Jesuyajolu D, Nicholas A, Okeke C, Obi C, Aremu G, Obiekwe K et al (2022) Burnout among surgeons and surgical trainees: a systematic review and meta-analysis of the prevalence and associated factors. Surg Pract Sci 10:100094

Article  Google Scholar 

Oskrochi Y, Maruthappu M, Henriksson M, Davies AH, Shalhoub J (2016) Beyond the body: a systematic review of the nonphysical effects of a surgical career. Surgery 159(2):650–664

Article  PubMed  Google Scholar 

Tjønnås MS, Guzmán-García C, Sánchez-González P, Gómez EJ, Oropesa I, Våpenstad C (2022) Stress in surgical educational environments: a systematic review. BMC Med Educ 22(1):791

Article  PubMed  PubMed Central  Google Scholar 

Abdelrahman AM, Bingener J, Yu D, Lowndes BR, Mohamed A, McConico AL et al (2016) Impact of single-incision laparoscopic cholecystectomy (SILC) versus conventional laparoscopic cholecystectomy (CLC) procedures on surgeon stress and workload: a randomized controlled trial. Surg Endosc 30(3):1205–1211

Article  PubMed  Google Scholar 

Moore LJ, Wilson MR, McGrath JS, Waine E, Masters RS, Vine SJ (2015) Surgeons’ display reduced mental effort and workload while performing robotically assisted surgical tasks, when compared to conventional laparoscopy. Surg Endosc 29(9):2553–2560

Article  PubMed  Google Scholar 

Lim AK, Ryu J, Yoon HM, Yang HC, Kim SK (2022) Ergonomic effects of medical augmented reality glasses in video-assisted surgery. Surg Endosc 36(2):988–998

Article  PubMed  Google Scholar 

Suzuki M, Miyaji K, Matoba K, Abe T, Nakamaru Y, Watanabe R et al (2023) Mental workload during endoscopic sinus surgery is associated with surgeons’ skill levels. Front Med 10:1090743

Article  Google Scholar 

Budden A, Song S, Henry A, Wakefield CE, Abbott J (2023) A systematic review of biological changes in surgeons’ acute stress levels during surgery. Surg Pract Sci 13:100174

Article  Google Scholar 

Budden AK, Song S, Henry A, Nesbitt-Hawes E, Wakefield CE, Abbott JA (2023) Acute biological changes in gynecological surgeons during surgery: a prospective study. J Minim Invasive Gynecol 30(10):841–849

Article  PubMed  Google Scholar 

Lazarus RS (1985) The psychology of stress and coping. Issues Ment Health Nurs 7(1–4):399–418

Article  CAS  PubMed  Google Scholar 

Arora S, Hull L, Sevdalis N, Tierney T, Nestel D, Woloshnowych M et al (2010) Factors compromising safety in surgery: stressful events in the operating room. Am J Surg 199:60–65

Article  PubMed  Google Scholar 

Alobid I, de Pablo J, Mullol J, Centellas S, Parramon G, Carrasco J et al (2011) Increased cardiovascular and anxiety outcomes but not endocrine biomarkers of stress during performance of endoscopic sinus surgery: a pilot study among novice surgeons. Arch Otolaryngol Head Neck Surg 137(5):487–492

Article  PubMed  Google Scholar 

Klein MI, DeLucia PR, Olmstead R (2013) The impact of visual scanning in the laparoscopic environment after engaging in strain coping. Hum Factors 55(3):509–519

Article  PubMed  Google Scholar 

Lee EC, Rafiq A, Merrell R, Ackerman R, Dennerlein JT (2005) Ergonomics and human factors in endoscopic surgery: a comparison of manual vs telerobotic simulation systems. Surg Endosc 19(8):1064–1070

Article  CAS  PubMed  Google Scholar 

Kirschbaum C, Pirke KM, Hellhammer DH (1993) The ‘trier social stress test’: a tool for investigating psychobiological stress response in a laboratory setting. Neuropsychobiology 28(1–2):76–81

Article  CAS  PubMed  Google Scholar 

Steimer T (2002) The biology of fear and anxiety-related behaviors. Dialogues Clin Neurosci 4(3):231–249

Article  PubMed  PubMed Central  Google Scholar 

MacDonald W (2003) The impact of job demands and workload on stress and fatigue. Aust Psychol 38(2):102–117

Article  Google Scholar 

Dedmon MM, O’Connell BP, Yawn RJ, Kipper-Smith A, Bennett ML, Hayes DS et al (2019) Measuring mental stress during otologic surgery using heart rate variability analysis. Otol Neurotol 40(4):529–534

Article  PubMed  Google Scholar 

Budden AK, Song S, Henry A, Wakefield CE, Abbott JA (2024) Surgeon reported measures of stress and anxiety prior to and after elective gynecological surgery. Acta Obstet Gynecol Scand 103(2):360–367

Article  PubMed  Google Scholar 

Peters JH, Fried GM, Swanstrom LL, Soper NJ, Sillin LF, Schirmer B et al (2004) Development and validation of a comprehensive program of education and assessment of the basic fundamentals of laparoscopic surgery. Surgery 135(1):21–27

Article  PubMed  Google Scholar 

Jafari MJ, Khosrowabadi R, Khodakarim S, Mohammadian F (2019) The effect of noise exposure on cognitive performance and brain activity patterns. Open Access Maced J Med Sci 7(17):2924–2931

Article  PubMed  PubMed Central  Google Scholar 

Spielberger CD (1983) State-trait anxiety inventory for adults sampler set: Palo Alto. Mind Garden, Menlo Park

Google Scholar 

Thomas CL, Cassady JC (2021) Validation of the State version of the state-trait anxiety inventory in a university sample. SAGE Open 11(3):21582440211031900

Article  Google Scholar 

Hart S (1986) NASA Task Load Index (TLX). Moffett Field US Gov, Santa Clara

Google Scholar 

Ma J, McCrory B, Claudio D (2021) Comparison of Weighted and Unweighted Task Load Indices for Single-Site Surgery Tasks. Proc Int Symp Hum Factors Ergon Health Care 10(1):142–146

Article  CAS  Google Scholar 

RStudio (2020) Integrated Development Environment for R. Boston, MA: Posit Software, PBC. http://www.posit.co/ Accessed April 2023

Stefanidis D, Anton NE, Howley LD, Bean EA, Yurco A, Pimentel ME et al (2017) Effectiveness of a comprehensive mental skills curriculum in enhancing surgical performance: results of a randomized controlled trial. Am J Surg 213:318–324

Article  PubMed  Google Scholar 

Weenk M, Alken APB, Engelen L, Bredie SJH, van de Belt TH, van Goor H (2018) Stress measurement in surgeons and residents using a smart patch. Am J Surg 216(2):361–368

Article  PubMed  Google Scholar 

Detling N, Smith A, Nishimura R, Keller S, Martinez M, Young W et al (2006) Psychophysiologic responses of invasive cardiologists in an academic catheterization laboratory. Am Heart J 151(2):522–528

Article  PubMed  Google Scholar 

Moore LJ, Wilson MR, Waine E, McGrath JS, Masters RS, Vine SJ (2015) Robotically assisted laparoscopy benefits surgical performance under stress. J Robot Surg 9(4):277–284

Article  PubMed  Google Scholar 

Pavlidis I, Zavlin D, Khatri AR, Wesley A, Panagopoulos G, Echo A (2019) Absence of stressful conditions accelerates dexterous skill acquisition in surgery. Sci Rep 9(1):1747

Article  PubMed  PubMed Central  Google Scholar 

Crewther BT, Shetty K, Jarchi D, Selvadurai S, Cook CJ, Leff DR et al (2016) Skill acquisition and stress adaptations following laparoscopic surgery training and detraining in novice surgeons. Surg Endosc 30(7):2961–2968

Article  PubMed  Google Scholar 

American Psychology Association (2022) What’s the difference between stress and anxiety? https://www.apa.org/topics/stress/anxiety-difference.

Daviu N, Bruchas MR, Moghaddam B, Sandi C, Beyeler A (2019) Neurobiological links between stress and anxiety. Neurobiol Stress 11:100191

Article  PubMed  Google Scholar 

Lukasik KM, Waris O, Soveri A, Lehtonen M, Laine M (2019) The relationship of anxiety and stress with working memory performance in a large non-depressed sample. Front Psychol 10:4

Article  PubMed  PubMed Central  Google Scholar 

Mandrick K, Peysakhovich V, Rémy F, Lepron E, Causse M (2016) Neural and psychophysiological correlates of human performance under stress and high mental workload. Biol Psychol 121:62–73

Article  PubMed  Google Scholar 

Berguer R, Smith WD, Chung YH (2001) Performing laparoscopic surgery is significantly more stressful for the surgeon than open surgery. Surg Endosc 15(10):1204–1207

Article  CAS  PubMed  Google Scholar 

Smith WD, Chung YH, Berguer R (2000) A virtual instru