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Research Article

Developing a subjective instrument for laparoscopic surgical workload in a high fidelity simulator using the NASA-TLX and SURG-TLX

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References

  • Abdelrahman, A. M., Yu, D., Lowndes, B. R., Buckarma, E. H., Gas, B. L., Farley, D. R., Bingener, J., & Hallbeck, M. S. (2018). Validation of a novel inverted peg transfer task: Advancing beyond the regular peg transfer task for surgical simulation-based assessment. Journal of Surgical Education, 75(3), 836–843. https://doi.org/10.1016/j.jsurg.2017.09.028
  • Abdi, H., & Williams, L. J. (2010). Principal component analysis. Wiley Interdisciplinary Reviews: Computational Statistics, 2(4), 433–459. https://doi.org/10.1002/wics.101
  • Arora, S., Sevdalis, N., Nestel, D., Woloshynowych, M., Darzi, A., & Kneebone, R. (2010). The impact of stress on surgical performance: A systematic review of the literature. Surgery, 147(3), 318–330, 330.e311–316. https://doi.org/10.1016/j.surg.2009.10.007
  • Berg, R. J., Inaba, K., Sullivan, M., Okoye, O., Siboni, S., Minneti, M., Teixeira, P. G., & Demetriades, D. (2015). The impact of heat stress on operative performance and cognitive function during simulated laparoscopic operative tasks. Surgery, 157(1), 87–95. https://doi.org/10.1016/j.surg.2014.06.012
  • Berguer, R., Smith, W. D., & Chung, Y. H. (2001). Performing laparoscopic surgery is significantly more stressful for the surgeon than open surgery. Surgical Endoscopy, 15(10), 1204–1207. https://doi.org/10.1007/s004640080030
  • Brown-Clerk, B., de Laveaga, A. E., LaGrange, C. A., Wirth, L. M., Lowndes, B. R., & Hallbeck, M. S. (2011). Laparoendoscopic single-site (LESS) surgery versus conventional laparoscopic surgery: Comparison of surgical port performance in a surgical simulator with novices. Surgical Endoscopy, 25(7), 2210–2218. https://doi.org/10.1007/s00464-010-1524-x
  • Carswell, C. M., Clarke, D., & Seales, W. B. (2005). Assessing mental workload during laparoscopic surgery. Surgical Innovation, 12, 80–90. https://doi.org/10.1177/155335060501200112
  • Chouillard, E., Dache, A., Torcivia, A., Helmy, N., Ruseykin, I., & Gumbs, A. (2010). Single-incision laparoscopic appendectomy for acute appendicitis: A preliminary experience. Surgical Endoscopy, 24(8), 1861–1865. https://doi.org/10.1007/s00464-009-0860-1
  • Dey, A., & Mann, D. D. (2010). Sensitivity and diagnosticity of NASA-TLX and simplified SWAT to assess the mental workload associated with operating an agricultural sprayer. Ergonomics, 53(7), 848–857. https://doi.org/10.1080/00140139.2010.489960
  • Everitt, B. S. (1995). The analysis of repeated measures: A practical review with examples. The Statistician, 44(1), 113–135. https://doi.org/10.2307/2348622
  • Galy, E., Paxion, J., & Berthelon, C. (2018). Measuring mental workload with the NASA-TLX needs to examine each dimension rather than relying on the global score: An example with driving. Ergonomics, 61(4), 517–527. https://doi.org/10.1080/00140139.2017.1369583
  • Hallbeck, M. S., Lowndes, B. R., McCrory, B., Morrow, M. M., Kaufman, K. R., & LaGrange, C. A. (2017). Kinematic and ergonomic assessment of laparoendoscopic single-site surgical instruments during simulator training tasks. Applied Ergonomics, 62, 118–130. https://doi.org/10.1016/j.apergo.2017.02.003
  • Hart, S. G., & Staveland, L. E. (1988). Development of NASA-TLX (Task Load Index): Results of empirical and theoretical research. Human Mental Workload, 52, 139–183. https://doi.org/10.1016/s0166-4115(08)62386-9
  • Hoonakker, P., Carayon, P., Gurses, A. P., Brown, R., Khunlertkit, A., McGuire, K., & Walker, J. M. (2011). Measuring workload of ICU nurses with a questionnaire survey: The NASA Task Load Index (TLX). IIE Transactions on Healthcare Systems Engineering, 1(2), 131–143. https://doi.org/10.1080/19488300.2011.609524
  • Ishikawa, N., Arano, Y., Shimizu, S., Morishita, M., Kawaguchi, M., Matsunoki, A., Adachi, I., Shimizu, J., & Watanabe, G. (2009). Single incision laparoscopic surgery (SILS) using cross hand technique. Minimally Invasive Therapy & Allied Technologies : Technologies, 18(6), 322–324. https://doi.org/10.3109/13645700903384492
  • Kenward, M. G. (1987). A method for comparing profiles of repeated measurements. Applied Statistics, 36(3), 296–308. https://doi.org/10.2307/2347788
  • Koca, D., Yildiz, S., Soyupek, F., Gunyeli, I., Erdemoglu, E., Soyupek, S., & Erdemoglu, E. (2015). Physical and mental workload in single-incision laparoscopic surgery and conventional laparoscopy. Surgical Innovation, 22(3), 294–302. https://doi.org/10.1177/1553350614556363
  • Lowndes, B., Abdelrahman, A., McCrory, B., & Hallbeck, S. (2016). A preliminary study of novice workload and performance during surgical simulation tasks for conventional vs. single incision laparoscopic techniques. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 59(1), 498–502. https://doi.org/10.1177/1541931215591107
  • Lowndes, B. R., Forsyth, K. L., Blocker, R. C., Dean, P. G., Truty, M. J., Heller, S. F., Blackmon, S., Hallbeck, M. S., & Nelson, H. (2018). NASA-TLX assessment of surgeon workload variation across specialties. Ann Surg. 271, 686–692. https://doi.org/10.1097/SLA.0000000000003058
  • Lowndes, B. R., & Hallbeck, M. S. (2014). Overview of human factors and ergonomics in the OR, with an emphasis on minimally invasive surgeries. Human Factors and Ergonomics in Manufacturing and Service Industries, 24(3), 308–317. https://doi.org/10.1002/hfm.20383
  • McCrory, B., Lowndes, B. R., LaGrange, C. A., Miller, E. E., & Hallbeck, M. S. (2013). Comparative usability testing of conventional and single incision laparoscopic surgery devices. Human Factors: The Journal of the Human Factors and Ergonomics Society, 55(3), 619–631. https://doi.org/10.1177/0018720812465082
  • McCrory, B., Lowndes, B. R., Wirth, L. M., de Laveaga, A. E., LaGrange, C. A., & Hallbeck, M. S. (2012). Ergonomic evaluation of laparoendoscopic single-site surgery ports in a validated laparoscopic training model. Work, 41(Suppl 1), 1884–1890. https://doi.org/10.3233/WOR-2012-0402-1884
  • Modi, H. N., Singh, H., Orihuela-Espina, F., Athanasiou, T., Fiorentino, F., Yang, G. Z., Darzi, A., & Leff, D. R. (2018). Temporal stress in the operating room: Brain engagement promotes "coping" and disengagement prompts "choking. Annals of Surgery, 267(4), 683–691. https://doi.org/10.1097/SLA.0000000000002289
  • Montero, P. N., Acker, C. E., Heniford, B. T., & Stefanidis, D. (2011). Single incision laparoscopic surgery (SILS) is associated with poorer performance and increased surgeon workload compared with standard laparoscopy. The American Surgeon, 77(1), 73–77. http://search.ebscohost.com.proxybz.lib.montana.edu/login.aspx?direct=true&db=a9h&AN=57404387&login.asp&site=ehost-live
  • Rivas, H., Varela, E., & Scott, D. (2010). Single-incision laparoscopic cholecystectomy: Initial evaluation of a large series of patients. Surgical Endoscopy, 24(6), 1403–1412. https://doi.org/10.1007/s00464-009-0786-7
  • Saber, A. A., Elgamal, M. H., El-Ghazaly, T. H., Dewoolkar, A. V., & Akl, A. (2010). Simple technique for single incision transumbilical laparoscopic appendectomy. International Journal of Surgery, 8(2), 128–130. https://doi.org/10.1016/j.ijsu.2009.12.001
  • Stahl, J. E., Egan, M. T., Goldman, J. M., Tenney, D., Wiklund, R. A., Sandberg, W. S., Gazelle, S., & Rattner, D. W. (2005). Introducing new technology into the operating room: Measuring the impact on job performance and satisfaction. Surgery, 137(5), 518–526. https://doi.org/10.1016/j.surg.2004.12.015
  • Wheelock, A., Suliman, A., Wharton, R., Babu, E. D., Hull, L., Vincent, C., Sevdalis, N., & Arora, S. (2015). The impact of operating room distractions on stress, workload, and teamwork. Annals of Surgery, 261(6), 1079–1084. https://doi.org/10.1097/sla.0000000000001051
  • Wilson, M. R., Poolton, J. M., Malhotra, N., Ngo, K., Bright, E., & Masters, R. S. (2011). Development and validation of a surgical workload measure: The surgery task load index (SURG-TLX). World Journal of Surgery, 35(9), 1961–1969. https://doi.org/10.1007/s00268-011-1141-4
  • Yurko, Y. Y., Scerbo, M. W., Prabhu, A. S., Acker, C. E., & Stefanidis, D. (2010). Higher mental workload is associated with poorer laparoscopic performance as measured by the NASA-TLX tool. Simulation in Healthcare, 5(5), 267–271. https://doi.org/https://doi.org/10.1097/SIH.0b013e3181e3f329

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