Motion capture device reveals a quick learning curve in vascular anastomosis training

被引:4
作者
Tsuyuki, Shota [1 ]
Miyahara, Kazuhiro [1 ]
Hoshina, Katsuyuki [1 ]
Kawahara, Takuya [2 ]
Suhara, Masamitsu [1 ]
Mochizuki, Yasuaki [1 ]
Taniguchi, Ryosuke [1 ]
Takayama, Toshio [1 ]
机构
[1] Univ Tokyo, Grad Sch Med, Dept Vasc Surg, 7-3-1, Hongo, Bunkyo Ku, Tokyo 1138655, Japan
[2] Univ Tokyo Hosp, Clin Res Promot Ctr, Tokyo, Japan
关键词
Suturing; Vascular anastomosis; Off-the-job training system; Education; Leap Motion Controller; PERFORMANCE; SYSTEM; SURGEONS;
D O I
10.1007/s00595-023-02726-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
PurposeSurgical procedures are often evaluated subjectively, and an objective evaluation has been considered difficult to make and rarely reported, especially in open surgery, where the range of motion is wide. This study evaluated the effectiveness of surgical suturing training as an educational tool using the Leap Motion Controller (LMC), which can capture hand movements and reproduce them as data comprising parametric elements.MethodsWe developed an off-the-job training system (Off-JT) in our department, mainly using prosthetic grafts and various anastomotic methodologies with graded difficulty levels. We recruited 50 medical students (novice group) and 6 vascular surgeons (expert group) for the study. We evaluated four parameters for intraoperative skills: suturing time, slope of the roll, smoothness, and rate of excess motion.ResultsAll 4 parameters distinguished the skill of the novice group at 1 and 10 h off-JT. After 10 h of off-JT, all 4 parameters of the novices were comparable to those of the expert group.ConclusionOur education system using the LMC is relatively inexpensive and easy to set up, with a free application for analyses, serving as an effective and ubiquitous educational tool for young surgeons.
引用
收藏
页码:275 / 281
页数:7
相关论文
共 13 条
[1]   The use of electromagnetic motion tracking analysis to objectively measure open surgical skill in the laboratory-based model [J].
Datta, V ;
Mackay, S ;
Mandalia, M ;
Darzi, A .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2001, 193 (05) :479-485
[2]   Automated robot-assisted surgical skill evaluation: Predictive analytics approach [J].
Fard, Mahtab J. ;
Ameri, Sattar ;
Ellis, R. Darin ;
Chinnam, Ratna B. ;
Pandya, Abhilash K. ;
Klein, Michael D. .
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, 2018, 14 (01)
[3]   Hand Motion Capture from a 3D Leap Motion Controller for a Musculoskeletal Dynamic Simulation [J].
Fonk, Robin ;
Schneeweiss, Sean ;
Simon, Ulrich ;
Engelhardt, Lucas .
SENSORS, 2021, 21 (04) :1-14
[4]   The performance of master surgeons on the Advanced Dundee Endoscopic Psychomotor Tester - Contrast validity study [J].
Francis, NK ;
Hanna, GB ;
Cuschieri, A .
ARCHIVES OF SURGERY, 2002, 137 (07) :841-844
[5]   Comparison of the Performance of the Leap Motion ControllerTM with a Standard Marker-Based Motion Capture System [J].
Ganguly, Amartya ;
Rashidi, Gabriel ;
Mombaur, Katja .
SENSORS, 2021, 21 (05) :1-16
[6]   Ten-Hour Simulation Training Improved the Suturing Performance of Medical Students [J].
Hanada, Kazumasa ;
Hoshina, Katsuyuki ;
Tsuyuki, Shota ;
Miyahara, Kazuhiro ;
Suhara, Masamitsu ;
Matsukura, Mitsuru ;
Isaji, Toshihiko ;
Takayama, Toshio .
ANNALS OF VASCULAR SURGERY, 2022, 84 :163-168
[7]   Tools for Direct Observation and Assessment of Clinical Skills of Medical Trainees A Systematic Review [J].
Kogan, Jennifer R. ;
Holmboe, Eric S. ;
Hauer, Karen E. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 302 (12) :1316-1326
[8]   Development and validation of a sensor- and expert model-based training system for laparoscopic surgery: the iSurgeon [J].
Kowalewski, Karl-Friedrich ;
Hendrie, Jonathan D. ;
Schmidt, Mona W. ;
Garrow, Carly R. ;
Bruckner, Thomas ;
Proctor, Tanja ;
Paul, Sai ;
Adiguezel, Davud ;
Bodenstedt, Sebastian ;
Erben, Andreas ;
Kenngott, Hannes ;
Erben, Young ;
Speidel, Stefanie ;
Mueller-Stich, Beat P. ;
Nickel, Felix .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2017, 31 (05) :2155-2165
[9]   Feasibility, reliability and validity of an operative performance rating system for evaluating surgery residents [J].
Larson, JL ;
Williams, RG ;
Ketchum, J ;
Boehler, ML ;
Dunnington, GL .
SURGERY, 2005, 138 (04) :640-647
[10]   Development of a Web Application That Evaluates Suture Performance in Off-the-Job Training [J].
Miyahara, Kazuhiro ;
Hoshina, Katsuyuki ;
Akai, Takafumi ;
Isaji, Toshihiko ;
Yamamoto, Kota ;
Takayama, Toshio .
ANNALS OF VASCULAR DISEASES, 2020, 13 (01) :52-55