A Multicenter Prospective Cohort Study on Camera Navigation Training for Key User Groups in Minimally Invasive Surgery

Graafland, Maurits; Bok, Kiki; Schreuder, Henk W.R.; Schijven, Marlies P.

doi:10.1177/1553350613505714

Cited by 14 publications

(23 citation statements)

References 26 publications

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“…Therefore, an AI-based surgical assistant system for AISS could be a great solution in university hospitals where resident working hours are regulated (eg, 80-hour resident special act in Korea and The European Working Time Directive in Europe) [ 18 , 20 ]. Of course, there may be some opinions concerning undertraining of residents, but the introduction of educational tools, such as simulation training systems, is a possible alternative [ 17 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical Desire for an Artificial Intelligence–Based Surgical Assistant System: Electronic Survey–Based Study

et al. 2020

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Background Techniques utilizing artificial intelligence (AI) are rapidly growing in medical research and development, especially in the operating room. However, the application of AI in the operating room has been limited to small tasks or software, such as clinical decision systems. It still largely depends on human resources and technology involving the surgeons’ hands. Therefore, we conceptualized AI-based solo surgery (AISS) defined as laparoscopic surgery conducted by only one surgeon with support from an AI-based surgical assistant system, and we performed an electronic survey on the clinical desire for such a system. Objective This study aimed to evaluate the experiences of surgeons who have performed laparoscopic surgery, the limitations of conventional laparoscopic surgical systems, and the desire for an AI-based surgical assistant system for AISS. Methods We performed an online survey for gynecologists, urologists, and general surgeons from June to August 2017. The questionnaire consisted of six items about experience, two about limitations, and five about the clinical desire for an AI-based surgical assistant system for AISS. Results A total of 508 surgeons who have performed laparoscopic surgery responded to the survey. Most of the surgeons needed two or more assistants during laparoscopic surgery, and the rate was higher among gynecologists (251/278, 90.3%) than among general surgeons (123/173, 71.1%) and urologists (35/57, 61.4%). The majority of responders answered that the skillfulness of surgical assistants was “very important” or “important.” The most uncomfortable aspect of laparoscopic surgery was unskilled movement of the camera (431/508, 84.8%) and instruments (303/508, 59.6%). About 40% (199/508, 39.1%) of responders answered that the AI-based surgical assistant system could substitute 41%-60% of the current workforce, and 83.3% (423/508) showed willingness to buy the system. Furthermore, the most reasonable price was US $30,000-50,000. Conclusions Surgeons who perform laparoscopic surgery may feel discomfort with the conventional laparoscopic surgical system in terms of assistant skillfulness, and they may think that the skillfulness of surgical assistants is essential. They desire to alleviate present inconveniences with the conventional laparoscopic surgical system and to perform a safe and comfortable operation by using an AI-based surgical assistant system for AISS.

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Section: Discussionmentioning

confidence: 99%

Clinical Desire for an Artificial Intelligence–Based Surgical Assistant System: Electronic Survey–Based Study

et al. 2020

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“…In human medicine, validated surgical simulators train and assess camera navigation both directly and indirectly. The latter incorporates exercises designed to establish a broad set of psychomotor skills, while facing the fulcrum effect, restricted instrument movements, and a loss of depth perception …”

Section: Introductionmentioning

confidence: 99%

Investigating laparoscopic psychomotor skills in veterinarians and veterinary technicians

et al. 2017

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Objectives: To determine the influence of age, year of graduation, and video game experience on baseline laparoscopic psychomotor skills.Study Design: Cross-sectional. Sample Population: Licensed veterinarians (n 5 38) and registered veterinary technicians (VTs) (n 5 49).Methods: A laparoscopic box trainer was set up at the 2016 Ontario Veterinary Medical Association (OVMA) and the 2016 Ontario Association of Veterinary Technicians (OAVT) conferences held in Toronto, Ontario, Canada. Participants volunteered to perform a single repetition of a peg transfer (PT) exercise. Participants were given a short demonstration of the PT task prior to testing. A Spearman's rank correlation (r s ) was used to identify associations between baseline psychomotor skills and self-reported surgical and non-surgical experiences collected via survey. MannWhitney U tests were used to compare PT scores in veterinarians and VTs. A P-value of < .05 was considered significant. Results:The mean age of participants was 36 years (range 21-67) and the majority were female (83%). In veterinarians, PT scores were highest in the most recent graduates (P 5 .01, r s 5 0.42), and PT scores increased with self-reported VG experience (P 5 .02, r s 5 0.38). PT scores correlated inversely with age (P 5 .02, r s 5 20.37). No associations were observed in VTs (P > .05). Veterinary technicians that frequently used chopsticks scored higher than those without chopstick experience (P 5 .04).Conclusions: Age and year of graduation correlated inversely, while self-reported VG experience correlated positively with laparoscopic psychomotor skills of veterinarians, when assessed on a simulator. The use of chopsticks may contribute to the acquisition of psychomotor skills in VTs.

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“…In the last few decades, progress and innovation in all branches of surgery, especially minimally invasive surgeries, have been very significant, and new technologies and techniques have replaced traditional methods in surgical procedures (1). Laparoscopy is a series of minimally invasive surgeries in which the surgeon performs surgical interventions through small incisions in the abdominal wall using long instruments.…”

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confidence: 99%

“…Although anatomical vision has improved in laparoscopic surgery, the risk of postoperative complications and patient mortality has increased due to technical errors during surgery. Untrained surgical assistants do not provide good vision for the surgeon and the surgical team, which increases the errors of the surgical team and consequently reduces the patient's safety (1). In laparoscopic surgery, there is no freedom of the hands, a direct touch of the viscera, and three-dimensional vision.…”

mentioning

confidence: 99%

Effect of the Fundamentals of Laparoscopic Surgery Curriculum on Skills of Operating Room Technology Students: An Interventional Study

Hannani¹,

Sadati²,

Azadi³

et al. 2022

J Med Edu

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Background: In a laparoscopic surgery team, a surgical technologist as a skillful assistant surgeon is responsible for camera navigation and peg transfer. Objectives: We assessed the effect of the fundamentals of laparoscopic surgery curriculum on improving the skills of surgical technology students in camera navigation, pattern cutting, and peg transfer. Methods: A study was conducted on 30 surgical technology students at the Iran University of Medical Sciences based on Kern's six-step model. After assessing the needs and defining the educational goals, the course content was determined. Afterward, students were trained in a simulation-based learning environment. Then, in the evaluation stage, using the standard task completion time (TCT) tool, their competence in performing the three skills was evaluated. The results of the first comprehensive attempt to perform each skill were recorded as the pretest, and the results of the sixth and 10th repetitions were recorded as the posttest. Data were analyzed using analysis of variance with duplicate data. Results: The TCT score improved in this study. The time of camera navigation decreased from 92.14 to 56.42 s, pattern cutting from 186.07 to 118.21 s, and peg transfer from 93.03 to 54.10 s. Conclusions: This study showed that the fundamentals of laparoscopic surgery curriculum improved the surgical technologists’ competence in performing triple skills essential for performing laparoscopic surgeries. Thus, this learning method could play an essential role in laparoscopic surgery.

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A Multicenter Prospective Cohort Study on Camera Navigation Training for Key User Groups in Minimally Invasive Surgery

Abstract: The results of this study show face validity and construct validity of the LCN module. The module is suitable for use in training curricula for operating room nurses and novice surgical trainees, aimed at improving team performance in minimally invasive surgery.

Cited by 14 publications

References 26 publications

Clinical Desire for an Artificial Intelligence–Based Surgical Assistant System: Electronic Survey–Based Study

Clinical Desire for an Artificial Intelligence–Based Surgical Assistant System: Electronic Survey–Based Study

Investigating laparoscopic psychomotor skills in veterinarians and veterinary technicians

Effect of the Fundamentals of Laparoscopic Surgery Curriculum on Skills of Operating Room Technology Students: An Interventional Study

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