Influence of 3D laparoscopic surgery on surgeon's visual pattern and mental workload

Previous studies have found that surgeons perform better in three-dimensional (3D) surgery than in two-dimensional (2D) surgery. However, no comparative studies have revealed the impact of 3D laparoscopic surgery on the surgeon's vision. To explore the effect of laparoscopic surgeons' depth perception during 3D laparoscopic surgery, 10 participants were recruited and performed 4 sets comparative simulated laparoscopic procedures in a virtual simulator, and eye movement signals were acquired, which were used to characteristics the visual differences. Fixation rate and saccade speed were used to characterise the influence of moderating variables for visual characteristics. The results from the data showed significant differences in eye movement behaviour. Compared with 2D laparoscopic surgery, surgeons have more average fixation rate (p-values = 0.001, 0.000, 0.003 and 0.015, respectively) and faster saccade speed (p-values = 0.037, 0.003, 0.073 and 0.105, respectively) in 3D laparoscopic surgery. The results of this study showed that surgeons had more efficient visual search in 3D laparoscopic surgery. At the same time, the results also indicated that surgeon's mental workload in 3D laparoscopic surgery was low. The relevant conclusions of this paper revealed the advantages of 3D laparoscopic surgery through visual efficiency.