EASIER: A new model for online learning of minimally invasive surgery skills

Introduction: Technology Enhanced Learning (TEL) can provide the tools to safely master minimally invasive surgery (MIS) skills in patient-free environments and receive immediate objective feedback without the constant presence of an instructor. However, TEL-based systems tend to work isolated from one another, focus on different skills, and...

Can effective pedagogy be ensured in minimally invasive surgery e-learning?

Introduction: Effectiveness of e-learning diminishes without the support of a pedagogical model to guide its use. In minimally invasive surgery (MIS), this has been reported as a limitation when technology is used to deliver contents without a sound pedagogical background. Material and methods: We describe how a generic pedagogical model, the...

Validation of Motion Tracking Software for Evaluation of Surgical Performance in Laparoscopic Cholecystectomy

Motion tracking software for assessing laparoscopic surgical proficiency has been proven to be effective in differentiating between expert and novice performances. However, with several indices that can be generated from the software, there is no set threshold that can be used to benchmark performances. The aim of this study was to identify...

A software-based tool for video motion tracking in the surgical skills assessment landscape

Background: The use of motion tracking has been proved to provide an objective assessment in surgical skills training. Current systems, however, require the use of additional equipment or specialised laparoscopic instruments and cameras to extract the data. The aim of this study was to determine the possibility of using a software-based...

Self-assessment in laparoscopic surgical skills training: Is it reliable?

Background: The concept of self-assessment has been widely acclaimed for its role in the professional development cycle and self-regulation. In the field of medical education, self-assessment has been most used to evaluate the cognitive knowledge of students. The complexity of training and evaluation in laparoscopic surgery has previously...

A pedagogically-supported TEL solution for learning nontechnical minimally invasive surgical skills across Europe

A method to reduce ambiguities of qualitative reasoning for conceptual design applications

Qualitative reasoning can generate ambiguous behaviors due to the lack of quantitative information. Despite many different research results focusing on ambiguities reduction, fundamentally it is impossible to totally remove ambiguities with only qualitative methods and to guarantee the consistency of results. This prevents the wide use of...

Assessment of joystick and wrist control in hand-held articulated laparoscopic prototypes

Various steerable instruments with flexible distal tip have been developed for laparoscopic surgery. The problem of steering such instruments, however, remains a challenge, because no study investigated which control method is the most suitable. This study was designed to examine whether thumb (joystick) or wrist control method is designated for...

Early design interference detection based on qualitative physics

Developing multi-disciplinary products presents cross-disciplinary problems that are difficult to predict and to solve. Unfortunately, those cross-disciplinary problems are often discovered only at a later stage of the design through physical prototypes and can lead to modification of the conceptual design of a product. This is extremely costly...

Objective classification of residents based on their psychomotor laparoscopic skills

Background - From the clinical point of view, it is important to recognize residents’ level of expertise with regard to basic psychomotor skills. For that reason, surgeons and surgical organizations (e.g., Acreditation Council for Graduate Medical Education, ACGME) are calling for assessment tools that credential residents as technically...

TrEndo Tracking System: Motion analysis in minimally invasive surgery

Force feedback and basic laparoscopic skills

Background - Not much is known about the exact role offorce feedback in laparoscopy. This study aimed to determine whether force feedback influences movements of instruments during training in laparoscopic tasks and whether force feedback is required for training in basic laparoscopic force application tasks. Methods - A group of 19 gynecologic...

Retracting and seeking movements during laparoscopic goal-oriented movements. Is the shortest path length optimal?

Aims- Minimally invasive surgery (MIS) requires a high degree of eye–hand coordination from the surgeon. To facilitate the learning process, objective assessment systems based on analysis of the instruments’ motion are being developed. To investigate the influence of performance on motion characteristics, we examined goaloriented movements in a...

The influence of experience and camera holding on laparoscopic instrument movements measured with the TrEndo tracking system