Development of the VBLaST™: a virtual basic laparoscopic skill trainer
Identifieur interne : 005144 ( Main/Merge ); précédent : 005143; suivant : 005145Development of the VBLaST™: a virtual basic laparoscopic skill trainer
Auteurs : Anderson Maciel [Brésil] ; Youquan Liu [États-Unis] ; Woojin Ahn [Corée du Sud] ; T. Paul Singh [États-Unis] ; Ward Dunnican [États-Unis] ; Suvranu De [États-Unis]Source :
- The International Journal of Medical Robotics and Computer Assisted Surgery [ 1478-5951 ] ; 2008-06.
English descriptors
- KwdEn :
- Aptitude, Clinical Competence, Computer Simulation, Computer-Assisted Instruction (instrumentation), Educational Technology (methods), Feedback, Humans, Internship and Residency (methods), Laparoscopes, Laparoscopy, Man-Machine Systems, Task Performance and Analysis, Touch, Transducers, Pressure, User-Computer Interface, computer graphics, haptic I/O, interaction techniques, minimally invasive surgery, user interfaces.
- MESH :
- instrumentation : Computer-Assisted Instruction.
- methods : Educational Technology, Internship and Residency.
- Aptitude, Clinical Competence, Computer Simulation, Feedback, Humans, Laparoscopes, Laparoscopy, Man-Machine Systems, Task Performance and Analysis, Touch, Transducers, Pressure, User-Computer Interface.
Abstract
Background: The FLS training tool box has now been adopted by the Society of Gastrointestinal Endoscopic Surgeons (SAGES) as an official training tool for minimally invasive procedures. Methods: To overcome the limitations of the physical FLS training tool box, we have developed a Virtual Basic Laparoscopic Skill Trainer (VBLaSTTM) system, which is a 3D simulator that will allow trainees to acquire basic laparoscopic skill. Results: The outcome of this work is the development of an integrated visio‐haptic workstation environment including force feedback devices and a stereo display interface whereby trainees can practice on virtual versions of the FLS. Realistic graphical rendering and high fidelity haptic interactions are achieved. Conclusions: Surgical skill training is a long and tedious process of acquiring fine motor skills. It is expected that residents would start on trainers such as VBLaSTTM and after reaching a certain level of competence would progress to the more complex trainers for training on specific surgical procedures. Copyright © 2008 John Wiley & Sons, Ltd.
Url:
- https://api.istex.fr/document/1FA296C82236AD3D263B70E5DC2F77EF60DDC22C/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2804952
DOI: 10.1002/rcs.185
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Paul Singh</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Minimally Invasive Surgery Center for Training and Education, Albany Medical College, Albany, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Dunnican, Ward" sort="Dunnican, Ward" uniqKey="Dunnican W" first="Ward" last="Dunnican">Ward Dunnican</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Minimally Invasive Surgery Center for Training and Education, Albany Medical College, Albany, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="De, Suvranu" sort="De, Suvranu" uniqKey="De S" first="Suvranu" last="De">Suvranu De</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Mechanical, Aerospace and Nuclear Engineering Rensselaer Polytechnic Institute, Troy</wicri:regionArea><wicri:noRegion>Troy</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">The International Journal of Medical Robotics and Computer Assisted Surgery</title><title level="j" type="abbrev">Int. J. Med. Robotics Comput. Assist. Surg.</title><idno type="ISSN">1478-5951</idno><idno type="eISSN">1478-596X</idno><imprint><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2008-06">2008-06</date><biblScope unit="volume">4</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="131">131</biblScope><biblScope unit="page" to="138">138</biblScope></imprint><idno type="ISSN">1478-5951</idno></series><idno type="istex">1FA296C82236AD3D263B70E5DC2F77EF60DDC22C</idno><idno type="DOI">10.1002/rcs.185</idno><idno type="ArticleID">RCS185</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1478-5951</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aptitude</term><term>Clinical Competence</term><term>Computer Simulation</term><term>Computer-Assisted Instruction (instrumentation)</term><term>Educational Technology (methods)</term><term>Feedback</term><term>Humans</term><term>Internship and Residency (methods)</term><term>Laparoscopes</term><term>Laparoscopy</term><term>Man-Machine Systems</term><term>Task Performance and Analysis</term><term>Touch</term><term>Transducers, Pressure</term><term>User-Computer Interface</term><term>computer graphics</term><term>haptic I/O</term><term>interaction techniques</term><term>minimally invasive surgery</term><term>user interfaces</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Computer-Assisted Instruction</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Educational Technology</term><term>Internship and Residency</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aptitude</term><term>Clinical Competence</term><term>Computer Simulation</term><term>Feedback</term><term>Humans</term><term>Laparoscopes</term><term>Laparoscopy</term><term>Man-Machine Systems</term><term>Task Performance and Analysis</term><term>Touch</term><term>Transducers, Pressure</term><term>User-Computer Interface</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The FLS training tool box has now been adopted by the Society of Gastrointestinal Endoscopic Surgeons (SAGES) as an official training tool for minimally invasive procedures. Methods: To overcome the limitations of the physical FLS training tool box, we have developed a Virtual Basic Laparoscopic Skill Trainer (VBLaSTTM) system, which is a 3D simulator that will allow trainees to acquire basic laparoscopic skill. Results: The outcome of this work is the development of an integrated visio‐haptic workstation environment including force feedback devices and a stereo display interface whereby trainees can practice on virtual versions of the FLS. Realistic graphical rendering and high fidelity haptic interactions are achieved. Conclusions: Surgical skill training is a long and tedious process of acquiring fine motor skills. It is expected that residents would start on trainers such as VBLaSTTM and after reaching a certain level of competence would progress to the more complex trainers for training on specific surgical procedures. Copyright © 2008 John Wiley & Sons, Ltd.</div></front></TEI><double doi="10.1002/rcs.185"><ISTEX><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Development of the VBLaST™: a virtual basic laparoscopic skill trainer</title><author><name sortKey="Maciel, Anderson" sort="Maciel, Anderson" uniqKey="Maciel A" first="Anderson" last="Maciel">Anderson Maciel</name></author><author><name sortKey="Liu, Youquan" sort="Liu, Youquan" uniqKey="Liu Y" first="Youquan" last="Liu">Youquan Liu</name></author><author><name sortKey="Ahn, Woojin" sort="Ahn, Woojin" uniqKey="Ahn W" first="Woojin" last="Ahn">Woojin Ahn</name></author><author><name sortKey="Singh, T Paul" sort="Singh, T Paul" uniqKey="Singh T" first="T. Paul" last="Singh">T. Paul Singh</name></author><author><name sortKey="Dunnican, Ward" sort="Dunnican, Ward" uniqKey="Dunnican W" first="Ward" last="Dunnican">Ward Dunnican</name></author><author><name sortKey="De, Suvranu" sort="De, Suvranu" uniqKey="De S" first="Suvranu" last="De">Suvranu De</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:1FA296C82236AD3D263B70E5DC2F77EF60DDC22C</idno><date when="2008" year="2008">2008</date><idno type="doi">10.1002/rcs.185</idno><idno type="url">https://api.istex.fr/document/1FA296C82236AD3D263B70E5DC2F77EF60DDC22C/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">005045</idno><idno type="wicri:Area/Istex/Curation">005045</idno><idno type="wicri:Area/Istex/Checkpoint">001525</idno><idno type="wicri:doubleKey">1478-5951:2008:Maciel A:development:of:the</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Development of the VBLaST™: a virtual basic laparoscopic skill trainer</title><author><name sortKey="Maciel, Anderson" sort="Maciel, Anderson" uniqKey="Maciel A" first="Anderson" last="Maciel">Anderson Maciel</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Applied Computation, Institute of Informatics, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Liu, Youquan" sort="Liu, Youquan" uniqKey="Liu Y" first="Youquan" last="Liu">Youquan Liu</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Mechanical, Aerospace and Nuclear Engineering Rensselaer Polytechnic Institute, Troy</wicri:regionArea><wicri:noRegion>Troy</wicri:noRegion></affiliation></author><author><name sortKey="Ahn, Woojin" sort="Ahn, Woojin" uniqKey="Ahn W" first="Woojin" last="Ahn">Woojin Ahn</name><affiliation wicri:level="1"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon</wicri:regionArea><wicri:noRegion>Daejeon</wicri:noRegion></affiliation></author><author><name sortKey="Singh, T Paul" sort="Singh, T Paul" uniqKey="Singh T" first="T. Paul" last="Singh">T. Paul Singh</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Minimally Invasive Surgery Center for Training and Education, Albany Medical College, Albany, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Dunnican, Ward" sort="Dunnican, Ward" uniqKey="Dunnican W" first="Ward" last="Dunnican">Ward Dunnican</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Minimally Invasive Surgery Center for Training and Education, Albany Medical College, Albany, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="De, Suvranu" sort="De, Suvranu" uniqKey="De S" first="Suvranu" last="De">Suvranu De</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Mechanical, Aerospace and Nuclear Engineering Rensselaer Polytechnic Institute, Troy</wicri:regionArea><wicri:noRegion>Troy</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">The International Journal of Medical Robotics and Computer Assisted Surgery</title><title level="j" type="abbrev">Int. J. Med. Robotics Comput. Assist. Surg.</title><idno type="ISSN">1478-5951</idno><idno type="eISSN">1478-596X</idno><imprint><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2008-06">2008-06</date><biblScope unit="volume">4</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="131">131</biblScope><biblScope unit="page" to="138">138</biblScope></imprint><idno type="ISSN">1478-5951</idno></series><idno type="istex">1FA296C82236AD3D263B70E5DC2F77EF60DDC22C</idno><idno type="DOI">10.1002/rcs.185</idno><idno type="ArticleID">RCS185</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1478-5951</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>computer graphics</term><term>haptic I/O</term><term>interaction techniques</term><term>minimally invasive surgery</term><term>user interfaces</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The FLS training tool box has now been adopted by the Society of Gastrointestinal Endoscopic Surgeons (SAGES) as an official training tool for minimally invasive procedures. Methods: To overcome the limitations of the physical FLS training tool box, we have developed a Virtual Basic Laparoscopic Skill Trainer (VBLaSTTM) system, which is a 3D simulator that will allow trainees to acquire basic laparoscopic skill. Results: The outcome of this work is the development of an integrated visio‐haptic workstation environment including force feedback devices and a stereo display interface whereby trainees can practice on virtual versions of the FLS. Realistic graphical rendering and high fidelity haptic interactions are achieved. Conclusions: Surgical skill training is a long and tedious process of acquiring fine motor skills. It is expected that residents would start on trainers such as VBLaSTTM and after reaching a certain level of competence would progress to the more complex trainers for training on specific surgical procedures. Copyright © 2008 John Wiley & Sons, Ltd.</div></front></TEI></ISTEX><PMC><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Development of the VBLaST™: A Virtual Basic Laparoscopic Skill Trainer</title><author><name sortKey="Maciel, Anderson" sort="Maciel, Anderson" uniqKey="Maciel A" first="Anderson" last="Maciel">Anderson Maciel</name></author><author><name sortKey="Liu, Youquan" sort="Liu, Youquan" uniqKey="Liu Y" first="Youquan" last="Liu">Youquan Liu</name></author><author><name sortKey="Ahn, Woojin" sort="Ahn, Woojin" uniqKey="Ahn W" first="Woojin" last="Ahn">Woojin Ahn</name></author><author><name sortKey="Singh, T Paul" sort="Singh, T Paul" uniqKey="Singh T" first="T. Paul" last="Singh">T. Paul Singh</name></author><author><name sortKey="Dunnican, Ward" sort="Dunnican, Ward" uniqKey="Dunnican W" first="Ward" last="Dunnican">Ward Dunnican</name></author><author><name sortKey="De, Suvranu" sort="De, Suvranu" uniqKey="De S" first="Suvranu" last="De">Suvranu De</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18348181</idno><idno type="pmc">2804952</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2804952</idno><idno type="RBID">PMC:2804952</idno><idno type="doi">10.1002/rcs.185</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">000F26</idno><idno type="wicri:Area/Pmc/Curation">000F26</idno><idno type="wicri:Area/Pmc/Checkpoint">002361</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">001500</idno><idno type="wicri:Area/PubMed/Curation">001500</idno><idno type="wicri:Area/PubMed/Checkpoint">001306</idno><idno type="wicri:Area/Ncbi/Merge">000D78</idno><idno type="wicri:Area/Ncbi/Curation">000D78</idno><idno type="wicri:Area/Ncbi/Checkpoint">000D78</idno><idno type="wicri:doubleKey">1478-5951:2008:Maciel A:development:of:the</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Development of the VBLaST™: A Virtual Basic Laparoscopic Skill Trainer</title><author><name sortKey="Maciel, Anderson" sort="Maciel, Anderson" uniqKey="Maciel A" first="Anderson" last="Maciel">Anderson Maciel</name></author><author><name sortKey="Liu, Youquan" sort="Liu, Youquan" uniqKey="Liu Y" first="Youquan" last="Liu">Youquan Liu</name></author><author><name sortKey="Ahn, Woojin" sort="Ahn, Woojin" uniqKey="Ahn W" first="Woojin" last="Ahn">Woojin Ahn</name></author><author><name sortKey="Singh, T Paul" sort="Singh, T Paul" uniqKey="Singh T" first="T. Paul" last="Singh">T. Paul Singh</name></author><author><name sortKey="Dunnican, Ward" sort="Dunnican, Ward" uniqKey="Dunnican W" first="Ward" last="Dunnican">Ward Dunnican</name></author><author><name sortKey="De, Suvranu" sort="De, Suvranu" uniqKey="De S" first="Suvranu" last="De">Suvranu De</name></author></analytic><series><title level="j">The international journal of medical robotics + computer assisted surgery : MRCAS</title><idno type="ISSN">1478-5951</idno><idno type="eISSN">1478-596X</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aptitude</term><term>Clinical Competence</term><term>Computer Simulation</term><term>Computer-Assisted Instruction (instrumentation)</term><term>Educational Technology (methods)</term><term>Feedback</term><term>Humans</term><term>Internship and Residency (methods)</term><term>Laparoscopes</term><term>Laparoscopy</term><term>Man-Machine Systems</term><term>Task Performance and Analysis</term><term>Touch</term><term>Transducers, Pressure</term><term>User-Computer Interface</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Computer-Assisted Instruction</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Educational Technology</term><term>Internship and Residency</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aptitude</term><term>Clinical Competence</term><term>Computer Simulation</term><term>Feedback</term><term>Humans</term><term>Laparoscopes</term><term>Laparoscopy</term><term>Man-Machine Systems</term><term>Task Performance and Analysis</term><term>Touch</term><term>Transducers, Pressure</term><term>User-Computer Interface</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Minimally invasive surgery has become more and more important in modern hospitals. In this context, increasingly more surgeons need to be trained to master the necessary laparoscopic surgical skills. The Fundamentals of Laparoscopic Surgery (FLS) training tool box has now been adopted by the Society of Gastrointestinal Endoscopic Surgeons (SAGES) as an official training tool. While useful, there are major drawbacks of such physical tool boxes including the need to constantly replace training materials, inability to perform objective quantification of skill and the inability to easily adapt to training surgeons on surgical robots such as the da Vinci<sup>®</sup> which provides high resolution stereo visualization.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">To overcome the limitations of the FLS training tool box, we have developed a Virtual Basic Laparoscopic Skill Trainer (VBLaST™) system, which will allow trainees to acquire basic laparoscopic skill training through the bimanual performance of four tasks including peg transfer, pattern cutting, ligating loop and suturing. A high update rate of about 1 kHz is necessary to ensure continuous haptic interactions and smooth transitions.</p></sec><sec id="S3"><title>Results</title><p id="P3">The outcome of this work is the development of an integrated visio-haptic workstation environment including two Phantom<sup>®</sup> Omni™ force feedback devices and a 3D display interface from Planar Systems, Inc whereby trainees can practice on virtual versions of the FLS tasks in 2D as well as in 3D, thereby allowing them to practice both for traditional laparoscopic surgery as well as that using the da Vinci<sup>®</sup> system. Realistic graphical rendering and high fidelity haptic interactions are achieved through several innovations in modeling complex interactions of tissues and deformable objects.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Surgical skill training is a long and tedious process of acquiring fine motor skills. Even when complex and realistic surgical trainers with realistic organ geometries and tissue properties, which are currently being developed by academic researchers as well as the industry, mature to the stage of being routinely used in surgical training, basic skill trainers such as VBLaST™ will not lose their relevance. It is expected that residents would start on trainers such as VBLaST™ and after reaching a certain level of competence would progress to the more complex trainers for training on specific surgical procedures. In this regard, the development of the VBLaST™ is highly significant and timely.</p></sec></div></front></TEI></PMC></double></record>Pour manipuler ce document sous Unix (Dilib)
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