CogInfoCom-Driven Surgical Skill Training and Assessment

The systematic assessment and development of human learning capabilities is one of the biggest challenges in applied sciences. It can be observed within the medical domain how evidence-based paradigms are gradually gaining space. In this chapter, the development process of a laparoscopic box trainer is introduced. A simulator including a phantom for prostatectomy is described, which feeds into medical staff training and skill assessment. An overview of laparoscopic surgical simulators is provided. Based on the state of the art and our previous experience, a clear need was formulated to develop a partially physical, partially computer-integrated simulator. To gain a better understanding of the cognitive load and physical stress, force measurement was used in the test environment. The force and time data were used to evaluate the performance of the participant. A new assessment method was described, which can be used to point out the weak aspects of surgical technique, and the participants can do this on their own. Computer-integrated assistive technologies for surgical education are believed to rapidly become the gold standard on a global scale.

[1]  Levente Kovács,et al.  Models for force control in telesurgical robot systems , 2015 .

[2]  B. Dunkin,et al.  Surgical simulation: a current review , 2007, Surgical Endoscopy.

[3]  R. Velthoven,et al.  Methods for laparoscopic training using animal models , 2006, Current urology reports.

[4]  A. Ziv,et al.  Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review , 2005, Medical teacher.

[5]  Mimi Li,et al.  A systematic review of low-cost laparoscopic simulators , 2016, Surgical Endoscopy.

[6]  W. Lewis,et al.  Learning curves in surgical practice , 2007, Postgraduate Medical Journal.

[7]  J. Jakimowicz,et al.  Virtual reality surgical laparoscopic simulators , 2003, Surgical Endoscopy And Other Interventional Techniques.

[8]  R. Katznelson,et al.  Clinical Impact of Epidural Anesthesia Simulation on Short- and Long-term Learning Curve: High- Versus Low-fidelity Model Training , 2008, Regional Anesthesia & Pain Medicine.

[9]  The Fundamentals of Laparoscopic Surgery and LapVR evaluation metrics may not correlate with operative performance in a novice cohort , 2015, Medical education online.

[10]  M. Hashizume,et al.  A new innovative laparoscopic fundoplication training simulator with a surgical skill validation system , 2017, Surgical Endoscopy.

[11]  Mandayam A Srinivasan,et al.  Virtual-reality-based laparoscopic surgical training: The role of simulation fidelity in haptic feedback , 2004, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[12]  L. Konge,et al.  Take-home training in a simulation-based laparoscopy course , 2017, Surgical Endoscopy.

[13]  M. Spence The Learning Curve and Competition , 1981 .

[14]  K. Moorthy,et al.  Laparoscopic skills training and assessment , 2004, The British journal of surgery.

[15]  R. Aggarwal,et al.  Virtual reality training for surgical trainees in laparoscopic surgery. , 2013, The Cochrane database of systematic reviews.

[16]  L. Konge,et al.  Ensuring Competency of Novice Laparoscopic Surgeons-Exploring Standard Setting Methods and their Consequences. , 2016, Journal of surgical education.

[17]  T. Haidegger,et al.  Minimally invasive surgical technologies: Challenges in education and training , 2010 .

[18]  FolaranmiSemiu Eniola,et al.  Does a 3D Image Improve Laparoscopic Motor Skills , 2016 .

[19]  J. Cobb,et al.  The Transferability of Generic Minimally Invasive Surgical Skills: Is There Crossover of Core Skills Between Laparoscopy and Arthroscopy? , 2016, Journal of surgical education.

[20]  Adam Dubrowski,et al.  SCETF: Serious game surgical cognitive education and training framework , 2011, 2011 IEEE International Games Innovation Conference (IGIC).

[21]  J. Rosser,et al.  Impact of Super Monkey Ball and Underground video games on basic and advanced laparoscopic skill training , 2017, Surgical Endoscopy.

[22]  Migie Lee,et al.  Box, cable and smartphone: a simple laparoscopic trainer , 2015, The clinical teacher.

[23]  Imre J. Rudas,et al.  Origins of surgical robotics: From space to the operating room , 2016 .

[24]  Hiep T Nguyen,et al.  Does Warm-Up Training in a Virtual Reality Simulator Improve Surgical Performance? A Prospective Randomized Analysis. , 2016, Journal of surgical education.

[25]  J. Fitzgerald,et al.  The European Working Time Directive: a practical review for surgical trainees. , 2012, International journal of surgery.

[26]  Marc Immenroth,et al.  Mental Training in Surgical Education: A Randomized Controlled Trial , 2007, Annals of surgery.

[27]  W. Kirwan,et al.  Starting laparoscopic cholecystectomy — The pig as a training model , 1991, Irish journal of medical science.

[28]  M. Moreno-Portillo,et al.  Skills comparison using a 2D vs. 3D laparoscopic simulator , 2016 .

[29]  Jaime E. Sánchez,et al.  Surgical simulation: the value of individualization , 2016, Surgical Endoscopy.

[30]  D. Gaba The future vision of simulation in health care , 2004, Quality and Safety in Health Care.

[31]  David A Cook,et al.  State of the Evidence on Simulation-Based Training for Laparoscopic Surgery: A Systematic Review , 2013, Annals of surgery.

[32]  P. Baranyi,et al.  Definition and synergies of cognitive infocommunications , 2012 .