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Published on: August 12, 2021
Robotic camera holder as good as expert camera holder: a randomized crossover trial
Miro Uchal1, Christopher Haughn, Yannis Raftopoulos
1Minimally Invasive Surgery Center, Allegheny General Hospital, Pittsburgh, USA.
Summary
Robotic camera holders (RCH) and human camera holders (HCH) showed similar outcomes in product quality and procedure effectiveness for simulated laparoscopic surgery. This suggests RCH does not negatively impact surgical simulation performance compared to HCH.
Area of Science:
- Surgical simulation
- Minimally invasive surgery
- Medical device technology
Background:
- Laparoscopic surgery requires precise camera control.
- Current methods rely on human camera holders (HCH), which can be fatiguing.
- Robotic camera holders (RCH) offer a potential alternative.
Purpose of the Study:
- To compare the impact of RCH versus HCH on simulated laparoscopic procedure outcomes.
- To evaluate differences in product quality and procedure effectiveness between RCH and HCH use.
- To assess the feasibility and performance of RCH in a simulated surgical environment.
Main Methods:
- Prospective randomized crossover trial with voluntary surgical residents.
- Simulated laparoscopic task: suturing a duodenal perforation with intracorporeal knot tying.
- Outcome measures included product quality (accuracy, damage, knot, leak) and procedure effectiveness (time, non-goal directed actions, dangerous actions).
Main Results:
- No significant differences in product quality or procedure effectiveness were observed between RCH and HCH.
- Task repetition within subjects did not significantly alter outcomes, irrespective of camera holder type.
- High interrater reliability was achieved for outcome assessments.
Conclusions:
- Robotic camera holders (RCH) and human camera holders (HCH) demonstrate comparable performance in simulated laparoscopic procedures.
- RCH presents a viable alternative to HCH without compromising product quality or procedural effectiveness.
- Further research may explore RCH in more complex surgical simulations or clinical settings.
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