Articulated Instruments and 3D Visualization: A Synergy? Evaluation of Execution Time, Errors, and Visual Fatigue. (August 2019)

• Record Type: Journal Article
• Authors: Dewaele, Frank; De Pauw, Tim; Lumen, Nicolaas; Van Daele, Elke; Hamerlynck, Tjalina; Weyers, Steven; Strubbe, Ine; Van den Broeck, Filip; Van Zele, Thibaut; Van Roost, Dirk; Leybaert, Luc; Kalmar, Alain F.; Van Nieuwenhove, Yves
• Is Part Of: Surgical innovation. Volume 26:Number 4(2019)
• Page Start: 456
• Page End: 463
• Publication Date: 2019-08
• Subjects: articulated instruments -- 3D visualization -- vergence-accommodation conflict -- laparoscopy -- minimal invasive surgery; Surgery, Operative -- Periodicals; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Diffusion of Innovation -- Periodicals; Chirurgie opératoire -- Périodiques; Chirurgie endoscopique -- Périodiques; Chirurgie laparoscopique -- Périodiques; 617.91
• DOI: 10.1177/1553350618822077
• Languages: English
• ISSNs: 1553-3506

Abstract

Objective . The introduction of advanced endoscopic systems, such as the Storz Image1S and the Olympus Endoeye, heralds a new era of 3-dimensional (3D) visualization. The aim of this report is to provide a comprehensive overview of the neurophysiology of 3D view, its relevance in videoscopy, and to quantify the benefit of the new 3D technologies for both rigid and articulated instruments. Method . Sixteen medical students without any laparoscopic experience were trained each for a total of 27 hours. Proficiency scores were determined for rigid and articulated instruments under 2D and 3D visualization conditions. Results . A reduction in execution time of 14%, 28%, and 36% was seen for the rigid instruments, the da Vinci, and Steerable instruments, respectively. A reduction in errors of 84%, 92%, and 87% was seen for the rigid instruments, the da Vinci, and Steerable instruments, respectively. Conclusion . 3D visualization greatly augments endoscopic procedures. The advanced endoscopic systems employed in the recent study caused no visual fatigue or discomfort. The benefit of 3D was most distinct with articulated instruments.