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Human/robotic interaction: vision limits performance in simulated vitreoretinal surgery
Marc D de Smet1,2, Nicky de Jonge2, Danilo Iannetta3,4
1Microinvasive Ocular Surgery Center (MIOS sa), Lausanne, Switzerland.
Acta Ophthalmologica
|December 28, 2018
Summary
Robotic assistance significantly improves surgical precision and accuracy, especially for less experienced surgeons in depth movements. Optimizing visualization is key to maximizing robotic benefits in vitreoretinal surgery.
Area of Science:
- Ophthalmology
- Robotic Surgery
- Surgical Simulation
Background:
- Vitreoretinal surgery demands high precision and accuracy.
- Minimally invasive techniques and advanced tools are crucial for complex procedures.
- Robotic assistance offers potential to enhance surgical performance.
Purpose of the Study:
- To compare the accuracy and precision of surgical tasks performed with and without robotic assistance.
- To evaluate the impact of visualization methods (microscope vs. video monitor) on surgical performance.
- To assess the influence of surgeon experience on robotic-assisted surgical outcomes.
Main Methods:
- Two experienced and two novice surgeons performed simulated vitreoretinal tasks (tracking, static).
- Tasks were executed using hand-held instruments on a robotic system with either microscope or video display visualization.
- Accuracy and precision were quantified by measuring instrument tip deviation from targets in XYZ coordinates.
Main Results:
- Robotic assistance significantly improved precision and accuracy in Z (depth) movements for all surgeons.
- Surgeon experience positively impacted Z-axis precision and dynamic accuracy under microscope visualization.
- Video display combined with robotic assistance enhanced all performance metrics and reduced experience-related differences.
Conclusions:
- Robotic systems enhance surgical precision and accuracy, particularly benefiting less experienced surgeons.
- Visualization quality, especially in depth, remains a critical factor limiting robotic performance.
- Optimizing visualization is essential to fully leverage the potential of robotic assistance in surgery.
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