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Performance and perception of haptic feedback in a laparoscopic 3D virtual reality simulator

Hagelsteen, Kristine LU orcid ; Johansson, Richard ; Ekelund, Mikael LU ; Bergenfelz, Anders LU and Anderberg, Magnus LU orcid (2019) In Minimally Invasive Therapy and Allied Technologies 28(5). p.309-316
Abstract

Background: The benefit of haptic feedback in laparoscopic virtual reality simulators (VRS) is ambiguous. A previous study found 32% faster acquisition of skills with the combination of 3 D and haptic feedback compared to 2 D only. This study aimed to validate perception and effect on performance of haptic feedback by experienced surgeons in the previously tested VRS. Material and methods: A randomized single blinded cross-over study with laparoscopists (>100 laparoscopic procedures) was conducted in a VRS with 3 D imaging. One group started with haptic feedback, and the other group without. After performing the suturing task with haptics either enabled or disabled, the groups crossed over to the opposite setting. Face validity was... (More)

Background: The benefit of haptic feedback in laparoscopic virtual reality simulators (VRS) is ambiguous. A previous study found 32% faster acquisition of skills with the combination of 3 D and haptic feedback compared to 2 D only. This study aimed to validate perception and effect on performance of haptic feedback by experienced surgeons in the previously tested VRS. Material and methods: A randomized single blinded cross-over study with laparoscopists (>100 laparoscopic procedures) was conducted in a VRS with 3 D imaging. One group started with haptic feedback, and the other group without. After performing the suturing task with haptics either enabled or disabled, the groups crossed over to the opposite setting. Face validity was assessed through questionnaires. Metrics were obtained from the VRS. Results: The haptics for ‘handling the needle’, ‘needle through tissue’ and ‘tying the knot’ was scored as completely realistic by 3/22, 1/22 and 2/22 respectively. Comparing the metrics for maximum stretch damage between the groups revealed a significantly lower score when a group performed with haptics enabled p =.027 (haptic first group) and p <.001(haptic last group). Conclusion: Haptic feedback in VRS has limited fidelity according to the tested laparoscopic surgeons. In spite of this, significantly less stretch damage was caused with haptics enabled.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
3D vision, Haptic feedback, laparoscopy, simulator, surgical education, virtual reality
in
Minimally Invasive Therapy and Allied Technologies
volume
28
issue
5
pages
309 - 316
publisher
Informa Healthcare
external identifiers
  • scopus:85060349649
  • pmid:30663462
ISSN
1364-5706
DOI
10.1080/13645706.2018.1539012
language
English
LU publication?
yes
id
55dabf29-7f92-40a8-9776-cda90350d776
date added to LUP
2019-02-01 09:04:13
date last changed
2024-06-26 08:06:27
@article{55dabf29-7f92-40a8-9776-cda90350d776,
  abstract     = {{<p>Background: The benefit of haptic feedback in laparoscopic virtual reality simulators (VRS) is ambiguous. A previous study found 32% faster acquisition of skills with the combination of 3 D and haptic feedback compared to 2 D only. This study aimed to validate perception and effect on performance of haptic feedback by experienced surgeons in the previously tested VRS. Material and methods: A randomized single blinded cross-over study with laparoscopists (&gt;100 laparoscopic procedures) was conducted in a VRS with 3 D imaging. One group started with haptic feedback, and the other group without. After performing the suturing task with haptics either enabled or disabled, the groups crossed over to the opposite setting. Face validity was assessed through questionnaires. Metrics were obtained from the VRS. Results: The haptics for ‘handling the needle’, ‘needle through tissue’ and ‘tying the knot’ was scored as completely realistic by 3/22, 1/22 and 2/22 respectively. Comparing the metrics for maximum stretch damage between the groups revealed a significantly lower score when a group performed with haptics enabled p =.027 (haptic first group) and p &lt;.001(haptic last group). Conclusion: Haptic feedback in VRS has limited fidelity according to the tested laparoscopic surgeons. In spite of this, significantly less stretch damage was caused with haptics enabled.</p>}},
  author       = {{Hagelsteen, Kristine and Johansson, Richard and Ekelund, Mikael and Bergenfelz, Anders and Anderberg, Magnus}},
  issn         = {{1364-5706}},
  keywords     = {{3D vision; Haptic feedback; laparoscopy; simulator; surgical education; virtual reality}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{5}},
  pages        = {{309--316}},
  publisher    = {{Informa Healthcare}},
  series       = {{Minimally Invasive Therapy and Allied Technologies}},
  title        = {{Performance and perception of haptic feedback in a laparoscopic 3D virtual reality simulator}},
  url          = {{http://dx.doi.org/10.1080/13645706.2018.1539012}},
  doi          = {{10.1080/13645706.2018.1539012}},
  volume       = {{28}},
  year         = {{2019}},
}