic surgery simulator. Methods and Materials. Twenty participants with no prior laparoscopic experience had baseline cognitive tests administered (Trail Making Test, Part A and B (TMT-A and TMT-B), Grooved Peg Board Test, Symbol Digit Modalities Test, Symbol Digit Recall Test, and Stroop Interference Test), completed a demographic questionnaire, and then performed laparoscopy using a simulator. We correlated the results of cognitive tests with laparoscopic surgical performance. Results. One cognitive test sensitive to frontal lobe function, TMT-A, significantly correlated with laparoscopic surgical performance on the simulator (correlation coefficient of 0.534 with P < .05). However, the correlation between performance and other cognitive tests (TMT-B, Grooved Peg Board Test, Symbol Digit Modalities Test, Symbol Digit Recall Test, and Stroop Interference Test) was not statistically significant. Conclusion. Laparoscopic performance may be related to measures of frontal lobe function. Neurocognitive tests may predict motor skills abilities and performance on laparoscopic simulator.
目的。评估神经认知测试结果与腹腔镜手术模拟器操作表现之间是否存在关联。方法与材料。20名无腹腔镜手术经验的参与者接受了基线认知测试（连线测验A和B（TMT - A和TMT - B）、沟槽插板测试、符号数字模式测试、符号数字回忆测试以及斯特鲁普干扰测试），完成一份人口统计学调查问卷，然后使用模拟器进行腹腔镜手术操作。我们将认知测试结果与腹腔镜手术操作表现进行了相关性分析。结果。一项对额叶功能敏感的认知测试，即TMT - A，与模拟器上的腹腔镜手术操作表现显著相关（相关系数为0.534，P < .05）。然而，操作表现与其他认知测试（TMT - B、沟槽插板测试、符号数字模式测试、符号数字回忆测试以及斯特鲁普干扰测试）之间的相关性无统计学意义。结论。腹腔镜手术操作表现可能与额叶功能指标相关。神经认知测试可能预测腹腔镜模拟器上的运动技能能力和操作表现。
