Proctors exploit three-dimensional ghost tools during clinical-like training scenarios: a preliminary study

Jarc, Anthony; Stanley, Andrew A.; Clifford, Thomas G.; Gill, Inderbir S.; Hung, Andrew J.

doi:10.1007/s00345-016-1944-x

Cited by 37 publications

(25 citation statements)

References 18 publications

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“…Preliminary studies conducted by Jarc et al (using the ghost tool platform with da Vinci surgical system) demonstrated effectiveness for both trainees and proctors during robot-assisted dry-lab training exercises, 7 and robot-assisted tissue dissection and suturing tasks on a live porcine model. 8 In both industry [9][10][11][12][13][14][15][16][17][18][19] and academia, [6][7][8][20][21][22][23][24][25][26][27] tele-mentoring solutions have been developed. These solutions facilitate transfer of information from a specialist surgeon to the operating surgeon via a communication channel and enables tele-mentoring during different types of surgeries.…”

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confidence: 99%

“…Augmented ghost tools have also been proposed for robotic surgery. 7,8 Though dynamic in nature, it renders only the tooltips without complete body of the surgical instrument. Apart from visualisation, this also limits the realism of augmented surgical tools' motion (as the constraints imposed by the incision points and the tools' kinematic are not taken into consideration).…”

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Towards development of a tele‐mentoring framework for minimally invasive surgeries

Shabir

Abdurahiman

Padhan

et al. 2021

Robotics Computer Surgery

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Background: Tele-mentoring facilitates the transfer of surgical knowledge. The objective of this work is to develop a tele-mentoring framework that enables a specialist surgeon to mentor an operating surgeon by transferring information in a form of surgical instruments' motion required during a minimally invasive surgery. Method:A tele-mentoring framework is developed to transfer video stream of the surgical field, poses of the scope and port placement from the operating room to a remote location. From the remote location, the motion of virtual surgical instruments augmented onto the surgical field is sent to the operating room. Results:The proposed framework is suitable to be integrated with laparoscopic as well as robotic surgeries. It takes on average 1.56 s to send information from the operating room to the remote location and 0.089 s for vice versa over a local area network. Conclusions:The work demonstrates a tele-mentoring framework that enables a specialist surgeon to mentor an operating surgeon during a minimally invasive surgery. K E Y W O R D Saugmented reality, minimally invasive surgeries, tele-mentoring, telemedicine | INTRODUCTIONAs surgery has evolved from open to minimally invasive, the framework of tele-mentoring technologies has largely remained the same. [1][2][3] It still involves basic exchange of audio and annotated video messages, and lacks augmentation of information pertaining to surgical tool motion and tool-tissue interaction. 4,5 In an operating room setup of minimally invasive surgery (MIS), the surgeon operates on a patient using surgical instruments inserted through small incisions. These surgical instruments can either be manually operated (such as laparoscopic instruments) or robotically actuated.Along with instruments, a scope (camera) is also inserted inside the patient's body to visualise the interaction of surgical instruments' tooltips with the tissue. In the case of manual MIS, the surgeon This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Towards development of a tele‐mentoring framework for minimally invasive surgeries

Shabir

Abdurahiman

Padhan

et al. 2021

Robotics Computer Surgery

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“…After removal of duplicates and screening of titles and abstracts, 157 full-text articles were assessed. A total of 66 studies were subsequently assessed as being suitable for inclusion 7-72 (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…More recent telecommunication technologies would certainly help to improve the perception of telementoring within this trial, particularly the advent of augmented and virtual reality. 31,71 All 4 studies reported no effect on postoperative or objective educational outcomes.…”

Section: Discussionmentioning

confidence: 99%

Telementoring of Surgeons: A Systematic Review

et al. 2018

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Background. Telementoring is a technique that has shown potential as a surgical training aid. Previous studies have suggested that telementoring is a safe training modality. This review aimed to review both the technological capabilities of reported telementoring systems as well as its potential benefits as a mentoring modality. Methods. A systematic review of the literature, up to July 2017, was carried out in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Study quality was assessed using the Oxford Levels of Evidence proforma. Data were extracted regarding technical capabilities, bandwidth, latency, and costs. Additionally, the primary aim and key results were extracted from each study and analyzed. Results. A total of 66 studies were identified for inclusion. In all, 48% of studies were conducted in general surgery; 22 (33%), 24 (36%), and 20 (30%) of studies reported telementoring that occurred within the same hospital, outside the hospital, and outside the country, respectively. Sixty-four (98%) of studies employed video and audio and 38 (58%) used telestration. Twelve separate studies directly compared telementoring against on-site mentoring. Seven (58%) showed no difference in outcomes between telementoring and on-site mentoring. No study found telementoring to result in poorer postoperative outcomes. Conclusions. The results of this review suggest that telementoring has a similar safety and efficacy profile as on-site mentoring. Future analysis to determine the potential benefits and pitfalls to surgical education through telementoring are required to determine the exact role it shall play in the future. Technological advances to improve remote connectivity would also aid the uptake of telementoring on a larger scale.

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“… 53 54 Moreover, more recent telecommunication technologies would certainly help to improve the perception of telementoring, particularly the advent of augmented and virtual reality. 55 56 Again, there are no studies identified specific to gynaecology, however, based on the studies available from other specialties, it could well be piloted within gynaecology.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the use of telemedicine in gynaecological practice: a systematic review

et al. 2020

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ObjectivesThe aim of this systematic review is to examine the use of telemedicine in the delivery and teaching of gynaecological clinical practice. To our knowledge, no other systematic review has assessed this broad topic.DesignSystematic review of all studies investigating the use of telemedicine in the provision of gynaecological care and education. The search for eligible studies followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and focused on three online databases: PubMed, Science Direct and SciFinder.Eligibility criteriaOnly studies within gynaecology were considered for this review. Studies covering only obstetrics and with minimal information on gynaecology, or clinical medicine in general were excluded. All English language, peer-reviewed human studies were included. Relevant studies published up to the date of final submission of this review were considered with no restrictions to the publication year.Data extractions and synthesisData extracted included author details, year of publication and country of the study, study aim, sample size, methodology, sample characteristics, outcome measures and a summary of findings. Data extraction and qualitative assessment were performed by the first author and crossed checked by the second author. Quality assessment for each study was assessed using the Newcastle-Ottawa scale.ResultsA literature search carried out in August 2020 yielded 313 records published between 1992 and 2018. Following a rigorous selection process, only 39 studies were included for this review published between 2000 and 2018. Of these, 19 assessed gynaecological clinical practice, eight assessed gynaecological education, one both, and 11 investigated the feasibility of telemedicine within gynaecological practice. 19 studies were classified as good, 12 fair and eight poor using the Newcastle-Ottawa scale. Telecolposcopy and abortion care were two areas where telemedicine was found to be effective in potentially speeding up diagnosis as well as providing patients with a wide range of management options. Studies focusing on education demonstrated that telementoring could improve teaching in a range of scenarios such as live surgery and international teleconferencing.ConclusionsThe results of this review are promising and demonstrate that telemedicine has a role to play in improving clinical effectiveness and education within gynaecology. Its applications have been shown to be safe and effective in providing remote care and training. In the future, randomised controlled studies involving larger numbers of patients and operators with measurable outcomes are required in order to be able to draw reliable conclusions.

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Proctors exploit three-dimensional ghost tools during clinical-like training scenarios: a preliminary study

Cited by 37 publications

References 18 publications

Towards development of a tele‐mentoring framework for minimally invasive surgeries

Towards development of a tele‐mentoring framework for minimally invasive surgeries

Telementoring of Surgeons: A Systematic Review

Evaluating the use of telemedicine in gynaecological practice: a systematic review

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