Objective Assessment of Laparoscopic Force and Psychomotor Skills in a Novel Virtual Reality-Based Haptic Simulator.
Identifieur interne : 004276 ( Ncbi/Merge ); précédent : 004275; suivant : 004277Objective Assessment of Laparoscopic Force and Psychomotor Skills in a Novel Virtual Reality-Based Haptic Simulator.
Auteurs : M S Raghu Prasad [Inde] ; Muniyandi Manivannan [Inde] ; Govindan Manoharan [Inde] ; S M Chandramohan [Inde]Source :
- Journal of surgical education [ 1878-7452 ] ; 2016.
Abstract
Most of the commercially available virtual reality-based laparoscopic simulators do not effectively evaluate combined psychomotor and force-based laparoscopic skills. Consequently, the lack of training on these critical skills leads to intraoperative errors.
DOI: 10.1016/j.jsurg.2016.04.009
PubMed: 27267563
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Objective Assessment of Laparoscopic Force and Psychomotor Skills in a Novel Virtual Reality-Based Haptic Simulator.</title><author><name sortKey="Prasad, M S Raghu" sort="Prasad, M S Raghu" uniqKey="Prasad M" first="M S Raghu" last="Prasad">M S Raghu Prasad</name><affiliation wicri:level="1"><nlm:affiliation>Haptics Lab, Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India. Electronic address: raghuprasad.m.s@gmail.com.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Haptics Lab, Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Manivannan, Muniyandi" sort="Manivannan, Muniyandi" uniqKey="Manivannan M" first="Muniyandi" last="Manivannan">Muniyandi Manivannan</name><affiliation wicri:level="1"><nlm:affiliation>Haptics Lab, Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India; Department of Bioengineering, Christian Medical College, Vellore, Tamil Nadu, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Haptics Lab, Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India; Department of Bioengineering, Christian Medical College, Vellore, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Manoharan, Govindan" sort="Manoharan, Govindan" uniqKey="Manoharan G" first="Govindan" last="Manoharan">Govindan Manoharan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgical Gastroenterology, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Surgical Gastroenterology, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Chandramohan, S M" sort="Chandramohan, S M" uniqKey="Chandramohan S" first="S M" last="Chandramohan">S M Chandramohan</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Surgical Gastroenterology, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Institute of Surgical Gastroenterology, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="doi">10.1016/j.jsurg.2016.04.009</idno><idno type="RBID">pubmed:27267563</idno><idno type="pmid">27267563</idno><idno type="wicri:Area/PubMed/Corpus">000001</idno><idno type="wicri:Area/PubMed/Curation">000001</idno><idno type="wicri:Area/PubMed/Checkpoint">000067</idno><idno type="wicri:Area/Ncbi/Merge">004276</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Objective Assessment of Laparoscopic Force and Psychomotor Skills in a Novel Virtual Reality-Based Haptic Simulator.</title><author><name sortKey="Prasad, M S Raghu" sort="Prasad, M S Raghu" uniqKey="Prasad M" first="M S Raghu" last="Prasad">M S Raghu Prasad</name><affiliation wicri:level="1"><nlm:affiliation>Haptics Lab, Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India. Electronic address: raghuprasad.m.s@gmail.com.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Haptics Lab, Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Manivannan, Muniyandi" sort="Manivannan, Muniyandi" uniqKey="Manivannan M" first="Muniyandi" last="Manivannan">Muniyandi Manivannan</name><affiliation wicri:level="1"><nlm:affiliation>Haptics Lab, Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India; Department of Bioengineering, Christian Medical College, Vellore, Tamil Nadu, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Haptics Lab, Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India; Department of Bioengineering, Christian Medical College, Vellore, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Manoharan, Govindan" sort="Manoharan, Govindan" uniqKey="Manoharan G" first="Govindan" last="Manoharan">Govindan Manoharan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgical Gastroenterology, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Surgical Gastroenterology, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Chandramohan, S M" sort="Chandramohan, S M" uniqKey="Chandramohan S" first="S M" last="Chandramohan">S M Chandramohan</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Surgical Gastroenterology, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Institute of Surgical Gastroenterology, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of surgical education</title><idno type="eISSN">1878-7452</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Most of the commercially available virtual reality-based laparoscopic simulators do not effectively evaluate combined psychomotor and force-based laparoscopic skills. Consequently, the lack of training on these critical skills leads to intraoperative errors.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">27267563</PMID><DateCreated><Year>2016</Year><Month>6</Month><Day>8</Day></DateCreated><DateRevised><Year>2016</Year><Month>6</Month><Day>8</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-7452</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2016</Year><Month>Jun</Month><Day>3</Day></PubDate></JournalIssue><Title>Journal of surgical education</Title><ISOAbbreviation>J Surg Educ</ISOAbbreviation></Journal><ArticleTitle>Objective Assessment of Laparoscopic Force and Psychomotor Skills in a Novel Virtual Reality-Based Haptic Simulator.</ArticleTitle><Pagination><MedlinePgn></MedlinePgn></Pagination><ELocationID EIdType="pii">S1931-7204(16)30022-8</ELocationID><ELocationID EIdType="doi">10.1016/j.jsurg.2016.04.009</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Most of the commercially available virtual reality-based laparoscopic simulators do not effectively evaluate combined psychomotor and force-based laparoscopic skills. Consequently, the lack of training on these critical skills leads to intraoperative errors.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To assess the effectiveness of the novel virtual reality-based simulator, this study analyzed the combined psychomotor (i.e., motion or movement) and force skills of residents and expert surgeons. The study also examined the effectiveness of real-time visual force feedback and tool motion during training.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Bimanual fundamental (i.e., probing, pulling, sweeping, grasping, and twisting) and complex tasks (i.e., tissue dissection) were evaluated. In both tasks, visual feedback on applied force and tool motion were provided. The skills of the participants while performing the early tasks were assessed with and without visual feedback. Participants performed 5 repetitions of fundamental and complex tasks. Reaction force and instrument acceleration were used as metrics.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Surgical Gastroenterology, Government Stanley Medical College and Hospital; Institute of Surgical Gastroenterology, Madras Medical College and Rajiv Gandhi Government General Hospital.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Residents (N = 25; postgraduates and surgeons with <2 years of laparoscopic surgery) and expert surgeons (N = 25; surgeons with >4 and ≤10 years of laparoscopic surgery).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Residents applied large forces compared with expert surgeons and performed abrupt tool movements (p < 0.001). However, visual + haptic feedback improved the performance of residents (p < 0.001). In complex tasks, visual + haptic feedback did not influence the applied force of expert surgeons, but influenced their tool motion (p < 0.001). Furthermore, in complex tissue sweeping task, expert surgeons applied more force, but were within the tissue damage limits. In both groups, exertion of large forces and abrupt tool motion were observed during grasping, probing or pulling, and tissue sweeping maneuvers (p < 0.001).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Modern day curriculum-based training should evaluate the skills of residents with robust force and psychomotor-based exercises for proficient laparoscopy. Visual feedback on force and motion during training has the potential to enhance the learning curve of residents.</AbstractText><CopyrightInformation>Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList><Author><LastName>Prasad</LastName><ForeName>M S Raghu</ForeName><Initials>MS</Initials><AffiliationInfo><Affiliation>Haptics Lab, Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India. Electronic address: raghuprasad.m.s@gmail.com.</Affiliation></AffiliationInfo></Author><Author><LastName>Manivannan</LastName><ForeName>Muniyandi</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Haptics Lab, Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India; Department of Bioengineering, Christian Medical College, Vellore, Tamil Nadu, India.</Affiliation></AffiliationInfo></Author><Author><LastName>Manoharan</LastName><ForeName>Govindan</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Surgical Gastroenterology, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu, India.</Affiliation></AffiliationInfo></Author><Author><LastName>Chandramohan</LastName><ForeName>S M</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>Institute of Surgical Gastroenterology, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ENG</Language><PublicationTypeList><PublicationType UI="">JOURNAL ARTICLE</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>6</Month><Day>3</Day></ArticleDate></Article><MedlineJournalInfo><MedlineTA>J Surg Educ</MedlineTA><NlmUniqueID>101303204</NlmUniqueID><ISSNLinking>1878-7452</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Medical Knowledge</Keyword><Keyword MajorTopicYN="N">Patient Care</Keyword><Keyword MajorTopicYN="N">Practice-Based Learning and Improvement</Keyword><Keyword MajorTopicYN="N">construct validity</Keyword><Keyword MajorTopicYN="N">force-based laparoscopic training</Keyword><Keyword MajorTopicYN="N">haptics</Keyword><Keyword MajorTopicYN="N">laparoscopic simulator</Keyword><Keyword MajorTopicYN="N">performance metric</Keyword><Keyword MajorTopicYN="N">virtual reality</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>10</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>4</Month><Day>9</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>4</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>6</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>6</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>6</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pii">S1931-7204(16)30022-8</ArticleId><ArticleId IdType="doi">10.1016/j.jsurg.2016.04.009</ArticleId><ArticleId IdType="pubmed">27267563</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Prasad, M S Raghu" sort="Prasad, M S Raghu" uniqKey="Prasad M" first="M S Raghu" last="Prasad">M S Raghu Prasad</name></noRegion><name sortKey="Chandramohan, S M" sort="Chandramohan, S M" uniqKey="Chandramohan S" first="S M" last="Chandramohan">S M Chandramohan</name><name sortKey="Manivannan, Muniyandi" sort="Manivannan, Muniyandi" uniqKey="Manivannan M" first="Muniyandi" last="Manivannan">Muniyandi Manivannan</name><name sortKey="Manoharan, Govindan" sort="Manoharan, Govindan" uniqKey="Manoharan G" first="Govindan" last="Manoharan">Govindan Manoharan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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