The benefits of haptic feedback in robot assisted surgery and their moderators: a meta-analysis

被引:21
作者
Bergholz, Max [1 ,2 ]
Ferle, Manuel [1 ]
Weber, Bernhard M. [2 ]
机构
[1] Tech Univ Munich, Dept Ergon, D-85748 Garching, Germany
[2] German Aerosp Ctr, Inst Robot & Mechatron, D-82234 Wessling, Germany
关键词
MINIMALLY INVASIVE SURGERY; FORCE FEEDBACK; LAPAROSCOPIC SURGERY; TACTILE; TELEOPERATION; SYSTEM; SUBSTITUTE; PALPATION;
D O I
10.1038/s41598-023-46641-8
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Robot assisted surgery (RAS) provides medical practitioners with valuable tools, decreasing strain during surgery and leading to better patient outcomes. While the loss of haptic sensation is a commonly cited disadvantage of RAS, new systems aim to address this problem by providing artificial haptic feedback. N = 56 papers that compared robotic surgery systems with and without haptic feedback were analyzed to quantify the performance benefits of restoring the haptic modality. Additionally, this study identifies factors moderating the effect of restoring haptic sensation. Overall results showed haptic feedback was effective in reducing average forces (Hedges' g = 0.83) and peak forces (Hedges' g = 0.69) applied during surgery, as well as reducing the completion time (Hedges' g = 0.83). Haptic feedback has also been found to lead to higher accuracy (Hedges' g = 1.50) and success rates (Hedges' g = 0.80) during surgical tasks. Effect sizes on several measures varied between tasks, the type of provided feedback, and the subjects' levels of surgical expertise, with higher levels of expertise generally associated with smaller effect sizes. No significant differences were found between virtual fixtures and rendering contact forces. Implications for future research are discussed.
引用
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页数:15
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