Department of Visceral-, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.
Department of Surgery, Universitätsmedizin Mannheim, Medical Faculty Mannheim, University Heidelberg, Mannheim, Germany.
Langenbecks Arch Surg. 2022 Aug;407(5):2115-2121. doi: 10.1007/s00423-022-02490-z. Epub 2022 Mar 24.
Music is often played in operating theaters. In the literature, the effects of music on surgeons are controversial. We aimed to investigate the effect of different music genres and amplitudes on laparoscopic performance.
Novice surgeons underwent a proficiency-based laparoscopic training curriculum. Participants were required to perform these tasks under three conditions: no music, with music in medium volume (45-50 dB) and in high volume (65-70 dB). Soft rock by the Beatles and hard rock by AC/DC were played. Task performance was evaluated by analyzing speed and accuracy.
With soft rock in medium volume, participants were faster in peg transfer (60.3 vs. 56.7 s, P = 0.012) and more accurate in suture with intracorporeal knot (79.2 vs. 54.0, P = 0.011) compared to without music. The total score was improved (383.4 vs. 337.9, P = 0.0076) by enhancing accuracy (79.5 vs. 54.0, P = 0.011). This positive effect was lost if the soft rock was played in high volume. With hard rock in medium volume, participants were faster performing precision cutting (139.4 vs. 235.8, P = 0.0009) compared to without music. Both balloon preparation and precision cutting were performed more rapidly (227.3 vs. 181.4, P = 0.003, 139.4 vs. 114.0, P < 0.0001) and the accuracy was maintained. Hard rock in high volume also resulted in increased speed (366.7 vs. 295.5, P < 0.0001) compared to without music. Thereby, the total scores of participants were enhanced (516.5 vs. 437.1, P = 0.002).
Our data reveal that the effect of music on laparoscopic performance might depend on the combination of music genre and amplitude. A generally well-accepted music genre in the right volume could improve the performance of novice surgeons during laparoscopic surgeries.
DRKS00026759, register date: 18.10.2021 (retrospectively registered).
音乐常在手术室播放。文献中，音乐对外科医生的影响存在争议。本研究旨在探究不同音乐类型和音量对腹腔镜操作的影响。
新手外科医生接受基于熟练度的腹腔镜培训课程。参与者需在三种条件下完成任务：无音乐、中等音量（45-50dB）音乐和高音量（65-70dB）音乐。播放甲壳虫乐队的轻柔摇滚和 AC/DC 的硬摇滚。通过分析速度和准确性评估任务表现。
中等音量的轻柔摇滚音乐使套管针转移（60.3 秒比 56.7 秒，P=0.012）和腔内线结缝合（79.2 分比 54.0 分，P=0.011）更快，总得分（383.4 分比 337.9 分，P=0.0076）更高，准确性提高（79.5 分比 54.0 分，P=0.011）。但当轻柔摇滚音乐音量增大时，这种积极影响消失。中等音量的硬摇滚音乐使精准切割（139.4 秒比无音乐时 235.8 秒，P=0.0009）更快。球囊准备和精准切割均更快（227.3 秒比 181.4 秒，P=0.003，139.4 秒比 114.0 秒，P<0.0001）且准确性保持。高音量的硬摇滚音乐与无音乐相比也提高了速度（366.7 秒比 295.5 秒，P<0.0001），因此参与者的总得分提高（516.5 分比 437.1 分，P=0.002）。
我们的数据表明，音乐对腹腔镜操作的影响可能取决于音乐类型和音量的组合。在腹腔镜手术中，一种普遍被接受的音乐类型在合适的音量下可以提高新手外科医生的手术表现。
DRKS00026759，注册日期：2021 年 10 月 18 日（回顾性注册）。
