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Invited Critique |

A Prospective Randomized Trial on Heart Rate Variability of the Surgical Team During Laparoscopic and Conventional Sigmoid Resection—Invited Critique

Jon van Heerden, MD
Arch Surg. 2001;136(3):310. doi:10.1001/archsurg.136.3.310.
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The authors of this study conclude that although laparoscopic colorectal surgery may be good for the patient, it may, in fact, be bad for the operating surgeon(s)! What a provocative, refreshing, unique, but perhaps not new, idea.

It is a well-known fact that individual physicians have vastly different reactions to stress, with "emergency" catecholamine release being much more prevalent in surgical vs nonsurgical personnel. This global difference between specialties was emphasized by the British surgeon Sir Ian Aird more than 50 years ago in an analysis of the hobbies of doctors—surgeons competed in the Olympics, whereas psychiatrists collected butterflies. Who is to quibble as to who is the wiser?

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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