Training Curriculum in Minimal Access Surgery

Jakimowicz, Jack J.; Buzink, Sonja N.

doi:10.1007/978-1-4471-6494-4_2

Cited by 6 publications

(7 citation statements)

References 61 publications

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“…Current training and evaluation in laparoscopic surgery require a combination of knowledge-based and technical skills assessment [ 1 , 2 ]. Acquiring the necessary skills takes time, patience and technical aids, such as box trainers, virtual and augmented reality simulators [ 3 – 6 ].…”

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confidence: 99%

A software-based tool for video motion tracking in the surgical skills assessment landscape

et al. 2018

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BackgroundThe use of motion tracking has been proved to provide an objective assessment in surgical skills training. Current systems, however, require the use of additional equipment or specialised laparoscopic instruments and cameras to extract the data. The aim of this study was to determine the possibility of using a software-based solution to extract the data.Methods6 expert and 23 novice participants performed a basic laparoscopic cholecystectomy procedure in the operating room. The recorded videos were analysed using Kinovea 0.8.15 and the following parameters calculated the path length, average instrument movement and number of sudden or extreme movements.ResultsThe analysed data showed that experts had significantly shorter path length (median 127 cm vs. 187 cm, p = 0.01), smaller average movements (median 0.40 cm vs. 0.32 cm, p = 0.002) and fewer sudden movements (median 14.00 vs. 21.61, p = 0.001) than their novice counterparts.ConclusionThe use of software-based video motion tracking of laparoscopic cholecystectomy is a simple and viable method enabling objective assessment of surgical performance. It provides clear discrimination between expert and novice performance.

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confidence: 99%

A software-based tool for video motion tracking in the surgical skills assessment landscape

et al. 2018

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“…The results demonstrated clearly that immersive training via a VR headset heightens the motivation of trainees and demonstrated a new dimension to integrate immersive OR context in surgical procedural training. The surgical trainees in most European countries were kept from simulation-based training by various external demotivating factors, such as long working hours, limited free time, the overload of clinical work [17]. It is therefore relevant to develop a training setup to boost and sustain trainee's motivation, which is a key element of a successful delivery of laparoscopy training curricula [17].…”

Section: Discussionmentioning

confidence: 99%

“…Virtual Reality laparoscopy (VRL) simulation, replicating haptic feedback during procedure-specific tasks, has been proven to accelerate the acquisition of skills of laparoscopic trainees [6]. The main drawback of current VRL simulation is the lack of true representation of the operating theatre experience [17]. Most VRL simulators use a 2D display interface that replicates the tasks but not the environment of busy and often chaotic operating theatres [22,41].…”

Section: Vr Laparoscopy Trainingmentioning

confidence: 99%

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Analysing usability and presence of a virtual reality operating room (VOR) simulator during laparoscopic surgery training

Ganni

Ponten

et al. 2020

2020 IEEE Conference on Virtual Reality and 3D User Interfaces (VR)

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“…They have been shown to contribute to the acquisition of clinical skills, which is mandatory for safe performance of MIS surgery. [25] The outcome of multiple validation studies of VR simulators indicates that they adequately reproduce clinical surgical procedures, operative techniques and instrumentation to a level deemed adequate for training and certification. [26] This has proven to be of value in providing a constant objective evaluation of the task and procedural performance.…”

Section: Discussionmentioning

confidence: 99%

Virtual Operating Room Simulation Setup (VORSS) for Procedural Training in Minimally Invasive Surgery – a Pilot Study

Ganni

Botden

et al. 2020

Indian J Surg

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Virtual reality (VR) training is widely used in several minimal invasive surgery (MIS) training curricula for procedural training. However, VR training in its current state lack immersive training environments, such as using head-mounted displays that is implemented in military or aviation training and even entertainment. The virtual operating room simulation setup (VORSS) is explored in this study to determine the effectiveness of immersive training in MIS. Twenty-eight surgeons and surgical trainees performed a laparoscopic cholecystectomy on the VORSS comprising of a head-mounted 360-degree realistic OR surrounding on a VR laparoscopic simulator. The VORSS replicated a full setup of instruments and surgical team-members as well as some of the distractions occurring during surgical procedures. Questionnaires were followed by semi-structured interviews to collect the data. Experts and novices found the VORSS to be intuitive and easy to use (p = 0.001). The outcome of the usability test, applying QUESI and NASA-TLX, reflected the usability of the VORSS (p < 0.05), at the cognitive level, which indicates a good sense of immersion and satisfaction, when performing the procedure within VORSS. The need for personalized experience within the setup was strongly noted from most of the participants. The VORSS for procedural training has the potential to become a useful tool to provide immersive training in MIS surgery. Further optimizing of the VORSS realism and introduction of distractors in the OR should result in an improvement of the system.

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Training Curriculum in Minimal Access Surgery

Cited by 6 publications

References 61 publications

A software-based tool for video motion tracking in the surgical skills assessment landscape

A software-based tool for video motion tracking in the surgical skills assessment landscape

Analysing usability and presence of a virtual reality operating room (VOR) simulator during laparoscopic surgery training

Virtual Operating Room Simulation Setup (VORSS) for Procedural Training in Minimally Invasive Surgery – a Pilot Study

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