HapticV1, PascalFrancis, Curation, bibRecord, 000C93

The Role of Haptic Feedback in Laparoscopic Simulation Training

Identifieur interne : 000C93 ( PascalFrancis/Curation ); précédent : 000C92; suivant : 000C94

The Role of Haptic Feedback in Laparoscopic Simulation Training

Auteurs : Lucian Panait [États-Unis] ; Ehab Akkary [États-Unis] ; Robert L. Bell [États-Unis] ; Kurt E. Roberts [États-Unis] ; Stanley J. Dudrick [États-Unis] ; Andrew J. Duffy [États-Unis]

Source :

The Journal of surgical research [ 0022-4804 ] ; 2009.

RBID : Pascal:09-0433351

Descripteurs français

Pascal (Inist)
- Chirurgie, Rétroaction, Boucle réaction, Laparoscopie, Simulation, Réalité virtuelle, Réalité augmentée, Force, Médecine, Traitement.
Wicri :
- topic : Chirurgie, Simulation, Réalité virtuelle, Médecine.

English descriptors

KwdEn :
- Augmented reality, Feedback, Feedback regulation, Force, Laparoscopy, Medicine, Simulation, Surgery, Treatment, Virtual reality.

Abstract

Introduction. Laparoscopic virtual reality simulators are becoming a ubiquitous tool in resident training and assessment. These devices provide the operator with various levels of realism, including haptic (or force) feedback. However, this feature adds significantly to the cost of the devices, and limited data exist assessing the value of haptics in skill acquisition and development. Utilizing the Laparoscopy VR (Immersion Medical, Gaithersburg, MD), we hypothesized that the incorporation of force feedback in the simulated operative environment would allow superior trainee performance compared with performance of the same basic skills tasks in a non-haptic model. Methods. Ten medical students with minimal laparoscopic experience and similar baseline skill levels as proven by performance of two fundamentals of laparoscopic surgery (FLS) tasks (peg transfer and cutting drills) voluntarily participated in the study. Each performed two tasks, analogous to the FLS drills, on the Laparoscopy VR at 3 levels of difficulty, based on the established settings of the manufacturer. After achieving familiarity with the device and tasks, the students completed the drills both with and without force feedback. Data on completion time, instrument path length, right and left hand errors, and grasping tension were analyzed. The scores in the haptic-enhanced simulation environment were compared with the scores in the non-haptic model and analyzed utilizing Student's t-test. Results. The peg transfer drill showed no difference in performance between the haptic and non-haptic simulations for all metrics at all three levels of difficulty. For the more complex cutting exercise, the time to complete the tasks was significantly shorter when force feedback was provided, at all levels of difficulty (158 ±56 versus 187 ± 51 s, 176 ± 49 versus 222 ± 68 s, and 275 ± 76 versus 422 ± 220 s, at levels 1, 2, and 3, respectively, P < 0.05). Data on instrument path length, grasping tension, and errors showed a trend toward a benefit from haptics at all difficulty levels, but this difference did not achieve statistical significance. Conclusions. In the more advanced tasks, haptics allowed superior precision, resulting in faster completion of tasks and a trend toward fewer technical errors. In the more basic tasks, haptic-enhanced simulation did not demonstrate an appreciable performance improvement among our trainees. These data suggest that the additional expense of haptic-enhanced laparoscopic simulators may be justified for advanced skill development in surgical trainees as simulator technology continues to improve.

A01	`01`	`1`		`@0 0022-4804`
A02	`01`			`@0 JSGRA2`
A03		`1`		`@0 J. surg. res.`
A05				`@2 156`
A06				`@2 2`
A08	`01`	`1`	`ENG`	`@1 The Role of Haptic Feedback in Laparoscopic Simulation Training`
A11	`01`	`1`		`@1 PANAIT (Lucian)`
A11	`02`	`1`		`@1 AKKARY (Ehab)`
A11	`03`	`1`		`@1 BELL (Robert L.)`
A11	`04`	`1`		`@1 ROBERTS (Kurt E.)`
A11	`05`	`1`		`@1 DUDRICK (Stanley J.)`
A11	`06`	`1`		`@1 DUFFY (Andrew J.)`
A14	`01`			`@1 Saint Mary's Hospital @2 Waterbury, Connecticut @3 USA @Z 1 aut. @Z 5 aut.`
A14	`02`			`@1 Yale School of Medicine @2 New Haven, Connecticut @3 USA @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut.`
A20				`@1 312-316`
A21				`@1 2009`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 9554 @5 354000170062720220`
A44				`@0 0000 @1 © 2009 INIST-CNRS. All rights reserved.`
A45				`@0 11 ref.`
A47	`01`	`1`		`@0 09-0433351`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 The Journal of surgical research`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 Introduction. Laparoscopic virtual reality simulators are becoming a ubiquitous tool in resident training and assessment. These devices provide the operator with various levels of realism, including haptic (or force) feedback. However, this feature adds significantly to the cost of the devices, and limited data exist assessing the value of haptics in skill acquisition and development. Utilizing the Laparoscopy VR (Immersion Medical, Gaithersburg, MD), we hypothesized that the incorporation of force feedback in the simulated operative environment would allow superior trainee performance compared with performance of the same basic skills tasks in a non-haptic model. Methods. Ten medical students with minimal laparoscopic experience and similar baseline skill levels as proven by performance of two fundamentals of laparoscopic surgery (FLS) tasks (peg transfer and cutting drills) voluntarily participated in the study. Each performed two tasks, analogous to the FLS drills, on the Laparoscopy VR at 3 levels of difficulty, based on the established settings of the manufacturer. After achieving familiarity with the device and tasks, the students completed the drills both with and without force feedback. Data on completion time, instrument path length, right and left hand errors, and grasping tension were analyzed. The scores in the haptic-enhanced simulation environment were compared with the scores in the non-haptic model and analyzed utilizing Student's t-test. Results. The peg transfer drill showed no difference in performance between the haptic and non-haptic simulations for all metrics at all three levels of difficulty. For the more complex cutting exercise, the time to complete the tasks was significantly shorter when force feedback was provided, at all levels of difficulty (158 ±56 versus 187 ± 51 s, 176 ± 49 versus 222 ± 68 s, and 275 ± 76 versus 422 ± 220 s, at levels 1, 2, and 3, respectively, P < 0.05). Data on instrument path length, grasping tension, and errors showed a trend toward a benefit from haptics at all difficulty levels, but this difference did not achieve statistical significance. Conclusions. In the more advanced tasks, haptics allowed superior precision, resulting in faster completion of tasks and a trend toward fewer technical errors. In the more basic tasks, haptic-enhanced simulation did not demonstrate an appreciable performance improvement among our trainees. These data suggest that the additional expense of haptic-enhanced laparoscopic simulators may be justified for advanced skill development in surgical trainees as simulator technology continues to improve.
C02	`01`	`X`		`@0 002B01`
C02	`02`	`X`		`@0 002B24E06`
C03	`01`	`X`	`FRE`	`@0 Chirurgie @5 01`
C03	`01`	`X`	`ENG`	`@0 Surgery @5 01`
C03	`01`	`X`	`SPA`	`@0 Cirugía @5 01`
C03	`02`	`X`	`FRE`	`@0 Rétroaction @5 02`
C03	`02`	`X`	`ENG`	`@0 Feedback regulation @5 02`
C03	`02`	`X`	`SPA`	`@0 Retroacción @5 02`
C03	`03`	`X`	`FRE`	`@0 Boucle réaction @5 03`
C03	`03`	`X`	`ENG`	`@0 Feedback @5 03`
C03	`03`	`X`	`SPA`	`@0 Retroalimentación @5 03`
C03	`04`	`X`	`FRE`	`@0 Laparoscopie @5 05`
C03	`04`	`X`	`ENG`	`@0 Laparoscopy @5 05`
C03	`04`	`X`	`SPA`	`@0 Laparoscopia @5 05`
C03	`05`	`X`	`FRE`	`@0 Simulation @5 06`
C03	`05`	`X`	`ENG`	`@0 Simulation @5 06`
C03	`05`	`X`	`SPA`	`@0 Simulación @5 06`
C03	`06`	`X`	`FRE`	`@0 Réalité virtuelle @5 08`
C03	`06`	`X`	`ENG`	`@0 Virtual reality @5 08`
C03	`06`	`X`	`SPA`	`@0 Realidad virtual @5 08`
C03	`07`	`X`	`FRE`	`@0 Réalité augmentée @5 09`
C03	`07`	`X`	`ENG`	`@0 Augmented reality @5 09`
C03	`07`	`X`	`SPA`	`@0 Realidad aumentada @5 09`
C03	`08`	`X`	`FRE`	`@0 Force @5 11`
C03	`08`	`X`	`ENG`	`@0 Force @5 11`
C03	`08`	`X`	`SPA`	`@0 Fuerza @5 11`
C03	`09`	`X`	`FRE`	`@0 Médecine @5 12`
C03	`09`	`X`	`ENG`	`@0 Medicine @5 12`
C03	`09`	`X`	`SPA`	`@0 Medicina @5 12`
C03	`10`	`X`	`FRE`	`@0 Traitement @5 25`
C03	`10`	`X`	`ENG`	`@0 Treatment @5 25`
C03	`10`	`X`	`SPA`	`@0 Tratamiento @5 25`
C07	`01`	`X`	`FRE`	`@0 Endoscopie @5 37`
C07	`01`	`X`	`ENG`	`@0 Endoscopy @5 37`
C07	`01`	`X`	`SPA`	`@0 Endoscopía @5 37`
N21				`@1 313`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000740

Links to Exploration step

Pascal:09-0433351

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">The Role of Haptic Feedback in Laparoscopic Simulation Training</title>
<author><name sortKey="Panait, Lucian" sort="Panait, Lucian" uniqKey="Panait L" first="Lucian" last="Panait">Lucian Panait</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Saint Mary's Hospital</s1>
<s2>Waterbury, Connecticut</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Akkary, Ehab" sort="Akkary, Ehab" uniqKey="Akkary E" first="Ehab" last="Akkary">Ehab Akkary</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Yale School of Medicine</s1>
<s2>New Haven, Connecticut</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Bell, Robert L" sort="Bell, Robert L" uniqKey="Bell R" first="Robert L." last="Bell">Robert L. Bell</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Yale School of Medicine</s1>
<s2>New Haven, Connecticut</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Roberts, Kurt E" sort="Roberts, Kurt E" uniqKey="Roberts K" first="Kurt E." last="Roberts">Kurt E. Roberts</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Yale School of Medicine</s1>
<s2>New Haven, Connecticut</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Dudrick, Stanley J" sort="Dudrick, Stanley J" uniqKey="Dudrick S" first="Stanley J." last="Dudrick">Stanley J. Dudrick</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Saint Mary's Hospital</s1>
<s2>Waterbury, Connecticut</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Yale School of Medicine</s1>
<s2>New Haven, Connecticut</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Duffy, Andrew J" sort="Duffy, Andrew J" uniqKey="Duffy A" first="Andrew J." last="Duffy">Andrew J. Duffy</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Yale School of Medicine</s1>
<s2>New Haven, Connecticut</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">09-0433351</idno>
<date when="2009">2009</date>
<idno type="stanalyst">PASCAL 09-0433351 INIST</idno>
<idno type="RBID">Pascal:09-0433351</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000740</idno>
<idno type="wicri:Area/PascalFrancis/Curation">000C93</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">The Role of Haptic Feedback in Laparoscopic Simulation Training</title>
<author><name sortKey="Panait, Lucian" sort="Panait, Lucian" uniqKey="Panait L" first="Lucian" last="Panait">Lucian Panait</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Saint Mary's Hospital</s1>
<s2>Waterbury, Connecticut</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Akkary, Ehab" sort="Akkary, Ehab" uniqKey="Akkary E" first="Ehab" last="Akkary">Ehab Akkary</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Yale School of Medicine</s1>
<s2>New Haven, Connecticut</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Bell, Robert L" sort="Bell, Robert L" uniqKey="Bell R" first="Robert L." last="Bell">Robert L. Bell</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Yale School of Medicine</s1>
<s2>New Haven, Connecticut</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Roberts, Kurt E" sort="Roberts, Kurt E" uniqKey="Roberts K" first="Kurt E." last="Roberts">Kurt E. Roberts</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Yale School of Medicine</s1>
<s2>New Haven, Connecticut</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Dudrick, Stanley J" sort="Dudrick, Stanley J" uniqKey="Dudrick S" first="Stanley J." last="Dudrick">Stanley J. Dudrick</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Saint Mary's Hospital</s1>
<s2>Waterbury, Connecticut</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Yale School of Medicine</s1>
<s2>New Haven, Connecticut</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Duffy, Andrew J" sort="Duffy, Andrew J" uniqKey="Duffy A" first="Andrew J." last="Duffy">Andrew J. Duffy</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Yale School of Medicine</s1>
<s2>New Haven, Connecticut</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">The Journal of surgical research</title>
<title level="j" type="abbreviated">J. surg. res.</title>
<idno type="ISSN">0022-4804</idno>
<imprint><date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">The Journal of surgical research</title>
<title level="j" type="abbreviated">J. surg. res.</title>
<idno type="ISSN">0022-4804</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Augmented reality</term>
<term>Feedback</term>
<term>Feedback regulation</term>
<term>Force</term>
<term>Laparoscopy</term>
<term>Medicine</term>
<term>Simulation</term>
<term>Surgery</term>
<term>Treatment</term>
<term>Virtual reality</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Chirurgie</term>
<term>Rétroaction</term>
<term>Boucle réaction</term>
<term>Laparoscopie</term>
<term>Simulation</term>
<term>Réalité virtuelle</term>
<term>Réalité augmentée</term>
<term>Force</term>
<term>Médecine</term>
<term>Traitement</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term>
<term>Simulation</term>
<term>Réalité virtuelle</term>
<term>Médecine</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Introduction. Laparoscopic virtual reality simulators are becoming a ubiquitous tool in resident training and assessment. These devices provide the operator with various levels of realism, including haptic (or force) feedback. However, this feature adds significantly to the cost of the devices, and limited data exist assessing the value of haptics in skill acquisition and development. Utilizing the Laparoscopy VR (Immersion Medical, Gaithersburg, MD), we hypothesized that the incorporation of force feedback in the simulated operative environment would allow superior trainee performance compared with performance of the same basic skills tasks in a non-haptic model. Methods. Ten medical students with minimal laparoscopic experience and similar baseline skill levels as proven by performance of two fundamentals of laparoscopic surgery (FLS) tasks (peg transfer and cutting drills) voluntarily participated in the study. Each performed two tasks, analogous to the FLS drills, on the Laparoscopy VR at 3 levels of difficulty, based on the established settings of the manufacturer. After achieving familiarity with the device and tasks, the students completed the drills both with and without force feedback. Data on completion time, instrument path length, right and left hand errors, and grasping tension were analyzed. The scores in the haptic-enhanced simulation environment were compared with the scores in the non-haptic model and analyzed utilizing Student's t-test. Results. The peg transfer drill showed no difference in performance between the haptic and non-haptic simulations for all metrics at all three levels of difficulty. For the more complex cutting exercise, the time to complete the tasks was significantly shorter when force feedback was provided, at all levels of difficulty (158 ±56 versus 187 ± 51 s, 176 ± 49 versus 222 ± 68 s, and 275 ± 76 versus 422 ± 220 s, at levels 1, 2, and 3, respectively, P < 0.05). Data on instrument path length, grasping tension, and errors showed a trend toward a benefit from haptics at all difficulty levels, but this difference did not achieve statistical significance. Conclusions. In the more advanced tasks, haptics allowed superior precision, resulting in faster completion of tasks and a trend toward fewer technical errors. In the more basic tasks, haptic-enhanced simulation did not demonstrate an appreciable performance improvement among our trainees. These data suggest that the additional expense of haptic-enhanced laparoscopic simulators may be justified for advanced skill development in surgical trainees as simulator technology continues to improve.</div>
</front>
</TEI>
<inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0022-4804</s0>
</fA01>
<fA02 i1="01"><s0>JSGRA2</s0>
</fA02>
<fA03 i2="1"><s0>J. surg. res.</s0>
</fA03>
<fA05><s2>156</s2>
</fA05>
<fA06><s2>2</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG"><s1>The Role of Haptic Feedback in Laparoscopic Simulation Training</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>PANAIT (Lucian)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>AKKARY (Ehab)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>BELL (Robert L.)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>ROBERTS (Kurt E.)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>DUDRICK (Stanley J.)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>DUFFY (Andrew J.)</s1>
</fA11>
<fA14 i1="01"><s1>Saint Mary's Hospital</s1>
<s2>Waterbury, Connecticut</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Yale School of Medicine</s1>
<s2>New Haven, Connecticut</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
</fA14>
<fA20><s1>312-316</s1>
</fA20>
<fA21><s1>2009</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>9554</s2>
<s5>354000170062720220</s5>
</fA43>
<fA44><s0>0000</s0>
<s1>© 2009 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>11 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>09-0433351</s0>
</fA47>
<fA60><s1>P</s1>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>The Journal of surgical research</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Introduction. Laparoscopic virtual reality simulators are becoming a ubiquitous tool in resident training and assessment. These devices provide the operator with various levels of realism, including haptic (or force) feedback. However, this feature adds significantly to the cost of the devices, and limited data exist assessing the value of haptics in skill acquisition and development. Utilizing the Laparoscopy VR (Immersion Medical, Gaithersburg, MD), we hypothesized that the incorporation of force feedback in the simulated operative environment would allow superior trainee performance compared with performance of the same basic skills tasks in a non-haptic model. Methods. Ten medical students with minimal laparoscopic experience and similar baseline skill levels as proven by performance of two fundamentals of laparoscopic surgery (FLS) tasks (peg transfer and cutting drills) voluntarily participated in the study. Each performed two tasks, analogous to the FLS drills, on the Laparoscopy VR at 3 levels of difficulty, based on the established settings of the manufacturer. After achieving familiarity with the device and tasks, the students completed the drills both with and without force feedback. Data on completion time, instrument path length, right and left hand errors, and grasping tension were analyzed. The scores in the haptic-enhanced simulation environment were compared with the scores in the non-haptic model and analyzed utilizing Student's t-test. Results. The peg transfer drill showed no difference in performance between the haptic and non-haptic simulations for all metrics at all three levels of difficulty. For the more complex cutting exercise, the time to complete the tasks was significantly shorter when force feedback was provided, at all levels of difficulty (158 ±56 versus 187 ± 51 s, 176 ± 49 versus 222 ± 68 s, and 275 ± 76 versus 422 ± 220 s, at levels 1, 2, and 3, respectively, P < 0.05). Data on instrument path length, grasping tension, and errors showed a trend toward a benefit from haptics at all difficulty levels, but this difference did not achieve statistical significance. Conclusions. In the more advanced tasks, haptics allowed superior precision, resulting in faster completion of tasks and a trend toward fewer technical errors. In the more basic tasks, haptic-enhanced simulation did not demonstrate an appreciable performance improvement among our trainees. These data suggest that the additional expense of haptic-enhanced laparoscopic simulators may be justified for advanced skill development in surgical trainees as simulator technology continues to improve.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B01</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B24E06</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Chirurgie</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Surgery</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Cirugía</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Rétroaction</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Feedback regulation</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Retroacción</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Boucle réaction</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Feedback</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Retroalimentación</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Laparoscopie</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Laparoscopy</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Laparoscopia</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Simulation</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Simulation</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Simulación</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Réalité virtuelle</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Virtual reality</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Realidad virtual</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Réalité augmentée</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Augmented reality</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Realidad aumentada</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Force</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Force</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Fuerza</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Médecine</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Medicine</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Medicina</s0>
<s5>12</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Traitement</s0>
<s5>25</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Treatment</s0>
<s5>25</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>25</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Endoscopie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Endoscopy</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Endoscopía</s0>
<s5>37</s5>
</fC07>
<fN21><s1>313</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/PascalFrancis/Curation

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000C93 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/PascalFrancis/Curation/biblio.hfd -nk 000C93 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Ticri/CIDE
   |area=    HapticV1
   |flux=    PascalFrancis
   |étape=   Curation
   |type=    RBID
   |clé=     Pascal:09-0433351
   |texte=   The Role of Haptic Feedback in Laparoscopic Simulation Training
}}

This area was generated with Dilib version V0.6.23.
Data generation: Mon Jun 13 01:09:46 2016. Site generation: Wed Mar 6 09:54:07 2024

	Serveur d'exploration sur les dispositifs haptiques
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration sur les dispositifs haptiques

The Role of Haptic Feedback in Laparoscopic Simulation Training

The Role of Haptic Feedback in Laparoscopic Simulation Training

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri