Positioning the endoscope in laparoscopic surgery by foot: Influential factors on surgeons' performance in virtual trainer

Elahe Abdi, Mohamed Bouri, Etienne Burdet, Sharifa Himidan, Hannes Bleuler

Research output: Chapter in Book/Report/Conference proceedingConference PaperResearchpeer-review

Abstract

We have investigated how surgeons can use the foot to position a laparoscopic endoscope, a task that normally requires an extra assistant. Surgeons need to train in order to exploit the possibilities offered by this new technique and safely manipulate the endoscope together with the hands movements. A realistic abdominal cavity has been developed as training simulator to investigate this multi-arm manipulation. In this virtual environment, the surgeon's biological hands are modelled as laparoscopic graspers while the viewpoint is controlled by the dominant foot. 23 surgeons and medical students performed single-handed and bimanual manipulation in this environment. The results show that residents had superior performance compared to both medical students and more experienced surgeons, suggesting that residency is an ideal period for this training. Performing the single-handed task improves the performance in the bimanual task, whereas the converse was not true.

Original languageEnglish
Title of host publication2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Subtitle of host publicationSmarter Technology for a Healthier World, EMBC 2017 - Proceedings
PublisherIEEE, Institute of Electrical and Electronics Engineers
Pages3944-3948
Number of pages5
ISBN (Electronic)9781509028092
DOIs
Publication statusPublished - 13 Sep 2017
Externally publishedYes
EventInternational Conference of the IEEE Engineering in Medicine and Biology Society 2017 - Jeju Island, Korea, Republic of (South)
Duration: 11 Jul 201715 Jul 2017
Conference number: 39th
https://embc.embs.org/2017/

Conference

ConferenceInternational Conference of the IEEE Engineering in Medicine and Biology Society 2017
Abbreviated titleEMBC 2017
CountryKorea, Republic of (South)
CityJeju Island
Period11/07/1715/07/17
Internet address

Cite this

Abdi, E., Bouri, M., Burdet, E., Himidan, S., & Bleuler, H. (2017). Positioning the endoscope in laparoscopic surgery by foot: Influential factors on surgeons' performance in virtual trainer. In 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society: Smarter Technology for a Healthier World, EMBC 2017 - Proceedings (pp. 3944-3948). [8037719] IEEE, Institute of Electrical and Electronics Engineers. https://doi.org/10.1109/EMBC.2017.8037719
Abdi, Elahe ; Bouri, Mohamed ; Burdet, Etienne ; Himidan, Sharifa ; Bleuler, Hannes. / Positioning the endoscope in laparoscopic surgery by foot : Influential factors on surgeons' performance in virtual trainer. 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society: Smarter Technology for a Healthier World, EMBC 2017 - Proceedings. IEEE, Institute of Electrical and Electronics Engineers, 2017. pp. 3944-3948
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abstract = "We have investigated how surgeons can use the foot to position a laparoscopic endoscope, a task that normally requires an extra assistant. Surgeons need to train in order to exploit the possibilities offered by this new technique and safely manipulate the endoscope together with the hands movements. A realistic abdominal cavity has been developed as training simulator to investigate this multi-arm manipulation. In this virtual environment, the surgeon's biological hands are modelled as laparoscopic graspers while the viewpoint is controlled by the dominant foot. 23 surgeons and medical students performed single-handed and bimanual manipulation in this environment. The results show that residents had superior performance compared to both medical students and more experienced surgeons, suggesting that residency is an ideal period for this training. Performing the single-handed task improves the performance in the bimanual task, whereas the converse was not true.",
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doi = "10.1109/EMBC.2017.8037719",
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Abdi, E, Bouri, M, Burdet, E, Himidan, S & Bleuler, H 2017, Positioning the endoscope in laparoscopic surgery by foot: Influential factors on surgeons' performance in virtual trainer. in 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society: Smarter Technology for a Healthier World, EMBC 2017 - Proceedings., 8037719, IEEE, Institute of Electrical and Electronics Engineers, pp. 3944-3948, International Conference of the IEEE Engineering in Medicine and Biology Society 2017, Jeju Island, Korea, Republic of (South), 11/07/17. https://doi.org/10.1109/EMBC.2017.8037719

Positioning the endoscope in laparoscopic surgery by foot : Influential factors on surgeons' performance in virtual trainer. / Abdi, Elahe; Bouri, Mohamed; Burdet, Etienne; Himidan, Sharifa; Bleuler, Hannes.

2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society: Smarter Technology for a Healthier World, EMBC 2017 - Proceedings. IEEE, Institute of Electrical and Electronics Engineers, 2017. p. 3944-3948 8037719.

Research output: Chapter in Book/Report/Conference proceedingConference PaperResearchpeer-review

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Abdi E, Bouri M, Burdet E, Himidan S, Bleuler H. Positioning the endoscope in laparoscopic surgery by foot: Influential factors on surgeons' performance in virtual trainer. In 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society: Smarter Technology for a Healthier World, EMBC 2017 - Proceedings. IEEE, Institute of Electrical and Electronics Engineers. 2017. p. 3944-3948. 8037719 https://doi.org/10.1109/EMBC.2017.8037719