MP34-02 EVALUATION OF THE MICROSOFT HOLOLENS IN SURGICAL TRAINING OF UROLOGICAL LAPAROSCOPIC SKILLS

Abstract

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment I (MP34)1 Apr 2020MP34-02 EVALUATION OF THE MICROSOFT HOLOLENS IN SURGICAL TRAINING OF UROLOGICAL LAPAROSCOPIC SKILLS Nurhan Abbud, Abdullatif Aydin*, Mohammad Amin, Charles Scott, Domonico Venenziano, Ben Van Cleynenbreugel, Bhaskar Somani, Ali Serdar Gözen, Juan Palou Redorta, Muhammad Shamim Khan, Prokar Dasgupta, and Kamran Ahmed Nurhan AbbudNurhan Abbud More articles by this author , Abdullatif Aydin*Abdullatif Aydin* More articles by this author , Mohammad AminMohammad Amin More articles by this author , Charles ScottCharles Scott More articles by this author , Domonico VenenzianoDomonico Venenziano More articles by this author , Ben Van CleynenbreugelBen Van Cleynenbreugel More articles by this author , Bhaskar SomaniBhaskar Somani More articles by this author , Ali Serdar GözenAli Serdar Gözen More articles by this author , Juan Palou RedortaJuan Palou Redorta More articles by this author , Muhammad Shamim KhanMuhammad Shamim Khan More articles by this author , Prokar DasguptaProkar Dasgupta More articles by this author , and Kamran AhmedKamran Ahmed More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000878.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Literature indicates that most laparoscopic procedures are associated with a 'learning phase' in which the incidence of serious complications is significantly increased. It has been identified that this 'early' or 'learning' phase can be acquired outside the operating theatre, thus making laparoscopy ideal for simulation-based training. The Microsoft HoloLens is a novel mixed reality head-mounted display that, to date, has not been extensively researched. This study aims to evaluate the use of the HoloLens as a training tool for basic laparoscopic skills and assess its impact on the learning curve of participants. METHODS: 40 novices were randomly assigned to either the interventional group, who used the HoloLens, or the control group, who used the conventional laparoscopic monitors and stack system. The HoloLens replaced the monitor, allowing the user to see a holographic overlay of the laparoscopic image. They could adjust screen size, positioning and closeness, as well as personalise their surroundings. Each participant was required to complete ten sessions in which they performed four tasks taken from the validated E-BLUS curriculum. A performance improvement score was recorded and learning curves for the four tasks were mapped. A comprehensive evaluation survey concerning the HoloLens was also distributed and completed for analysis. RESULTS: No statistical significance was demonstrated in the number of sessions needed to reach proficiency for the peg transfer (p=0.12), circle cutting (p=0.38) and needle guidance tasks (p=0.23). There was however a steeper learning curve for the suturing task. Users reached their target performance in significantly fewer sessions when using the HoloLens compared to conventional methods (4.6 ± 1.6 vs 6.5 ± 1.75, p=0.045). More than 95% of participants agreed or strongly agreed that the HoloLens has a potential role within surgical education. CONCLUSIONS: Across the four tasks, participants using the HoloLens demonstrated significantly faster acquisition of laparoscopic suturing. Through re-alignment of the visual-motor axis the HoloLens provides ergonomic benefits to its users. The HoloLens, with its portable design and personalised learning environment, could provide a fantastic alternative to the more cumbersome training monitors currently used. Logistical factors, including comfort and battery life, need to be addressed for this device to reach its full potential. Source of Funding: The Malcolm Coptcoat Memorial Trust © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e503-e503 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Nurhan Abbud More articles by this author Abdullatif Aydin* More articles by this author Mohammad Amin More articles by this author Charles Scott More articles by this author Domonico Venenziano More articles by this author Ben Van Cleynenbreugel More articles by this author Bhaskar Somani More articles by this author Ali Serdar Gözen More articles by this author Juan Palou Redorta More articles by this author Muhammad Shamim Khan More articles by this author Prokar Dasgupta More articles by this author Kamran Ahmed More articles by this author Expand All Advertisement PDF downloadLoading ...