Impact of Sleep Deprivation on Surgical Laparoscopic Performance in Novices: A Computer-based Crossover Study

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Svenja LeuRaphael N Vuille-Dit-Bille

Abstract

The 24-hour work shifts are newly permitted to first-year surgical residents in the United States. Whether surgery novices' motor activity is affected by sleep deprivation is controversial. This study assesses sleep deprivation effects in computer-simulated laparoscopy in 20 surgical novices following 24 hours of sleep deprivation and after resting using a virtual-reality trainer. Participants were randomly assigned to perform simulator tests either well rested or sleep deprived first. Of 3 different tasks performed, no significant differences in total time to complete the procedure and average speed of instruments were found. Instrument path length was longer following sleep deprivation (P=0.0435) in 1 of 3 tasks. Error rates (ie, noncauterized bleedings, perforations, etc.), as well as precision, and accuracy rates showed no difference. None of the assessed participants' characteristics affected simulator performance. Twenty-four hours of sleep deprivation does not affect laparoscopic performance of surgical novices as assessed by computer-simulation.

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Citations

Sep 30, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Nripesh RajbhandariRaphael N Vuille-Dit-Bille
Sep 11, 2019·Medicina·Bradley J WallaceAhmed I Marwan
May 16, 2020·Gastroenterology Research and Practice·Bradley WallaceRaphael N Vuille-Dit-Bille
Aug 26, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·Quentin BaumannPatrice Mertl

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Software Mentioned

GraphPad Prism
R
GraphPad
Simbionix

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