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Use of Augmented Reality for Training Assistance in Laparoscopic Surgery: Scoping Literature Review
Francisco Javier Celdrán1, Javier Jiménez-Ruescas1, Carlos Lobato2
1I3A, LoUISE Research Group, University of Castilla-La Mancha, Albacete, Spain.
Journal of Medical Internet Research
|January 28, 2025
Summary
Augmented reality (AR) is transforming laparoscopic surgery training, with video-based devices and computer vision dominating current solutions. Further research is needed to standardize evaluation metrics and explore emerging technologies for enhanced skill acquisition.
Area of Science:
- Medical Education
- Surgical Technology
- Human-Computer Interaction
Background:
- Laparoscopic surgery requires complex technical and nontechnical skills.
- Traditional surgical training is evolving with immersive digital technologies like virtual, augmented, and mixed reality.
- Augmented reality (AR) is increasingly integral to laparoscopic surgery training.
Purpose of the Study:
- To conduct a scoping literature review analyzing current augmented reality (AR) solutions for laparoscopic surgery training.
- To identify prevalent AR devices, information provided, sensorization methods, training setups, evaluation techniques, and specific surgical tasks addressed.
Main Methods:
- A scoping review following PRISMA-ScR guidelines was performed using Scopus, IEEE Xplore, PubMed, and ACM databases.
- Inclusion and exclusion criteria were applied, followed by data extraction and descriptive analysis based on formulated research questions.
- Seventy-six articles were initially selected, with 51 meeting quality standards for the final review.
Main Results:
- AR video-based devices were most prevalent (84%). Task execution and patient data were the most common information types (20% each).
- Computer vision (46%) was the leading sensorization technology, with trainees most frequently sensorized (80%). Commercial simulators (39%) and artificial models (51%) were common training setups.
- Objective evaluation (71%) was predominant. Studies focused on full procedures (43%) or simple tasks like suturing (38%).
Conclusions:
- Augmented reality (AR) is significantly impacting laparoscopic surgery training, particularly video-based systems.
- Emerging technologies like haptic feedback, computer vision, and eye tracking show promise for skill enhancement.
- Standardized evaluation metrics are crucial for future research to fully realize AR's potential in surgical skill acquisition.
