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Effect of Haptic Feedback in Laparoscopic Surgery Skill Acquisition

https://doi.org/10.46594/2687-0037_2013_1_33

Abstract

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.

About the Authors

M. . Zhou
Tufts University
Russian Federation


S. . Tse
Tufts University
Russian Federation


A. . Dereviankoa
Beth Israel Deaconess Medical Center
Russian Federation


D. B. Jones
Beth Israel Deaconess Medical Center
Russian Federation


S. D. Schwaitzberg
Cambridge Health Alliance Hospital
Russian Federation


C. G. Cao
Tufts University
Russian Federation


References

1. Picod G., Jambon A.C., Vinatier D., Dubois P. What can the operator actually feel when performing a laparoscopy? Surg Endosc. 2005; 19:95-100. [PubMed: 15772876]

2. Perreault J.O., Cao C.G.L. Effects of Vision and Friction on Haptic Perception. Hum Factors. 2006;48(3):574-86. [PubMed: 17063970]

3. Seymour N.E., Gallagher A.G., Roman S.A., O'Brien M.K., Bansal V.K., Anderson D.K., Satava R.M. Virtual reality training improves operating room performance. Ann Surg. 2002; 236:458-464.[PubMed: 12368674]

4. Sutherland L.M., Middleton P.F., Anthony A., Hamdorf J., Cregan P., Scott D., Maddern G.J. Surgical simulation - A systematic review. Ann Surg. 2006; 243:291-300. [PubMed: 16495690]

5. Grantcharov T.P., Kristiansen V.B., Bendix J., Bardram .L, Rosenberg J., Funch-Jensen P. Randomized clinical trial of virtual reality simulation for laparoscopic skills training. Brit J Surg. 2004; 91:146-150. [PubMed: 14760660]

6. Lathan, C.E.; Tracey, M.R.; Sebrechts, M.M.; Clawson, D.M.; Higgins, G.A. Using virtual environments as training simulators: measuring transfer. In: Stanney, KM., editor. Handbook of virtual environments: design, implementation, and applications. Lawrence Erlbaum Associates; Mahwah, NJ: 2002. p. 414-434.

7. Lederman S.J. The perception of surface roughness by active and passive touch. B Psychonomic Soc. 1981; 18:253255.

8. Lederman S.J. Tactual roughness perception: Spatial and temporal determinants. Can J Psychology.1983; 37:498-511.

9. Srinivasan, M.; LaMotte, R. Tactual discrimination of softness: abilities and mechanisms. In: Franzen, O.; Johansson, R.; Terenius, L., editors. Somesthesis and the neurobiology of the somatosensory cortex. Birkhauser Verlag; Berlin: 1996. p. 123-136.

10. Lederman S.J., Klatzky R.L. Haptic identification of common objects: Effects of constraining the manual exploration process. Percept Psychophys. 2004; 66:618-628. [PubMed: 15311661]

11. Klatzky R.L., Lederman S.J., Hamilton C.L., Grindley M., Swendsen R.H. Feeling textures through a probe: Effects of probe and surface geometry and exploratory factors. Percept Psychophys. 2003;65:613-631. [PubMed: 12812283]

12. Brydges R. Carnahan H., Dubrowski A. Surface exploration using laparoscopic surgical instruments: The perception of surface roughness. Ergonomics. 2005; 48:874-894. [PubMed:16076743]

13. Botden S.M.B.I., Torab F., Buzink S.N., Jakimowicz J.J. The importance of haptic feedback in laparoscopic suturing training and the additive value of virtual reality simulation. Surg Endosc.2007; 22:1214-1222. [PubMed: 17943369]

14. Kitagawa M., Dokko D., Okamura A.M., Yuh D.D. Effect of sensory substitution on suture manipulation forces for robotic surgical systems. J Thorac Cardiov Sur. 2005; 129:151-158.

15. Moody L., Baber C., Arvanitis T.N. Objective surgical performance evaluation based on haptic feedback. Stud Health Technol Inform. 2002; 85:304-310. [PubMed: 15458106]

16. Wagner, C.R.; Stylopoulos, N.; Howe, RD. The Role of Force Feedback in Surgery: Analysis of Blunt Dissection. Proceedings of the 10th Symposium on Haptic Interfaces for Virtual Environment and Tele operator System (HAPTICS'02); 2002. p. 68-74.

17. Strom P., Hedman L., Sarna L., Kjellin A., Wredmark T., Fel-lander-Tsai L. Early exposure to haptic feedback enhances performance in surgical simulator training: a prospective randomized crossover study in surgical residents. Surg Endosc. 2006; 20:1383-1388. [PubMed: 16823652]

18. Smith C.D., Farrell T.M., McNatt S.S., Metreveli R.E. Assessing laparoscopic manipulative skills. Am J Surg. 2001; 181:547550. [PubMed: 11513783]

19. O'Connor A., Schwaitzberg S.D., Cao C.G.L. How much feedback is necessary for learning to suture? Surg Endosc. 2007; 22(7):1614-1619. [PubMed: 17973165]

20. Kothari S.N., Kaplan B.J., DeMaria E.J., Broderick T.J., Merrell R.C. Training in laparoscopic suturing skills using a new computer-based virtual reality simulator (MIST-VR) provides results comparable to those with an established pelvic trainer system. J Laparoendosc Adv S. 2002; 12:167-173.

21. Gallagher A.G., Satava R.M. Virtual reality as a metric for the assessment of laparoscopic psychomotor skills. Surg Endosc. 2002; 16:1746-1752. [PubMed: 12140641]

22. Pearson A.M., Gallagher A.G., Rosser J.C., Satava R.M. Evaluation of structured and quantitative training methods for teaching intra corporeal knot tying. Surg Endosc. 2002; 16:130-137.[PubMed: 11961623]

23. Champion, H.R.; Higgins, G.A. Meta-analysis and planning for SIMTRAUMA: medical simulation for combat trauma. U.S. Army Medical Research and Materiel Command; Fort Detrick, MD: 2000. Zhou et al. Page 7 Surg Endosc.

24. Cao C.G.L., Zhou M., Jones D.B., Schwaitzberg S.D. Can surgeons think and operate with haptic at the same time? J Gas-trointest Surg. 2007; 11:1564-1569. [PubMed: 17710503]

25. Hassan I., Maschuw K., Rothmund M., Koller M., Gerdes B. Novices in surgery are the target group of a virtual reality training laboratory. Eur Surg Res. 2006; 38:109-113. [PubMed: 16699284]

26. Aggarwal R., Black S.A., Hance J.R., Darzi A., Cheshire N.J.W. Virtual reality simulation training can improve inexperienced surgeons' endovascular skills. Eur J Vasc Endovasc. 2006; 31:588-593.

27. Konz, S.; Johnson, S. Work Design Industrial Ergonomics Holcomb Hathaway. Scottsdale, AZ:2000.


Review

For citations:


Zhou M., Tse S., Dereviankoa A., Jones D.B., Schwaitzberg S.D., Cao C.G. Effect of Haptic Feedback in Laparoscopic Surgery Skill Acquisition. Virtual Technologies in Medicine. 2013;(1):33-38. (In Russ.) https://doi.org/10.46594/2687-0037_2013_1_33

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ISSN 2686-7958 (Print)
ISSN 2687-0037 (Online)