You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment II (MP47)1 Apr 2020MP47-07 MOTION ANALYSIS TO PROMOTE UNDERSTANDING OF LAPAROSCOPIC SURGERY-DEXTERITY AND OBJECTIVE ASSESSMENT-BASED SIMULATION TRAINING Takashige Abe*, Koki Ebina, Madoka Higuchi, Jun Furumido, Naoya Iwahara, Masafumi Kon, Kiyohiko Hotta, Shunsuke Komizunai, Yo Kurashima, Hiroshi Kikuchi, Ryuji Matsumoto, Takahiro Osawa, Sachiyo Murai, Atsushi Konno, and Nobuo Shinohara Takashige Abe*Takashige Abe* More articles by this author , Koki EbinaKoki Ebina More articles by this author , Madoka HiguchiMadoka Higuchi More articles by this author , Jun FurumidoJun Furumido More articles by this author , Naoya IwaharaNaoya Iwahara More articles by this author , Masafumi KonMasafumi Kon More articles by this author , Kiyohiko HottaKiyohiko Hotta More articles by this author , Shunsuke KomizunaiShunsuke Komizunai More articles by this author , Yo KurashimaYo Kurashima More articles by this author , Hiroshi KikuchiHiroshi Kikuchi More articles by this author , Ryuji MatsumotoRyuji Matsumoto More articles by this author , Takahiro OsawaTakahiro Osawa More articles by this author , Sachiyo MuraiSachiyo Murai More articles by this author , Atsushi KonnoAtsushi Konno More articles by this author , and Nobuo ShinoharaNobuo Shinohara More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000902.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Based on the recent widespread use of laparoscopic surgery, working-hour restrictions, and ethical considerations, there is a growing need for an efficient simulation training program for laparoscopic surgery. Our aim was to promote understanding of the dexterity of laparoscopic surgery using a motion tracking system and develop an objective assessment-based simulation training program in a wet lab. METHODS: Participants performed lymphadenectomy around the aorta, dividing encountered mesenteric vessels after applying Hem-o-locks (task 1), and renal parenchymal closure (task 2: suturing only, task 3: suturing and tying), using swine cadaveric organs (Figures 1a and 1b). The optical based motion capture (Mocap) system that we newly developed was utilized to capture forceps movements (Figure 1c). Briefly, infrared reflective marker sets with an individual arrangement pattern were attached to handles of grasping forceps, scissors forceps, a clip applier, and needle holders (Figure 1d). Mocap, which consisted of 6 infrared cameras, simultaneously tracked the movements of multiple surgical instruments during a series of training steps. The tip movements were calculated based on the positional relationship between the tip and handle. Measurements were compared according to participants’ surgical experiences (experts: >50 laparoscopic surgeries, intermediates: 10-49, novices: 0-9). RESULTS: A total of 15 experts, 12 intermediates, and 18 novices participated in the training. In task 1, there were significant differences in the path length of grasping forceps (Kruskal Wallis test, p<0.001), scissors forceps (p<0.001), and a clip applier (p<0.035) among the three groups, showing economic motions in experts (Figure 1e and 1f, representative samples). Similar results were observed in tasks 2 and 3. CONCLUSIONS: Our novel Mocap system recognized the difference in path length of multiple surgical instruments during a series of surgical flow according to the skill level. We are now analyzing other parameters, including speed, acceleration, and jerk. Our results strongly show the possibility of digitizing laparoscopic surgical skills and a novel surgical simulation program whereby trainees are able to immediately receive objective feedback during wet lab training. Source of Funding: KAKENHI © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e686-e686 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Takashige Abe* More articles by this author Koki Ebina More articles by this author Madoka Higuchi More articles by this author Jun Furumido More articles by this author Naoya Iwahara More articles by this author Masafumi Kon More articles by this author Kiyohiko Hotta More articles by this author Shunsuke Komizunai More articles by this author Yo Kurashima More articles by this author Hiroshi Kikuchi More articles by this author Ryuji Matsumoto More articles by this author Takahiro Osawa More articles by this author Sachiyo Murai More articles by this author Atsushi Konno More articles by this author Nobuo Shinohara More articles by this author Expand All Advertisement PDF downloadLoading ...