Frieberg Helena, Engström Olof, Nilsson Anna, Vejbrink Kildal Villiam, Mani Maria
Department of Surgery, Section of Plastic and Maxillofacial Surgery, Uppsala University, Uppsala, Sweden.
Department of Clinical Science and Education, Section of Anesthesiology and Intensive Care, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
JPRAS Open. 2025 May 30;45:176-184. doi: 10.1016/j.jpra.2025.05.008. eCollection 2025 Sep.
Robotic surgery has expanded across various surgical disciplines, and although its application in microsurgery remains relatively novel, it has shown promise in a variety of microsurgical procedures. This study investigates how surgeons' preoperative levels of sleep and stress influence perceived workload during manual and robot-assisted anastomoses in a laboratory setting.
Seventeen participants with varying degrees of surgical experience performed a total of 149 anastomoses reporting pre-anastomosis sleep quality and stress levels as well as experienced workload factors during anastomosis such as perceived effort, frustration, and overall sense of performance.
Poor sleep quality increases the perceived exertion when performing manual anastomoses ( < 0.001) but not when performing anastomoses using robot assistance. The difference between the robot assisted group and the manual group was not seen when studying stress levels.
Robot-assisted surgery may mitigate the negative impact of sleep deprivation on subjective workload during microsurgical anastomoses. The impact of sleep and stress on surgical performance, including anastomosis completion times and patency, requires further investigation.
机器人手术已在各个外科领域得到广泛应用，尽管其在显微手术中的应用仍相对新颖，但已在各种显微外科手术中显示出前景。本研究调查了在实验室环境中，外科医生术前的睡眠和压力水平如何影响手动和机器人辅助吻合术中的感知工作量。
17名具有不同程度手术经验的参与者共进行了149次吻合术，报告了吻合术前的睡眠质量和压力水平，以及吻合术中经历的工作量因素，如感知到的努力程度、挫败感和整体表现感。
睡眠质量差会增加进行手动吻合术时的感知用力程度（<0.001），但在使用机器人辅助进行吻合术时不会。在研究压力水平时，未发现机器人辅助组和手动组之间存在差异。
机器人辅助手术可能减轻睡眠剥夺对显微外科吻合术中主观工作量的负面影响。睡眠和压力对外科手术表现的影响，包括吻合完成时间和通畅率，需要进一步研究。
