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Articulated instruments and 3D visualization : a synergy? : evaluation of execution time, errors, and visual fatigue

Frank Dewaele (UGent) , Tim De Pauw (UGent) , Nicolaas Lumen (UGent) , Elke Van Daele (UGent) , Tjalina Hamerlynck (UGent) , Steven Weyers (UGent) , Ine Strubbe (UGent) , Filip Van den Broeck, Thibaut Van Zele (UGent) , Dirk Van Roost (UGent) , et al.
(2019) SURGICAL INNOVATION. 26(4). p.456-463
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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.
Keywords
3D visualization, articulated instruments, laparoscopy, minimal invasive surgery, vergence-accommodation conflict

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MLA
Dewaele, Frank, et al. “Articulated Instruments and 3D Visualization : A Synergy? : Evaluation of Execution Time, Errors, and Visual Fatigue.” SURGICAL INNOVATION, vol. 26, no. 4, 2019, pp. 456–63, doi:10.1177/1553350618822077.
APA
Dewaele, F., De Pauw, T., Lumen, N., Van Daele, E., Hamerlynck, T., Weyers, S., … Van Nieuwenhove, Y. (2019). Articulated instruments and 3D visualization : a synergy? : evaluation of execution time, errors, and visual fatigue. SURGICAL INNOVATION, 26(4), 456–463. https://doi.org/10.1177/1553350618822077
Chicago author-date
Dewaele, Frank, Tim De Pauw, Nicolaas Lumen, Elke Van Daele, Tjalina Hamerlynck, Steven Weyers, Ine Strubbe, et al. 2019. “Articulated Instruments and 3D Visualization : A Synergy? : Evaluation of Execution Time, Errors, and Visual Fatigue.” SURGICAL INNOVATION 26 (4): 456–63. https://doi.org/10.1177/1553350618822077.
Chicago author-date (all authors)
Dewaele, Frank, Tim De Pauw, Nicolaas Lumen, Elke Van Daele, Tjalina Hamerlynck, Steven Weyers, Ine Strubbe, Filip Van den Broeck, Thibaut Van Zele, Dirk Van Roost, Luc Leybaert, Alain Kalmar, and Yves Van Nieuwenhove. 2019. “Articulated Instruments and 3D Visualization : A Synergy? : Evaluation of Execution Time, Errors, and Visual Fatigue.” SURGICAL INNOVATION 26 (4): 456–463. doi:10.1177/1553350618822077.
Vancouver
1.
Dewaele F, De Pauw T, Lumen N, Van Daele E, Hamerlynck T, Weyers S, et al. Articulated instruments and 3D visualization : a synergy? : evaluation of execution time, errors, and visual fatigue. SURGICAL INNOVATION. 2019;26(4):456–63.
IEEE
[1]
F. Dewaele et al., “Articulated instruments and 3D visualization : a synergy? : evaluation of execution time, errors, and visual fatigue,” SURGICAL INNOVATION, vol. 26, no. 4, pp. 456–463, 2019.
@article{8628358,
  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.},
  author       = {Dewaele, Frank and De Pauw, Tim and Lumen, Nicolaas and Van Daele, Elke and Hamerlynck, Tjalina and Weyers, Steven and Strubbe, Ine and Van den Broeck, Filip and Van Zele, Thibaut and Van Roost, Dirk and Leybaert, Luc and Kalmar, Alain and Van Nieuwenhove, Yves},
  issn         = {1553-3506},
  journal      = {SURGICAL INNOVATION},
  keywords     = {3D visualization,articulated instruments,laparoscopy,minimal invasive surgery,vergence-accommodation conflict},
  language     = {eng},
  number       = {4},
  pages        = {456--463},
  title        = {Articulated instruments and 3D visualization : a synergy? : evaluation of execution time, errors, and visual fatigue},
  url          = {http://dx.doi.org/10.1177/1553350618822077},
  volume       = {26},
  year         = {2019},
}

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