EndoTrainer: a novel hybrid training platform for endoscopic surgery
| Autor: | Albert Hernansanz, Ramon Rovira, Joan Basomba, Roger Comas, Alícia Casals |
|---|---|
| Přispěvatelé: | Universitat Politècnica de Catalunya. Departament d'Enginyeria de Sistemes, Automàtica i Informàtica Industrial, Universitat Politècnica de Catalunya. TecSalut - Grup de Recerca en Tecnologies de la Salut |
| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: |
Informàtica::Automàtica i control [Àrees temàtiques de la UPC]
Ciències de la salut::Medicina [Àrees temàtiques de la UPC] Biomedical Engineering Health Informatics General Medicine Endoscopic assessment Computer Graphics and Computer-Aided Design Endoscopic surgery Cirurgia endoscòpica Computer Science Applications Surgical simulation Endoscopic training Radiology Nuclear Medicine and imaging Surgery Computer Vision and Pattern Recognition Hybrid surgical training platform |
| Popis: | Purpose Endoscopy implies high demanding procedures, and their practice requires structured formation curricula supported by adequate training platforms. Physical platforms are the most standardised solution for surgical training, but over the last few years, virtual platforms have been progressively introduced. This research work presents a new hybrid, physic-virtual, endoscopic training platform that exploits the benefits of the two kind of platforms combining realistic tools and phantoms together with the capacity of measuring all relevant parameters along the execution of the exercises and of providing an objective assessment performance. Methods The developed platform, EndoTrainer, has been designed to train and assess surgical skills in hysteroscopy and cystoscopy following a structured curricula. The initial development and validation is focused on hysteroscopic exercises proposed in the Gynaecological Endoscopic Surgical Education and Assessment (GESEA) Certification Programme from The Academy and European Society for Gynaecological Endoscopy (ESGE) and analyses the obtained results of an extensive study with 80 gynaecologists executing 30 trials of the standard 30 degree endoscope navigation exercise. Results The experiments demonstrate the benefits of the presented hybrid platform. Multi-variable statistical analysis points out that all subjects have obtained statistically significant improvement in all relevant parameters: shorter and safer trajectories, improved 30-degree endoscope navigation, accurate positioning over the targets and reduction of the execution time. Conclusion This paper presents a new hybrid approach for training, and evaluating whether it provides an objectivable improvement of camera navigation endoscopic basic skills. The obtained results demonstrate the initial hypothesis: all subjects have improved their camera handling and navigation skills. |
| Databáze: | OpenAIRE |
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