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首页> 外文期刊>Surgery >The ergonomics of natural orifice translumenal endoscopic surgery (NOTES) navigation in terms of performance, stress, and cognitive behavior.
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The ergonomics of natural orifice translumenal endoscopic surgery (NOTES) navigation in terms of performance, stress, and cognitive behavior.

机译：在性能，压力和认知行为方面，自然孔腔内镜手术（NOTES）导航的人体工程学。

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BACKGROUND: The evolution toward minimally invasive surgery and subsequently to natural orifice translumenal endoscopic surgery (NOTES) poses challenges to the surgeon in terms of increased task complexity requiring greater visuospatial and navigational ability. Neuroergonomics is the study of the brain and behavior at work, and establishing the baseline cortical response for NOTES procedures will help to ascertain whether technological innovation such as navigational aids can alleviate the task-induced cognitive burden. The aims of the current study are to characterize the impact of navigation within a NOTES environment on the subject in terms of (1) performance, (2) stress, (3) prefrontal cortical activity, and (4) how this is influenced by expertise. METHODS: In all, 29 subjects were assessed for performance, stress response, and prefrontal cortical activity during a NOTES navigational task within a validated NOTES simulator. RESULTS: Experts performed significantly better than novices (P < .05). Expertise was not a predictor for overall changes in prefrontal cortical activity. The differences between experts and novices were modulated by the location of prefrontal cortical activity, with experts demonstrating more pronounced lateral prefrontal cortical activation compared with novices. Stress was not an independent predictor of changes in prefrontal cortical hemodynamics. CONCLUSION: This study is the first to characterize the performance, stress, and neurocognitive behavior associated with natural orifice translumenal endoscopic surgery navigation. The results indicate the relevance of visuospatial centers in successful task execution, and they serve as a baseline within the neuroergonomic paradigm for investigating performance-enhancing technology.
机译：背景：向微创手术的发展以及随后自然孔腔内镜手术（NOTES）的发展给外科医生带来了挑战，因为任务复杂性增加，需要更大的视觉空间和导航能力。神经人体工程学是对工作中的大脑和行为的研究，为NOTES程序建立基线皮层反应将有助于确定诸如导航辅助装置之类的技术创新是否可以减轻任务引起的认知负担。当前研究的目的是通过（1）性能，（2）压力，（3）前额叶皮层活动以及（4）专业知识如何影响NOTES环境中导航对受试者的影响来表征。 。方法：在经过验证的NOTES模拟器内的NOTES导航任务中，总共对29名受试者进行了性能，压力反应和前额皮层活动的评估。结果：专家的表现明显优于新手（P <.05）。专业知识不是前额皮层活动总体变化的预测因素。专家和新手之间的差异是由前额叶皮层活动的位置来调节的，专家证明，与新手相比，外侧额叶前额叶皮层的激活更为明显。压力不是前额叶皮层血流动力学变化的独立预测因子。结论：本研究是第一个描述与自然孔腔内腔镜手术导航相关的性能，压力和神经认知行为的研究。结果表明，视觉空间中心在成功执行任务中具有相关性，并且它们是神经人机工程学范式中研究性能增强技术的基准。

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