Real-time telementoring with 3D drawing annotation in robotic surgery.

Autor: Nakanoko T; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Oki E; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan. oki.eiji.857@m.kyushu-u.ac.jp.; Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan. oki.eiji.857@m.kyushu-u.ac.jp., Ota M; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Ikenaga N; Department of Surgery and Oncology, Kyushu University, Fukuoka, Japan., Hisamatsu Y; Department of Surgery, Kyushu University Beppu Hospital, Beppu, Japan., Toshima T; Department of Surgery, Kyushu University Beppu Hospital, Beppu, Japan., Kanno T; RIVERFIELD Inc, Tokyo, Japan., Tadano K; RIVERFIELD Inc, Tokyo, Japan.; Laboratory for Future Interdisciplinary Research of Science and Technology, Tokyo Institute of Technology, Yokohama, Japan., Kawashima K; RIVERFIELD Inc, Tokyo, Japan.; Department of Information Physics and Computing School of Information Science and Technology, The University of Tokyo, Tokyo, Japan., Ohuchida K; Department of Surgery and Oncology, Kyushu University, Fukuoka, Japan., Morohashi H; Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.; Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan., Ebihara Y; Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.; Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan., Mimori K; Department of Surgery, Kyushu University Beppu Hospital, Beppu, Japan., Nakamura M; Department of Surgery and Oncology, Kyushu University, Fukuoka, Japan., Yoshizumi T; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Hakamada K; Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.; Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan., Hirano S; Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.; Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan., Ikeda N; Department of Surgery, Tokyo Medical University, Tokyo, Japan., Mori M; Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.; Tokai University School of Medicine, Isehara, Japan.
Jazyk: angličtina
Zdroj: Surgical endoscopy [Surg Endosc] 2023 Dec; Vol. 37 (12), pp. 9676-9683. Date of Electronic Publication: 2023 Nov 07.
DOI: 10.1007/s00464-023-10521-z
Abstrakt: Background: In telementoring, differences in teaching methods affect local surgeons' comprehension. Because the object to be operated on is a three-dimensional (3D) structure, voice or 2D annotation may not be sufficient to convey the instructor's intention. In this study, we examined the usefulness of telementoring using 3D drawing annotations in robotic surgery.
Methods: Kyushu University and Beppu Hospital are located 140 km apart, and the study was conducted using a Saroa™ surgical robot by RIVERFIELD Inc. using a commercial guarantee network on optical fiber. Twenty medical students performed vertical mattress suturing using a swine intestinal tract under surgical guidance at the Center for Advanced Medical Innovation Kyushu University. Surgical guidance was provided by Beppu Hospital using voice, 2D, and 3D drawing annotations. All robot operations were performed using 3D images, and only the annotations were independently switched between voice and 2D and 3D images. The operation time, needle movement, and performance were also evaluated.
Results: The 3D annotation group tended to have a shorter working time than the control group (25.6 ± 63.2 vs. - 36.7 ± 65.4 min, P = 0.06). The 3D annotation group had fewer retries than the control group (1.3 ± 1.7 vs. - 1.1 ± 0.7, P = 0.006), and there was a tendency for fewer needle drops (0.4 ± 0.7 vs. - 0.5 ± 0.9, P = 0.06). The 3D annotation group scored significantly higher than the control group on the Global Evaluate Assessment of Robot Skills (16.8 ± 2.0 vs. 22.8 ± 2.4, P = 0.04). The 3D annotation group also scored higher than the voice (13.4 ± 1.2) and 2D annotation (16.2 ± 1.8) groups (3D vs. voice: P = 0.03, 3D vs. 2D: P = 0.03).
Conclusion: Telementoring using 3D drawing annotation was shown to provide good comprehension and a smooth operation for local surgeons.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
Externí odkaz: