Proctors exploit three-dimensional ghost tools during clinical-like training scenarios: a preliminary study
Purpose In this study, we examine three-dimensional (3D) proctoring tools (i.e., semitransparent ghost tools overlaid on the surgeon’s field of view) on realistic surgical tasks. Additionally, we develop novel, quantitative measures of whether proctors exploit the additional capabilities offered by...
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| Veröffentlicht in: | World journal of urology 2017-06, Vol.35 (6), p.957-965 |
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| creator | Jarc, Anthony M. Stanley, Andrew A. Clifford, Thomas Gill, Inderbir S. Hung, Andrew J. |
| description | Purpose
In this study, we examine three-dimensional (3D) proctoring tools (i.e., semitransparent ghost tools overlaid on the surgeon’s field of view) on realistic surgical tasks. Additionally, we develop novel, quantitative measures of whether proctors exploit the additional capabilities offered by ghost tools.
Methods
Seven proctor–trainee pairs completed realistic surgical tasks such as tissue dissection and suturing in a live porcine model using 3D ghost tools on the
da Vinci
Xi Surgical System. The usability and effectiveness of 3D ghost tools were evaluated using objective measures of proctor performance based on proctor hand movements and button presses, as well as post-study questionnaires.
Results
Proctors exploited the capabilities of ghost tools, such as 3D hand movement (
p
|
| doi_str_mv | 10.1007/s00345-016-1944-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5486541</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1903807869</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-70a8174fdd30d000d8d2ecf98a3036eb328410164d82b96ba6ac8f0bd1a2cc7f3</originalsourceid><addsrcrecordid>eNp1kU1vFSEYhYnR2Gv1B7gxJG7coC8fMzAuTEzjV9LELuqaMMDcS8sMI8yY239fbm5tahNXhJeHwzkchF5TeE8B5IcCwEVDgLaEdkKQ_RO0oYJzoiRrn6INSCaI6BQ_QS9KuQKgsoXmOTphspVUdd0GXV_kZJeUC_b7Oaaw4GWXvScujH4qIU0m4u0ulTpPKRbs1hymLbYxTMGaSGK49njJpm7ruFg_mRxS-YgNnrOPYQx1cIPLsrqbl-jZYGLxr-7WU_Tr65fLs-_k_Oe3H2efz4kVEhYiwSgqxeAcBwcATjnm7dApw4G3vudMCVozC6dY37W9aY1VA_SOGmatHPgp-nTUndd-9K56qgajnnMYqxedTND_nkxhp7fpj26EahtBq8C7O4Gcfq--LHoMNVqMZvJpLZqqppO8UYxX9O0j9Cqtuf5apTrgCqRqu0rRI2VzKiX74d4MBX2oUh-r1DWWPlSp9_XOm4cp7m_87a4C7AiU-dCJzw-e_q_qLWQ2rXE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1903807869</pqid></control><display><type>article</type><title>Proctors exploit three-dimensional ghost tools during clinical-like training scenarios: a preliminary study</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Jarc, Anthony M. ; Stanley, Andrew A. ; Clifford, Thomas ; Gill, Inderbir S. ; Hung, Andrew J.</creator><creatorcontrib>Jarc, Anthony M. ; Stanley, Andrew A. ; Clifford, Thomas ; Gill, Inderbir S. ; Hung, Andrew J.</creatorcontrib><description>Purpose
In this study, we examine three-dimensional (3D) proctoring tools (i.e., semitransparent ghost tools overlaid on the surgeon’s field of view) on realistic surgical tasks. Additionally, we develop novel, quantitative measures of whether proctors exploit the additional capabilities offered by ghost tools.
Methods
Seven proctor–trainee pairs completed realistic surgical tasks such as tissue dissection and suturing in a live porcine model using 3D ghost tools on the
da Vinci
Xi Surgical System. The usability and effectiveness of 3D ghost tools were evaluated using objective measures of proctor performance based on proctor hand movements and button presses, as well as post-study questionnaires.
Results
Proctors exploited the capabilities of ghost tools, such as 3D hand movement (
p
< 0.001), wristedness (
p
< 0.001), finger pinch gestures (
p
< 0.001), and bimanual hand motions (
p
< 0.001). The median ghost tool excursion distances across proctors in the
x
-,
y
-, and
z
-directions were 57.6, 31.9, and 50.7, respectively. Proctors and trainees consistently evaluated the ghost tools as effective across multiple categories of mentoring. Trainees found ghost tools more helpful than proctors across all categories (
p
< 0.05).
Conclusions
Proctors exploit the augmented capabilities of 3D ghost tools during clinical-like training scenarios. Additionally, both proctors and trainees evaluated ghost tools as effective mentoring tools, thereby confirming previous studies on simple, inanimate tasks. Based on this preliminary work, advanced mentoring technologies, such as 3D ghost tools, stand to improve current telementoring and training technologies in robot-assisted minimally invasive surgery.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-016-1944-x</identifier><identifier>PMID: 27671899</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Animals ; Clinical Competence ; Education, Medical, Graduate - methods ; Hand ; Imaging, Three-Dimensional ; Internship and Residency - methods ; Laparoscopy ; Medicine ; Medicine & Public Health ; Mentoring - methods ; Minimally invasive surgery ; Minimally Invasive Surgical Procedures - education ; Models, Animal ; Nephrology ; Oncology ; Original ; Original Article ; Robotic surgery ; Robotic Surgical Procedures - education ; Robotic Surgical Procedures - instrumentation ; Simulation Training - methods ; Surgery ; Swine ; Training ; Urology</subject><ispartof>World journal of urology, 2017-06, Vol.35 (6), p.957-965</ispartof><rights>The Author(s) 2016</rights><rights>World Journal of Urology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-70a8174fdd30d000d8d2ecf98a3036eb328410164d82b96ba6ac8f0bd1a2cc7f3</citedby><cites>FETCH-LOGICAL-c470t-70a8174fdd30d000d8d2ecf98a3036eb328410164d82b96ba6ac8f0bd1a2cc7f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-016-1944-x$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-016-1944-x$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27671899$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jarc, Anthony M.</creatorcontrib><creatorcontrib>Stanley, Andrew A.</creatorcontrib><creatorcontrib>Clifford, Thomas</creatorcontrib><creatorcontrib>Gill, Inderbir S.</creatorcontrib><creatorcontrib>Hung, Andrew J.</creatorcontrib><title>Proctors exploit three-dimensional ghost tools during clinical-like training scenarios: a preliminary study</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Purpose
In this study, we examine three-dimensional (3D) proctoring tools (i.e., semitransparent ghost tools overlaid on the surgeon’s field of view) on realistic surgical tasks. Additionally, we develop novel, quantitative measures of whether proctors exploit the additional capabilities offered by ghost tools.
Methods
Seven proctor–trainee pairs completed realistic surgical tasks such as tissue dissection and suturing in a live porcine model using 3D ghost tools on the
da Vinci
Xi Surgical System. The usability and effectiveness of 3D ghost tools were evaluated using objective measures of proctor performance based on proctor hand movements and button presses, as well as post-study questionnaires.
Results
Proctors exploited the capabilities of ghost tools, such as 3D hand movement (
p
< 0.001), wristedness (
p
< 0.001), finger pinch gestures (
p
< 0.001), and bimanual hand motions (
p
< 0.001). The median ghost tool excursion distances across proctors in the
x
-,
y
-, and
z
-directions were 57.6, 31.9, and 50.7, respectively. Proctors and trainees consistently evaluated the ghost tools as effective across multiple categories of mentoring. Trainees found ghost tools more helpful than proctors across all categories (
p
< 0.05).
Conclusions
Proctors exploit the augmented capabilities of 3D ghost tools during clinical-like training scenarios. Additionally, both proctors and trainees evaluated ghost tools as effective mentoring tools, thereby confirming previous studies on simple, inanimate tasks. Based on this preliminary work, advanced mentoring technologies, such as 3D ghost tools, stand to improve current telementoring and training technologies in robot-assisted minimally invasive surgery.</description><subject>Animals</subject><subject>Clinical Competence</subject><subject>Education, Medical, Graduate - methods</subject><subject>Hand</subject><subject>Imaging, Three-Dimensional</subject><subject>Internship and Residency - methods</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mentoring - methods</subject><subject>Minimally invasive surgery</subject><subject>Minimally Invasive Surgical Procedures - education</subject><subject>Models, Animal</subject><subject>Nephrology</subject><subject>Oncology</subject><subject>Original</subject><subject>Original Article</subject><subject>Robotic surgery</subject><subject>Robotic Surgical Procedures - education</subject><subject>Robotic Surgical Procedures - instrumentation</subject><subject>Simulation Training - methods</subject><subject>Surgery</subject><subject>Swine</subject><subject>Training</subject><subject>Urology</subject><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU1vFSEYhYnR2Gv1B7gxJG7coC8fMzAuTEzjV9LELuqaMMDcS8sMI8yY239fbm5tahNXhJeHwzkchF5TeE8B5IcCwEVDgLaEdkKQ_RO0oYJzoiRrn6INSCaI6BQ_QS9KuQKgsoXmOTphspVUdd0GXV_kZJeUC_b7Oaaw4GWXvScujH4qIU0m4u0ulTpPKRbs1hymLbYxTMGaSGK49njJpm7ruFg_mRxS-YgNnrOPYQx1cIPLsrqbl-jZYGLxr-7WU_Tr65fLs-_k_Oe3H2efz4kVEhYiwSgqxeAcBwcATjnm7dApw4G3vudMCVozC6dY37W9aY1VA_SOGmatHPgp-nTUndd-9K56qgajnnMYqxedTND_nkxhp7fpj26EahtBq8C7O4Gcfq--LHoMNVqMZvJpLZqqppO8UYxX9O0j9Cqtuf5apTrgCqRqu0rRI2VzKiX74d4MBX2oUh-r1DWWPlSp9_XOm4cp7m_87a4C7AiU-dCJzw-e_q_qLWQ2rXE</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Jarc, Anthony M.</creator><creator>Stanley, Andrew A.</creator><creator>Clifford, Thomas</creator><creator>Gill, Inderbir S.</creator><creator>Hung, Andrew J.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170601</creationdate><title>Proctors exploit three-dimensional ghost tools during clinical-like training scenarios: a preliminary study</title><author>Jarc, Anthony M. ; Stanley, Andrew A. ; Clifford, Thomas ; Gill, Inderbir S. ; Hung, Andrew J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-70a8174fdd30d000d8d2ecf98a3036eb328410164d82b96ba6ac8f0bd1a2cc7f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Animals</topic><topic>Clinical Competence</topic><topic>Education, Medical, Graduate - methods</topic><topic>Hand</topic><topic>Imaging, Three-Dimensional</topic><topic>Internship and Residency - methods</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mentoring - methods</topic><topic>Minimally invasive surgery</topic><topic>Minimally Invasive Surgical Procedures - education</topic><topic>Models, Animal</topic><topic>Nephrology</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Robotic surgery</topic><topic>Robotic Surgical Procedures - education</topic><topic>Robotic Surgical Procedures - instrumentation</topic><topic>Simulation Training - methods</topic><topic>Surgery</topic><topic>Swine</topic><topic>Training</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jarc, Anthony M.</creatorcontrib><creatorcontrib>Stanley, Andrew A.</creatorcontrib><creatorcontrib>Clifford, Thomas</creatorcontrib><creatorcontrib>Gill, Inderbir S.</creatorcontrib><creatorcontrib>Hung, Andrew J.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jarc, Anthony M.</au><au>Stanley, Andrew A.</au><au>Clifford, Thomas</au><au>Gill, Inderbir S.</au><au>Hung, Andrew J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Proctors exploit three-dimensional ghost tools during clinical-like training scenarios: a preliminary study</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>35</volume><issue>6</issue><spage>957</spage><epage>965</epage><pages>957-965</pages><issn>0724-4983</issn><eissn>1433-8726</eissn><abstract>Purpose
In this study, we examine three-dimensional (3D) proctoring tools (i.e., semitransparent ghost tools overlaid on the surgeon’s field of view) on realistic surgical tasks. Additionally, we develop novel, quantitative measures of whether proctors exploit the additional capabilities offered by ghost tools.
Methods
Seven proctor–trainee pairs completed realistic surgical tasks such as tissue dissection and suturing in a live porcine model using 3D ghost tools on the
da Vinci
Xi Surgical System. The usability and effectiveness of 3D ghost tools were evaluated using objective measures of proctor performance based on proctor hand movements and button presses, as well as post-study questionnaires.
Results
Proctors exploited the capabilities of ghost tools, such as 3D hand movement (
p
< 0.001), wristedness (
p
< 0.001), finger pinch gestures (
p
< 0.001), and bimanual hand motions (
p
< 0.001). The median ghost tool excursion distances across proctors in the
x
-,
y
-, and
z
-directions were 57.6, 31.9, and 50.7, respectively. Proctors and trainees consistently evaluated the ghost tools as effective across multiple categories of mentoring. Trainees found ghost tools more helpful than proctors across all categories (
p
< 0.05).
Conclusions
Proctors exploit the augmented capabilities of 3D ghost tools during clinical-like training scenarios. Additionally, both proctors and trainees evaluated ghost tools as effective mentoring tools, thereby confirming previous studies on simple, inanimate tasks. Based on this preliminary work, advanced mentoring technologies, such as 3D ghost tools, stand to improve current telementoring and training technologies in robot-assisted minimally invasive surgery.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27671899</pmid><doi>10.1007/s00345-016-1944-x</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0724-4983 |
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| issn | 0724-4983 1433-8726 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Animals Clinical Competence Education, Medical, Graduate - methods Hand Imaging, Three-Dimensional Internship and Residency - methods Laparoscopy Medicine Medicine & Public Health Mentoring - methods Minimally invasive surgery Minimally Invasive Surgical Procedures - education Models, Animal Nephrology Oncology Original Original Article Robotic surgery Robotic Surgical Procedures - education Robotic Surgical Procedures - instrumentation Simulation Training - methods Surgery Swine Training Urology |
| title | Proctors exploit three-dimensional ghost tools during clinical-like training scenarios: a preliminary study |
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