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Assessing the Use of Virtual Pointers in Laparoscopic Surgery Training Activities.
Javier Jiménez-Ruescas1, Fco J Celdrán1, Lucía Salazar2
1LoUISE Research Group, University of Castilla-La Mancha, Albacete, Spain.
Surgical Innovation
|November 5, 2024
Summary
Virtual pointers in augmented reality (AR) can improve communication during laparoscopic surgery training. Optimizing pointer characteristics like size, shape, and color enhances perception and reduces errors in minimally invasive surgery education.
Area of Science:
- Surgical Education
- Human-Computer Interaction
- Medical Simulation
Background:
- Effective communication in laparoscopic surgery is crucial but challenging, especially in training.
- Misinterpretation of instructions can lead to errors in surgical procedures.
- Augmented reality (AR) with virtual pointers can potentially improve team communication and reduce errors.
Purpose of the Study:
- To assess the acceptance of virtual pointers in an AR environment for laparoscopic surgery training.
- To understand how pointer characteristics (shape, size, color) influence perception.
- To evaluate the usefulness of the HoloLens2 AR device in this context.
Main Methods:
- 10 participants (experts and novices) in laparoscopic surgery were involved.
- Various virtual pointers with different attributes were analyzed in an AR setting.
- The HoloLens2 device was used to present the AR environment and pointers.
Main Results:
- Initial acceptance rate for virtual pointers was 80%, decreasing to 60% after detailed analysis.
- Pointer characteristics significantly impact perception; large, thick-rimmed, orange pointers were preferred.
- The head-mounted display (HoloLens2) influenced perception, with some experts noting criticisms.
Conclusions:
- Optimized virtual pointers show promise for enhancing communication in laparoscopic surgical training.
- Further research with larger sample sizes is needed to validate findings and explore device influence.
- These insights can inform the development of advanced training tools for minimally invasive surgery.

