Abstract
Simulators play an important role in training surgery residents to perform laparoscopy surgery. Some of these simulators have the capability to track tool motion to assess performance. However, most have not utilized the data to analyze trainee performance in a meaningful way. The alpha shape method can be used to construct a geometric surface based on motion data to enable visualization of the performance, while the surface derivative (surface/time to completion)—efficiency—can be used as a metric to evaluate complex surgical performance. The utility of the alpha shape method was demonstrated in a pick-and-place task, where the motion path of laparoscopic graspers was recorded by a position sensor, miniBIRD 500®. An alpha shape method was used to measure the surface area of the 3D points in space occupied by the tool tips during task performance. Results show that the surface derivative measure alone may be able to model the speed-accuracy tradeoff function, thereby simplifying the analysis and evaluation of complex motion in surgical performance.
Highlights
Traditional open surgery in the abdominal cavity has largely been replaced with the modern approach of laparoscopic or minimally invasive surgery (MIS) [1]
The utility of the alpha shape method was demonstrated in a pick-and-place task, where the motion path of laparoscopic graspers was recorded by a position sensor, miniBIRD 500®
The calculated surface of the alpha shape from the point clouds provided a means for quantitative analysis of human performance
Summary
Traditional open surgery in the abdominal cavity has largely been replaced with the modern approach of laparoscopic or minimally invasive surgery (MIS) [1]. Operations are performed through small incisions in the abdominal wall, typically between 0.5 - 1.5 cm. The most significant advantages of laparoscopic surgery are shortened recovery time, less bleeding, and reduction in post-operative pain and suffering for the patient. As patient safety in laparoscopic surgery is heavily dependent on the surgeon’s training and experience with laparoscopic tools [3], the need for effective training, especially for surgical residents and novices to this surgical approach, has ignited tremendous new interest in the surgical education community surrounding the acquisition and assessment of surgical skills, and a unifying metric to measure performance
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