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The impact of haptic learning in telemanipulator-assisted surgery.

Identifieur interne : 000C98 ( Ncbi/Merge ); précédent : 000C97; suivant : 000C99

The impact of haptic learning in telemanipulator-assisted surgery.

Auteurs : Stephan Jacobs [Allemagne] ; David Holzhey ; Gero Strauss ; Oliver Burgert ; Volkmar Falk

Source :

RBID : pubmed:18049401

English descriptors

Abstract

The use of a telemanipulator requires special training and surgical performance is associated with a learning curve. The aim of this study was to demonstrate the potential value of Haptic-Visual over Visual-Only passive Training in telemanipulator-assisted surgery.

DOI: 10.1097/SLE.0b013e3180f60c23
PubMed: 18049401

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Le document en format XML

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<title xml:lang="en">The impact of haptic learning in telemanipulator-assisted surgery.</title>
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<name sortKey="Jacobs, Stephan" sort="Jacobs, Stephan" uniqKey="Jacobs S" first="Stephan" last="Jacobs">Stephan Jacobs</name>
<affiliation wicri:level="1">
<nlm:affiliation>Herzzentrum Leipzig, Department of Heartsurgery, University Leipzig, Germany. stjacobs@aol.com</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Herzzentrum Leipzig, Department of Heartsurgery, University Leipzig</wicri:regionArea>
<wicri:noRegion>University Leipzig</wicri:noRegion>
<wicri:noRegion>University Leipzig</wicri:noRegion>
<wicri:noRegion>University Leipzig</wicri:noRegion>
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<name sortKey="Holzhey, David" sort="Holzhey, David" uniqKey="Holzhey D" first="David" last="Holzhey">David Holzhey</name>
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<name sortKey="Strauss, Gero" sort="Strauss, Gero" uniqKey="Strauss G" first="Gero" last="Strauss">Gero Strauss</name>
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<name sortKey="Burgert, Oliver" sort="Burgert, Oliver" uniqKey="Burgert O" first="Oliver" last="Burgert">Oliver Burgert</name>
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<name sortKey="Falk, Volkmar" sort="Falk, Volkmar" uniqKey="Falk V" first="Volkmar" last="Falk">Volkmar Falk</name>
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<title level="j">Surgical laparoscopy, endoscopy & percutaneous techniques</title>
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<term>Learning</term>
<term>Man-Machine Systems</term>
<term>Models, Anatomic</term>
<term>Models, Structural</term>
<term>Reproducibility of Results</term>
<term>Robotics</term>
<term>Surgical Procedures, Operative (education)</term>
<term>Surgical Procedures, Operative (methods)</term>
<term>Telemetry (instrumentation)</term>
<term>Video Recording</term>
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<keywords scheme="MESH" qualifier="education" xml:lang="en">
<term>General Surgery</term>
<term>Surgical Procedures, Operative</term>
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<term>Telemetry</term>
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<term>Surgical Procedures, Operative</term>
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<term>Educational Measurement</term>
<term>Humans</term>
<term>Learning</term>
<term>Man-Machine Systems</term>
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<div type="abstract" xml:lang="en">The use of a telemanipulator requires special training and surgical performance is associated with a learning curve. The aim of this study was to demonstrate the potential value of Haptic-Visual over Visual-Only passive Training in telemanipulator-assisted surgery.</div>
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<Month>Oct</Month>
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<Title>Surgical laparoscopy, endoscopy & percutaneous techniques</Title>
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<ArticleTitle>The impact of haptic learning in telemanipulator-assisted surgery.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The use of a telemanipulator requires special training and surgical performance is associated with a learning curve. The aim of this study was to demonstrate the potential value of Haptic-Visual over Visual-Only passive Training in telemanipulator-assisted surgery.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Two telemanipulator consoles (da Vinci, Intuitive Surgical) were linked through an Application Programer's Interface allowing the applicant at the training console to register the position and passively follow the motions of the instructor's master telemanipulators (MTMs) at the master console (Haptic-Visual Learning group, HVL). The applicant could not actively interfere with the MTM movements. Both the trainee and the instructor shared the same 3-dimensional vision. Alternatively, subjects received only standard visual training without touching the MTMs (Visual-Only Learning group, VL). A standardized demonstration of tasks and the system was given for both groups. Participants (n=20) without previous experience with telemanipulation performed a set of various tasks in a randomized order. Study end points were time and accuracy required to perform the different task.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The first task, with moving items to appropriate locations, showed differences in time to perform the task [mean: 4:06 min (HVL) vs. 5:16 min (VL) (P=0.2)] and accuracy differed among groups [mean number of errors 1.7 (VL) vs. 1.3 (HVL) P=0.38]. With more challenging tasks [cut out round figures (cut) and performing double dot suture lines (sti)] the number of errors was less in the HVL group [mean: 1.1 errors (cut) (P=0.05) and 1.8 errors (sti) (P=0.26)] compared with the VL group [mean: 1.8 errors (cut) and 2.3 errors (sti)]. In addition, the time to perform the tasks decreased in the HVL group with mean: 5.42 minutes (cut) (P=0.26) and 9.41 minutes (sti) (P=0.36) compared with the VL group with mean: 7.09 minutes (cut) and 11.43 minutes (sti).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study demonstrated the impact of haptic-visual passive learning in telemanipulator-assisted surgery which may alter the training for telemanipulator-assisted endoscopic procedures.</AbstractText>
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