Laparoscopic Surgery poses significant complexity in hand-eye coordination to the surgeon. In order to improve their proficiency beyond the limited exposure in the operating theatre, surgeons need to practice on laparoscopic trainers. We have constructed a robotic laparoscopic trainer with identical degrees of freedom and range of motion as a conventional laparoscopic instrument. We hypothesize that active robotic assistance through a laparoscopic trainer improves training efficacy as compared to autonomous practice. In order to test the hypothesis, we have divided the subjects into two groups. The control group practiced on two laparoscopic tasks manually without feedback or supervision. The other group practiced on the same tasks with robotic assistance. Results from the robot-assisted group show that tool orientation (pitch and yaw joint motion) in the pointing task improved by more than 15%.
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http://dx.doi.org/10.1109/IEMBS.2011.6091123 | DOI Listing |
J Surg Res
January 2025
Department of Surgery, Amsterdam UMC, Location Vrije Universiteit, Amsterdam, The Netherlands; Cancer Center Amsterdam, Amsterdam, The Netherlands.
Introduction: Laparoscopic intestinal anastomosis requires specific technical skills and should be trained in a safe simulation environment before performing surgery in daily practice. However, anastomosis simulation training with objective feedback is not widely available. This study aimed to analyze a laparoscopic intestinal anastomosis training task that utilizes objective force, motion, and time measurements.
View Article and Find Full Text PDFHeliyon
December 2024
Department of Pediatric and Adolescent surgery, University Hospital of Rouen, 76000, Rouen, France.
Background: The quality of gynaecological surgical training has faced mounting criticism internationally with multiple countries publishing potential remedies for improvement. Simulation has the indisputable ability to mitigate against training deficiencies, however, access to and the quality of simulation varies across regions, never mind nations.
Objectives: To assess the effect on surgical skills by the introduction of a structured and integrated simulation programme with the unique aspect of being completely free of cost with the provision of a take-home laparoscopy box trainer (LBT).
Cureus
December 2024
Department of Surgical Science, Barts Cancer Institute, Queen Mary University of London, London, GBR.
Laparoscopic surgery has now become the gold standard in managing most surgical cases. Despite its advantages, working hours and in-theatre training restrictions have prompted trainees to explore alternatives like virtual reality (VR) simulations and box training. Furthermore, given the increased frequency of minimally invasive surgery and the prevalence of musculoskeletal issues among surgeons, there's a growing effort to optimize ergonomics.
View Article and Find Full Text PDFVet Surg
December 2024
Department of Veterinary Clinical Sciences, Washington State University, Pullman, Washington, USA.
Objective: To compare novices' performance on simulated laparoscopic tasks with a box trainer and virtual reality (VR) trainer before and after training on one system, and to compare performance between groups following training.
Study Design: Randomized, prospective study.
Sample Population: Twelve veterinary students without prior hands-on laparoscopic experience were randomly assigned to the box or VR training group.
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