Simulating video-assisted thoracoscopic lobectomy: a virtual reality cognitive task simulation.
Identifieur interne : 000F86 ( PubMed/Corpus ); précédent : 000F85; suivant : 000F87Simulating video-assisted thoracoscopic lobectomy: a virtual reality cognitive task simulation.
Auteurs : Brian Solomon ; Costas Bizekis ; Sophia L. Dellis ; Jessica S. Donington ; Aaron Oliker ; Leora B. Balsam ; Michael Zervos ; Aubrey C. Galloway ; Harvey Pass ; Eugene A. GrossiSource :
- The Journal of thoracic and cardiovascular surgery [ 1097-685X ] ; 2011.
English descriptors
- KwdEn :
- Clinical Competence, Cognition, Computer Graphics, Computer Simulation, Computer-Assisted Instruction, Dissection (education), Education, Medical, Graduate (methods), Humans, Models, Anatomic, Models, Cardiovascular, Motor Skills, Patient Positioning, Pneumonectomy (education), Pneumonectomy (instrumentation), Surgical Staplers, Thoracic Surgery, Video-Assisted (education), Thoracic Surgery, Video-Assisted (instrumentation), Thoracoscopes.
- MESH :
- education : Dissection, Pneumonectomy, Thoracic Surgery, Video-Assisted.
- instrumentation : Pneumonectomy, Thoracic Surgery, Video-Assisted.
- methods : Education, Medical, Graduate.
- Clinical Competence, Cognition, Computer Graphics, Computer Simulation, Computer-Assisted Instruction, Humans, Models, Anatomic, Models, Cardiovascular, Motor Skills, Patient Positioning, Surgical Staplers, Thoracoscopes.
Abstract
Current video-assisted thoracoscopic surgery training models rely on animals or mannequins to teach procedural skills. These approaches lack inherent teaching/testing capability and are limited by cost, anatomic variations, and single use. In response, we hypothesized that video-assisted thoracoscopic surgery right upper lobe resection could be simulated in a virtual reality environment with commercial software.
DOI: 10.1016/j.jtcvs.2010.09.014
PubMed: 21168026
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Simulating video-assisted thoracoscopic lobectomy: a virtual reality cognitive task simulation.</title><author><name sortKey="Solomon, Brian" sort="Solomon, Brian" uniqKey="Solomon B" first="Brian" last="Solomon">Brian Solomon</name><affiliation><nlm:affiliation>Department of Cardiothoracic Surgery, New York University School of Medicine, New York, NY, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Bizekis, Costas" sort="Bizekis, Costas" uniqKey="Bizekis C" first="Costas" last="Bizekis">Costas Bizekis</name></author><author><name sortKey="Dellis, Sophia L" sort="Dellis, Sophia L" uniqKey="Dellis S" first="Sophia L" last="Dellis">Sophia L. Dellis</name></author><author><name sortKey="Donington, Jessica S" sort="Donington, Jessica S" uniqKey="Donington J" first="Jessica S" last="Donington">Jessica S. Donington</name></author><author><name sortKey="Oliker, Aaron" sort="Oliker, Aaron" uniqKey="Oliker A" first="Aaron" last="Oliker">Aaron Oliker</name></author><author><name sortKey="Balsam, Leora B" sort="Balsam, Leora B" uniqKey="Balsam L" first="Leora B" last="Balsam">Leora B. Balsam</name></author><author><name sortKey="Zervos, Michael" sort="Zervos, Michael" uniqKey="Zervos M" first="Michael" last="Zervos">Michael Zervos</name></author><author><name sortKey="Galloway, Aubrey C" sort="Galloway, Aubrey C" uniqKey="Galloway A" first="Aubrey C" last="Galloway">Aubrey C. Galloway</name></author><author><name sortKey="Pass, Harvey" sort="Pass, Harvey" uniqKey="Pass H" first="Harvey" last="Pass">Harvey Pass</name></author><author><name sortKey="Grossi, Eugene A" sort="Grossi, Eugene A" uniqKey="Grossi E" first="Eugene A" last="Grossi">Eugene A. Grossi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="doi">10.1016/j.jtcvs.2010.09.014</idno><idno type="RBID">pubmed:21168026</idno><idno type="pmid">21168026</idno><idno type="wicri:Area/PubMed/Corpus">000F86</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Simulating video-assisted thoracoscopic lobectomy: a virtual reality cognitive task simulation.</title><author><name sortKey="Solomon, Brian" sort="Solomon, Brian" uniqKey="Solomon B" first="Brian" last="Solomon">Brian Solomon</name><affiliation><nlm:affiliation>Department of Cardiothoracic Surgery, New York University School of Medicine, New York, NY, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Bizekis, Costas" sort="Bizekis, Costas" uniqKey="Bizekis C" first="Costas" last="Bizekis">Costas Bizekis</name></author><author><name sortKey="Dellis, Sophia L" sort="Dellis, Sophia L" uniqKey="Dellis S" first="Sophia L" last="Dellis">Sophia L. Dellis</name></author><author><name sortKey="Donington, Jessica S" sort="Donington, Jessica S" uniqKey="Donington J" first="Jessica S" last="Donington">Jessica S. Donington</name></author><author><name sortKey="Oliker, Aaron" sort="Oliker, Aaron" uniqKey="Oliker A" first="Aaron" last="Oliker">Aaron Oliker</name></author><author><name sortKey="Balsam, Leora B" sort="Balsam, Leora B" uniqKey="Balsam L" first="Leora B" last="Balsam">Leora B. Balsam</name></author><author><name sortKey="Zervos, Michael" sort="Zervos, Michael" uniqKey="Zervos M" first="Michael" last="Zervos">Michael Zervos</name></author><author><name sortKey="Galloway, Aubrey C" sort="Galloway, Aubrey C" uniqKey="Galloway A" first="Aubrey C" last="Galloway">Aubrey C. Galloway</name></author><author><name sortKey="Pass, Harvey" sort="Pass, Harvey" uniqKey="Pass H" first="Harvey" last="Pass">Harvey Pass</name></author><author><name sortKey="Grossi, Eugene A" sort="Grossi, Eugene A" uniqKey="Grossi E" first="Eugene A" last="Grossi">Eugene A. Grossi</name></author></analytic><series><title level="j">The Journal of thoracic and cardiovascular surgery</title><idno type="eISSN">1097-685X</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clinical Competence</term><term>Cognition</term><term>Computer Graphics</term><term>Computer Simulation</term><term>Computer-Assisted Instruction</term><term>Dissection (education)</term><term>Education, Medical, Graduate (methods)</term><term>Humans</term><term>Models, Anatomic</term><term>Models, Cardiovascular</term><term>Motor Skills</term><term>Patient Positioning</term><term>Pneumonectomy (education)</term><term>Pneumonectomy (instrumentation)</term><term>Surgical Staplers</term><term>Thoracic Surgery, Video-Assisted (education)</term><term>Thoracic Surgery, Video-Assisted (instrumentation)</term><term>Thoracoscopes</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Dissection</term><term>Pneumonectomy</term><term>Thoracic Surgery, Video-Assisted</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Pneumonectomy</term><term>Thoracic Surgery, Video-Assisted</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Education, Medical, Graduate</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Clinical Competence</term><term>Cognition</term><term>Computer Graphics</term><term>Computer Simulation</term><term>Computer-Assisted Instruction</term><term>Humans</term><term>Models, Anatomic</term><term>Models, Cardiovascular</term><term>Motor Skills</term><term>Patient Positioning</term><term>Surgical Staplers</term><term>Thoracoscopes</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Current video-assisted thoracoscopic surgery training models rely on animals or mannequins to teach procedural skills. These approaches lack inherent teaching/testing capability and are limited by cost, anatomic variations, and single use. In response, we hypothesized that video-assisted thoracoscopic surgery right upper lobe resection could be simulated in a virtual reality environment with commercial software.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21168026</PMID><DateCreated><Year>2010</Year><Month>12</Month><Day>20</Day></DateCreated><DateCompleted><Year>2011</Year><Month>01</Month><Day>13</Day></DateCompleted><DateRevised><Year>2012</Year><Month>05</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1097-685X</ISSN><JournalIssue CitedMedium="Internet"><Volume>141</Volume><Issue>1</Issue><PubDate><Year>2011</Year><Month>Jan</Month></PubDate></JournalIssue><Title>The Journal of thoracic and cardiovascular surgery</Title><ISOAbbreviation>J. Thorac. Cardiovasc. Surg.</ISOAbbreviation></Journal><ArticleTitle>Simulating video-assisted thoracoscopic lobectomy: a virtual reality cognitive task simulation.</ArticleTitle><Pagination><MedlinePgn>249-55</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jtcvs.2010.09.014</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Current video-assisted thoracoscopic surgery training models rely on animals or mannequins to teach procedural skills. These approaches lack inherent teaching/testing capability and are limited by cost, anatomic variations, and single use. In response, we hypothesized that video-assisted thoracoscopic surgery right upper lobe resection could be simulated in a virtual reality environment with commercial software.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">An anatomy explorer (Maya [Autodesk Inc, San Rafael, Calif] models of the chest and hilar structures) and simulation engine were adapted. Design goals included freedom of port placement, incorporation of well-known anatomic variants, teaching and testing modes, haptic feedback for the dissection, ability to perform the anatomic divisions, and a portable platform.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Preexisting commercial models did not provide sufficient surgical detail, and extensive modeling modifications were required. Video-assisted thoracoscopic surgery right upper lobe resection simulation is initiated with a random vein and artery variation. The trainee proceeds in a teaching or testing mode. A knowledge database currently includes 13 anatomic identifications and 20 high-yield lung cancer learning points. The "patient" is presented in the left lateral decubitus position. After initial camera port placement, the endoscopic view is displayed and the thoracoscope is manipulated via the haptic device. The thoracoscope port can be relocated; additional ports are placed using an external "operating room" view. Unrestricted endoscopic exploration of the thorax is allowed. An endo-dissector tool allows for hilar dissection, and a virtual stapling device divides structures. The trainee's performance is reported.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A virtual reality cognitive task simulation can overcome the deficiencies of existing training models. Performance scoring is being validated as we assess this simulator for cognitive and technical surgical education.</AbstractText><CopyrightInformation>Copyright © 2011. Published by Mosby, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Solomon</LastName><ForeName>Brian</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Cardiothoracic Surgery, New York University School of Medicine, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bizekis</LastName><ForeName>Costas</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Dellis</LastName><ForeName>Sophia L</ForeName><Initials>SL</Initials></Author><Author ValidYN="Y"><LastName>Donington</LastName><ForeName>Jessica S</ForeName><Initials>JS</Initials></Author><Author ValidYN="Y"><LastName>Oliker</LastName><ForeName>Aaron</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Balsam</LastName><ForeName>Leora B</ForeName><Initials>LB</Initials></Author><Author ValidYN="Y"><LastName>Zervos</LastName><ForeName>Michael</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Galloway</LastName><ForeName>Aubrey C</ForeName><Initials>AC</Initials></Author><Author ValidYN="Y"><LastName>Pass</LastName><ForeName>Harvey</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Grossi</LastName><ForeName>Eugene A</ForeName><Initials>EA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Thorac Cardiovasc Surg</MedlineTA><NlmUniqueID>0376343</NlmUniqueID><ISSNLinking>0022-5223</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Thorac Cardiovasc Surg. 2011 Jul;142(1):243-4</RefSource><PMID Version="1">21683850</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>J Thorac Cardiovasc Surg. 2012 May;143(5):1232-4</RefSource><PMID Version="1">22500598</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002983">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D003071">Cognition</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003196">Computer Graphics</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D003198">Computer Simulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D003194">Computer-Assisted Instruction</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004210">Dissection</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000193">education</QualifierName></MeshHeading><MeshHeading><DescriptorName 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Staplers</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020775">Thoracic Surgery, Video-Assisted</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000193">education</QualifierName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020708">Thoracoscopes</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2010</Year><Month>6</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2010</Year><Month>8</Month><Day>5</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2010</Year><Month>9</Month><Day>9</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>12</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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