vtmedВиртуальные технологии в медицинеVirtual Technologies in Medicine2686-79582687-0037РОСОМЕД10.46594/2687-0037_2013_1_33vtmed-1119Research ArticleРОСОМЕД-2012: ТЕЗИСЫ ДОКЛАДОВ: СИМУЛЯЦИОННОЕ ОБУЧЕНИЕ В СЕСТРИНСКОМ ДЕЛЕROSOMED-2012: ABSTRATS3Роль тактильной чувствительности в практическом обучении лапароскопической хирургииEffect of Haptic Feedback in Laparoscopic Surgery Skill AcquisitionЖуМ. .ZhouM. .noemail@neicon.ruЧеС. .TseS. .noemail@neicon.ruДеревианкоА. .DereviankoaA. .noemail@neicon.ruДжоунсД. В.JonesD. B.noemail@neicon.ruШвайцбергС. Д.SchwaitzbergS. D.noemail@neicon.ruКаоК. Л.CaoC. G.noemail@neicon.ruУниверситет ТафтсРоссияTufts UniversityRussian FederationМедицинский центр Бет Израэль ДиаконессРоссияBeth Israel Deaconess Medical CenterRussian FederationБольница Кембриджского Альянса здравоохраненияРоссияCambridge Health Alliance HospitalRussian Federation201304082020013338Copyright © Жу М..., Че С..., Деревианко А..., Джоунс Д.В., Швайцберг С.Д., Као К.Л., 20202020Жу М..., Че С..., Деревианко А..., Джоунс Д.В., Швайцберг С.Д., Као К.Л.Zhou M..., Tse S..., Dereviankoa A..., Jones D.B., Schwaitzberg S.D., Cao C.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medsim.ru/jour/article/view/1119

Преимущества обратной тактильной связи в симуляторах лапароскопического тренинга обсуждаются в литературе. Существует гипотеза, что начинающий хирург не получает преимущества от тактильной информации, особенно на начальных фазах освоения новых задач. Для исследования были взяты симуляторы ProMIS и MIST-VR, обеспечивающие тренинг в виртуальной реальности с обратной связью и без таковой соответственно. 20 студентов (по 10 на каждом симуляторе) в течение 3 недель отрабатывали навыки эндохирургического шва. Сравнение результатов показало, что на симуляторе с обратной тактильной связью студенты осваивают навык и достигают плато чуть быстрее, чем без тактильной функции. В целом, обучение с тактильной обратной связью лапароскопическому наложению шва значительно превосходит освоение навыка без осязательных ощущений, но только в первые пять часов тренинга.

The benefits of haptic feedback in laparoscopic surgery training simulators is a topic of debate in the literature. It is hypothesized that novice surgeons may not benefit from the haptic information, especially during the initial phase of learning a new task. Therefore, providing haptic feedback to novice trainees in the early stage of training may be distracting and detrimental to learning. The ProMIS and the MIST-VR surgical simulators were used to represent conditions with and without haptic feedback, respectively. Twenty novice subjects (10 per simulator) were trained to perform suturing and knot-tying and practiced the tasks over eighteen one-hour sessions. At the end of the 3-week training period, subjects performed equally fast but more consistently with haptics (ProMIS) than without (MIST-VR). Subjects showed slightly higher learning rate and reached the first plateau of the learning curve earlier with haptic feedback. In general, learning with haptic feedback was significantly better than without haptic feedback for a laparoscopic suturing and knot-tying task, but only in the first 5 hours of training.

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The authors declare that there are no conflicts of interest present.