Objective Assessment of Laparoscopic Force and Psychomotor Skills in a Novel Virtual Reality-Based Haptic Simulator
Objective Assessment of Laparoscopic Force and Psychomotor Skills in a Novel Virtual Reality-Based Haptic Simulator
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DOI：
10.1016/j.jsurg.2016.04.009
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发表时间：
2016-09-01
影响因子：
2.9
通讯作者：
Chandramohan, S. M.
中科院分区：
文献类型：
--
作者：
Prasad, M. S. Raghu;Manivannan, Muniyandi;Chandramohan, S. M.
背景技术背景：大多数市售的基于虚拟现实的腹腔镜模拟器不能有效地评估结合心理和力为基础的腹腔镜技能。因此，缺乏对这些关键技能的培训会导致术中错误。结论：为了评估新的基于虚拟现实的模拟器的有效性，本研究分析了组合心理学（即，运动或运动）和住院医师和专家外科医生的力量技能。该研究还研究了训练过程中实时视觉力反馈和工具运动的有效性。设计：双手基本（即，探测、抽吸、清扫、抓取和扭转）和复杂任务（即，组织解剖）进行评价。在这两项任务中，视觉反馈所施加的力量和工具的运动。参与者在执行早期任务时的技能在有和没有视觉反馈的情况下进行了评估。参与者重复进行5次基本和复杂的任务。单位：Stanley医学院和医院外科胃肠病学，Madras医学院和Rajiv Gandhi政府总医院外科胃肠病学研究所。参与者：居民（N = 25;研究生和外科医生，有4个和
BACKGROUND: Most of the commercially available virtual reality-based laparoscopic simulators do not effectively evaluate combined psychomotor and force-based laparoscopic skills. Consequently, the lack of training on these critical skills leads to intraoperative errors.OBJECTIVES: To assess the effectiveness of the novel virtual reality-based simulator, this study analyzed the combined psychomotor (i.e., motion or movement) and force skills of residents and expert surgeons. The study also examined the effectiveness of real-time visual force feedback and tool motion during training.DESIGN: Bimanual fundamental (i.e., probing, puffing, sweeping, grasping, and twisting) and complex tasks (i.e., tissue dissection) were evaluated. In both tasks, visual feedback on applied force and tool motion were provided. The skills of the participants while performing the early tasks were assessed with and without visual feedback. Participants performed 5 repetitions of fundamental and complex tasks. Reaction force and instrument acceleration were used as metrics.SETTING: Surgical Gastroenterology, Government Stanley Medical College and Hospital; Institute of Surgical Gastroenterology, Madras Medical College and Rajiv Gandhi Government General Hospital.PARTICIPANTS: Residents (N = 25; postgraduates and surgeons with 4 and