Objective differentiation of force-based laparoscopic skills using a novel haptic simulator.
Identifieur interne : 002311 ( PubMed/Checkpoint ); précédent : 002310; suivant : 002312Objective differentiation of force-based laparoscopic skills using a novel haptic simulator.
Auteurs : Ravikiran B. Singapogu [États-Unis] ; Dane E. Smith ; Lindsay O. Long ; Timothy C. Burg ; Christopher C. Pagano ; Karen J L. BurgSource :
- Journal of surgical education [ 1878-7452 ]
English descriptors
- KwdEn :
- MESH :
- education : Laparoscopy.
- Clinical Competence, Computer Simulation, Mechanical Phenomena, Touch.
Abstract
There is a growing need for effective surgical simulators to train the novice resident with a core skill set that can be later used in advanced operating room training. The most common simulator-based laparoscopic skills curriculum, the Fundamentals of Laparoscopic Skills (FLS), has been demonstrated to effectively teach basic surgical skills; however, a key deficiency in current surgical simulators is lack of validated training for force-based or haptic skills. In this study, a novel haptic simulator was examined for construct validity by determining its ability to differentiate between the force skills of surgeons and novices.
DOI: 10.1016/j.jsurg.2012.07.008
PubMed: 23111044
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Objective differentiation of force-based laparoscopic skills using a novel haptic simulator.</title><author><name sortKey="Singapogu, Ravikiran B" sort="Singapogu, Ravikiran B" uniqKey="Singapogu R" first="Ravikiran B" last="Singapogu">Ravikiran B. Singapogu</name><affiliation wicri:level="2"><nlm:affiliation>Institute for Biological Interfaces of Engineering, Clemson, SC, USA. rsingap@clemson.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Institute for Biological Interfaces of Engineering, Clemson, SC</wicri:regionArea><placeName><region type="state">Caroline du Sud</region></placeName></affiliation></author><author><name sortKey="Smith, Dane E" sort="Smith, Dane E" uniqKey="Smith D" first="Dane E" last="Smith">Dane E. Smith</name></author><author><name sortKey="Long, Lindsay O" sort="Long, Lindsay O" uniqKey="Long L" first="Lindsay O" last="Long">Lindsay O. Long</name></author><author><name sortKey="Burg, Timothy C" sort="Burg, Timothy C" uniqKey="Burg T" first="Timothy C" last="Burg">Timothy C. Burg</name></author><author><name sortKey="Pagano, Christopher C" sort="Pagano, Christopher C" uniqKey="Pagano C" first="Christopher C" last="Pagano">Christopher C. Pagano</name></author><author><name sortKey="Burg, Karen J L" sort="Burg, Karen J L" uniqKey="Burg K" first="Karen J L" last="Burg">Karen J L. Burg</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2012 Nov-Dec</MedlineDate></PubDate></date><idno type="doi">10.1016/j.jsurg.2012.07.008</idno><idno type="RBID">pubmed:23111044</idno><idno type="pmid">23111044</idno><idno type="wicri:Area/PubMed/Corpus">000B10</idno><idno type="wicri:Area/PubMed/Curation">000B10</idno><idno type="wicri:Area/PubMed/Checkpoint">002311</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Objective differentiation of force-based laparoscopic skills using a novel haptic simulator.</title><author><name sortKey="Singapogu, Ravikiran B" sort="Singapogu, Ravikiran B" uniqKey="Singapogu R" first="Ravikiran B" last="Singapogu">Ravikiran B. Singapogu</name><affiliation wicri:level="2"><nlm:affiliation>Institute for Biological Interfaces of Engineering, Clemson, SC, USA. rsingap@clemson.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Institute for Biological Interfaces of Engineering, Clemson, SC</wicri:regionArea><placeName><region type="state">Caroline du Sud</region></placeName></affiliation></author><author><name sortKey="Smith, Dane E" sort="Smith, Dane E" uniqKey="Smith D" first="Dane E" last="Smith">Dane E. Smith</name></author><author><name sortKey="Long, Lindsay O" sort="Long, Lindsay O" uniqKey="Long L" first="Lindsay O" last="Long">Lindsay O. Long</name></author><author><name sortKey="Burg, Timothy C" sort="Burg, Timothy C" uniqKey="Burg T" first="Timothy C" last="Burg">Timothy C. Burg</name></author><author><name sortKey="Pagano, Christopher C" sort="Pagano, Christopher C" uniqKey="Pagano C" first="Christopher C" last="Pagano">Christopher C. Pagano</name></author><author><name sortKey="Burg, Karen J L" sort="Burg, Karen J L" uniqKey="Burg K" first="Karen J L" last="Burg">Karen J L. Burg</name></author></analytic><series><title level="j">Journal of surgical education</title><idno type="eISSN">1878-7452</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clinical Competence</term><term>Computer Simulation</term><term>Laparoscopy (education)</term><term>Mechanical Phenomena</term><term>Touch</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Laparoscopy</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Clinical Competence</term><term>Computer Simulation</term><term>Mechanical Phenomena</term><term>Touch</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There is a growing need for effective surgical simulators to train the novice resident with a core skill set that can be later used in advanced operating room training. The most common simulator-based laparoscopic skills curriculum, the Fundamentals of Laparoscopic Skills (FLS), has been demonstrated to effectively teach basic surgical skills; however, a key deficiency in current surgical simulators is lack of validated training for force-based or haptic skills. In this study, a novel haptic simulator was examined for construct validity by determining its ability to differentiate between the force skills of surgeons and novices.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">23111044</PMID><DateCreated><Year>2012</Year><Month>10</Month><Day>31</Day></DateCreated><DateCompleted><Year>2013</Year><Month>04</Month><Day>22</Day></DateCompleted><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-7452</ISSN><JournalIssue CitedMedium="Internet"><Volume>69</Volume><Issue>6</Issue><PubDate><MedlineDate>2012 Nov-Dec</MedlineDate></PubDate></JournalIssue><Title>Journal of surgical education</Title><ISOAbbreviation>J Surg Educ</ISOAbbreviation></Journal><ArticleTitle>Objective differentiation of force-based laparoscopic skills using a novel haptic simulator.</ArticleTitle><Pagination><MedlinePgn>766-73</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jsurg.2012.07.008</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1931-7204(12)00189-4</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">There is a growing need for effective surgical simulators to train the novice resident with a core skill set that can be later used in advanced operating room training. The most common simulator-based laparoscopic skills curriculum, the Fundamentals of Laparoscopic Skills (FLS), has been demonstrated to effectively teach basic surgical skills; however, a key deficiency in current surgical simulators is lack of validated training for force-based or haptic skills. In this study, a novel haptic simulator was examined for construct validity by determining its ability to differentiate between the force skills of surgeons and novices.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A total of 34 participants enrolled in the study and were divided into two groups: novices, with no previous surgical experience and surgeons, with some level of surgical experience (including upper level residents and attendings). All participants performed a force-based task using grasping, probing, or sweeping motions with laparoscopic tools on the simulator. In the first session, participants were given 3 trials to learn specific forces associated with locations on a graphic; after this, they were asked to reproduce forces at each of the locations in random order. A force-based metric (score) was used to record performance.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">On probing and grasping tasks, novices applied significantly greater overall forces than surgeons. When analyzed by force levels, novices applied greater forces on the probing task at lower and mid-range forces, for grasping at low-range forces ranges and, for sweeping at high-range forces.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The haptic simulator successfully differentiated between novice and surgeon force skill level at specific ranges for all 3 salient haptic tasks, establishing initial construct validity of the haptic simulator. Based on these results, force-based simulator metrics may be used to objectively measure haptic skill level and potentially train residents. Haptic simulator development should focus on the 3 salient haptic skills (grasping, probing, and sweeping) where precise force application is necessary for successful task outcomes.</AbstractText><CopyrightInformation>Copyright © 2012 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Singapogu</LastName><ForeName>Ravikiran B</ForeName><Initials>RB</Initials><AffiliationInfo><Affiliation>Institute for Biological Interfaces of Engineering, Clemson, SC, USA. rsingap@clemson.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Dane E</ForeName><Initials>DE</Initials></Author><Author ValidYN="Y"><LastName>Long</LastName><ForeName>Lindsay O</ForeName><Initials>LO</Initials></Author><Author ValidYN="Y"><LastName>Burg</LastName><ForeName>Timothy C</ForeName><Initials>TC</Initials></Author><Author ValidYN="Y"><LastName>Pagano</LastName><ForeName>Christopher C</ForeName><Initials>CC</Initials></Author><Author ValidYN="Y"><LastName>Burg</LastName><ForeName>Karen J L</ForeName><Initials>KJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>09</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Surg Educ</MedlineTA><NlmUniqueID>101303204</NlmUniqueID><ISSNLinking>1878-7452</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D002983">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D003198">Computer Simulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010535">Laparoscopy</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000193">education</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D055595">Mechanical Phenomena</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014110">Touch</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>3</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2012</Year><Month>7</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>7</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2012</Year><Month>9</Month><Day>5</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>11</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>11</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>4</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">S1931-7204(12)00189-4</ArticleId><ArticleId IdType="doi">10.1016/j.jsurg.2012.07.008</ArticleId><ArticleId IdType="pubmed">23111044</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Caroline du Sud</li></region></list><tree><noCountry><name sortKey="Burg, Karen J L" sort="Burg, Karen J L" uniqKey="Burg K" first="Karen J L" last="Burg">Karen J L. Burg</name><name sortKey="Burg, Timothy C" sort="Burg, Timothy C" uniqKey="Burg T" first="Timothy C" last="Burg">Timothy C. Burg</name><name sortKey="Long, Lindsay O" sort="Long, Lindsay O" uniqKey="Long L" first="Lindsay O" last="Long">Lindsay O. Long</name><name sortKey="Pagano, Christopher C" sort="Pagano, Christopher C" uniqKey="Pagano C" first="Christopher C" last="Pagano">Christopher C. Pagano</name><name sortKey="Smith, Dane E" sort="Smith, Dane E" uniqKey="Smith D" first="Dane E" last="Smith">Dane E. Smith</name></noCountry><country name="États-Unis"><region name="Caroline du Sud"><name sortKey="Singapogu, Ravikiran B" sort="Singapogu, Ravikiran B" uniqKey="Singapogu R" first="Ravikiran B" last="Singapogu">Ravikiran B. Singapogu</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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