NOViSE: a virtual natural orifice transluminal endoscopic surgery simulator.
NOViSE: a virtual natural orifice transluminal endoscopic surgery simulator.
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新手：虚拟天然孔口内窥镜手术模拟器。
DOI：
10.1007/s11548-016-1401-8
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发表时间：
2016-12
影响因子：
3
通讯作者：
Bello, Fernando
中科院分区：
文献类型：
--
作者：
Korzeniowski, Przemyslaw;Barrow, Alastair;Sodergren, Mikael H.;Hald, Niels;Bello, Fernando
自然开口腔内内窥镜手术(NOTES)是微创手术中的一种新技术，通过自然开口插入柔性内窥镜进入腹膜腔，不会留下外部疤痕。这种灵活内窥镜的创新使用带来了许多新的挑战，并与临床医生陡峭的学习曲线相关。我们开发了NOViSE-第一个支持力反馈的虚拟现实模拟器，用于支持柔性内窥镜的笔记培训。触觉设备是定制的，虚拟柔性内窥镜的行为基于一个既定的理论框架--弹性杆的Cosserat理论。我们介绍了NOViSE在模拟混合式经胃胆囊切除术中的应用。面孔、内容和结构验证的初步结果之前已经表明，NOViSE提供了培训特定于笔记的内窥镜操作技能所需的现实主义水平。NOTES手术的VR模拟可以帮助手术培训和改善教育体验，而不会将患者置于风险中，不会引发伦理问题，也不需要昂贵的动物或身体设施。在实验技术的背景下，NOViSE可以潜在地促进笔记的开发，并通过使从业者了解这一新的外科技术来促进其更广泛的使用。NOViSE是第一个原型，初步结果表明，它为进一步发展提供了良好的基础。本文的在线版本(doi：10.1007/s11548-0161401-8)包含补充材料，授权用户可以使用。
Natural orifice transluminal endoscopic surgery (NOTES) is a novel technique in minimally invasive surgery whereby a flexible endoscope is inserted via a natural orifice to gain access to the abdominal cavity, leaving no external scars. This innovative use of flexible endoscopy creates many new challenges and is associated with a steep learning curve for clinicians. We developed NOViSE—the first force-feedback-enabled virtual reality simulator for NOTES training supporting a flexible endoscope. The haptic device is custom-built, and the behaviour of the virtual flexible endoscope is based on an established theoretical framework—the Cosserat theory of elastic rods. We present the application of NOViSE to the simulation of a hybrid trans-gastric cholecystectomy procedure. Preliminary results of face, content and construct validation have previously shown that NOViSE delivers the required level of realism for training of endoscopic manipulation skills specific to NOTES. VR simulation of NOTES procedures can contribute to surgical training and improve the educational experience without putting patients at risk, raising ethical issues or requiring expensive animal or cadaver facilities. In the context of an experimental technique, NOViSE could potentially facilitate NOTES development and contribute to its wider use by keeping practitioners up to date with this novel surgical technique. NOViSE is a first prototype, and the initial results indicate that it provides promising foundations for further development. The online version of this article (doi:10.1007/s11548-016-1401-8) contains supplementary material, which is available to authorized users.
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DOI：
10.1089/lap.2008.0357
发表时间：
2009-04-01
影响因子：
1.3
作者：
Clark, James;Sodergren, Mikael;Yang, Guang-Zhong
通讯作者：
Yang, Guang-Zhong
影响因子：
1.4
作者：
de Montbrun, Sandra L;Macrae, Helen
通讯作者：
Macrae, Helen
影响因子：
6.1
作者：
Meier, U;López, O;Alcañiz, M
通讯作者：
Alcañiz, M
影响因子：
9.3
作者：
Gillen, S.;Fiolka, A.;Feussner, H.
通讯作者：
Feussner, H.
影响因子：
4.3
作者：
Gregoire, Mireille;Schoemer, Elmar
通讯作者：
Schoemer, Elmar