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01-10-2015 | Original Article

Impact of examinees’ stereopsis and near visual acuity on laparoscopic virtual reality performance

Authors: Henry Hoffmann, Rebecca Ruiz-Schirinzi, David Goldblum, Salome Dell-Kuster, Daniel Oertli, Dieter Hahnloser, Rachel Rosenthal

Published in: Surgery Today | Issue 10/2015

Abstract

Purpose

Laparoscopic surgery represents specific challenges, such as the reduction of a three-dimensional anatomic environment to two dimensions. The aim of this study was to investigate the impact of the loss of the third dimension on laparoscopic virtual reality (VR) performance.

Methods

We compared a group of examinees with impaired stereopsis (group 1, n = 28) to a group with accurate stereopsis (group 2, n = 29). The primary outcome was the difference between the mean total score (MTS) of all tasks taken together and the performance in task 3 (eye–hand coordination), which was a priori considered to be the most dependent on intact stereopsis.

Results

The MTS and performance in task 3 tended to be slightly, but not significantly, better in group 2 than in group 1 [MTS: −0.12 (95 % CI −0.32, 0.08; p = 0.234); task 3: −0.09 (95 % CI −0.29, 0.11; p = 0.385)]. The difference of MTS between simulated impaired stereopsis between group 2 (by attaching an eye patch on the adominant eye in the 2nd run) and the first run of group 1 was not significant (MTS: p = 0.981; task 3: p = 0.527).

Conclusion

We were unable to demonstrate an impact of impaired examinees’ stereopsis on laparoscopic VR performance. Individuals with accurate stereopsis seem to be able to compensate for the loss of the third dimension in laparoscopic VR simulations.

Ohtani H, Tamamori Y, Noguchi K, Azuma T, Fujimoto S, Oba H, et al. A meta-analysis of randomized controlled trials that compared laparoscopy-assisted and open distal gastrectomy for early gastric cancer. J Gastrointest Surg. 2010;14:958–64.CrossRefPubMed

Liu Z, Zhang P, Ma Y, Chen H, Zhou Y, Zhang M, et al. Laparoscopy or not: a meta-analysis of the surgical effects of laparoscopic versus open appendicectomy. Surg Laparosc Endosc Percutan Tech. 2010;20:362–70.CrossRefPubMed

Sauerland S, Jaschinski T, Neugebauer EA. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev. 2010;10:CD001546.PubMed

Kuhry E, Schwenk WF, Gaupset R, Romild U, Bonjer HJ. Long-term results of laparoscopic colorectal cancer resection. Cochrane Database Syst Rev. 2008;2:CD003432.PubMed

Jayne DG, Thorpe HC, Copeland J, Quirke P, Brown JM, Guillou PJ. Five-year follow-up of the Medical Research Council CLASICC trial of laparoscopically assisted versus open surgery for colorectal cancer. Br J Surg. 2010;97:1638–45.CrossRefPubMed

Buunen M, Veldkamp R, Hop WCJ, Kuhry E, Jeekel J, Haglind E, et al. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet Oncol. 2009;10:44–52.CrossRefPubMed

Fleshman J, Sargent DJ, Green E, Anvari M, Stryker SJ, Beart RW, et al. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial. Ann Surg. 2007;246:655–62 (discussion 662–4).CrossRefPubMed

Gallagher AG, Ritter EM, Lederman AB, McClusky DA, Smith CD, et al. Video-assisted surgery represents more than a loss of three-dimensional vision. Am J Surg. 2005;189:76–80.CrossRefPubMed

Nisky I, Huang F, Milstein A, Pugh CM, Mussa-Ivaldi FA, Karniel A. Perception of stiffness in laparoscopy—the fulcrum effect. Stud Heal Technol Inform. 2012;173:313–9.

10.

Xu L, Wang Y, Li Y, Wang Y, Cui T, Li J, et al. Causes of blindness and visual impairment in urban and rural areas in Beijing: the Beijing Eye Study. Ophthalmology. 2006;113(1134):e1–11.PubMed

11.

Maberley DAL, Hollands H, Chuo J, Tam G, Konkal J, Roesch M, et al. The prevalence of low vision and blindness in Canada. Eye. 2006;20:341–6.CrossRefPubMed

12.

Rahi JS, Cumberland PM, Peckham CS. Visual impairment and vision-related quality of life in working-age adults: findings in the 1958 British birth cohort. Ophthalmology. 2009;116:270–4.CrossRefPubMed

13.

Shah J, Buckley D, Frisby J, Darzi A. Depth cue reliance in surgeons and medical students. Surg Endosc. 2003;17:1472–4.CrossRefPubMed

14.

Dunbar G, Holland CA, Maylor EA. Older pedestrians: a critical review of the literature. Road safety research report. London: The Department for Transport. 2004.

15.

Brown S, Weih L, Mukesh N, McCarty C, Taylor H. Assessment of adult stereopsis using the Lang 1 stereotest: a pilot study. Binocul Vis Strabismus Q. 2001;16:91–8.PubMed

16.

Sue S. Test distance vision using a Snellen chart. Community Eye Heal. 2007;20:52.

17.

Nüssgens Z, Czerwonka B, Roggenkämper P. Examinations on the new Lang test. Strabismus. 1993;1:69–73.CrossRefPubMed

18.

Okuda FC, Apt L, Wanter BS. Evaluation of the TNO-random-dot stereogram test. Am Orthopt J. 1977;27:124–30.PubMed

19.

Vandenbroucke JP, von Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. PLoS Med. 2007;4:e297.CrossRefPubMedPubMedCentral

20.

Rosenthal R, Schäfer J, Hoffmann H, Vitz M, Oertli D, Hahnloser D. Personality traits and virtual reality performance. Surg Endosc. 2013;27:222–30.CrossRefPubMed

21.

Klein R, Klein BE, Linton KL, De Mets DL. The beaver dam eye study: visual acuity. Ophthalmology. 1991;98:1310–5.CrossRefPubMed

22.

Rosenthal R, Geuss S, Dell-Kuster S, Schäfer J, Hahnloser D, Demartines N. Video gaming in children improves performance on a virtual reality trainer but does not yet make a laparoscopic surgeon. Surg Innov. 2011;18:160–70.CrossRefPubMed

23.

Suleman R, Yang T, Paige J, Chauvin S, Alleyn J, Brewer M, et al. Hand–eye dominance and depth perception effects in performance on a basic laparoscopic skills set. JSLS. 2010;14:35–40.CrossRefPubMedPubMedCentral

24.

Selvander M, Åsman P. Stereoacuity and intraocular surgical skill: effect of stereoacuity level on virtual reality intraocular surgical performance. J Cataract Refract Surg. 2011;37:2188–93.CrossRefPubMed

25.

Barry GP, Simon JW, Auringer D, Dunnican W, Zobal-Ratner J. Performance of strabismic subjects using a validated surgical training module: a pilot study. J AAPOS. 2009;13:350–3 (353. e1–2).CrossRefPubMed

26.

Palep JH. Robotic assisted minimally invasive surgery. J Minim Access Surg. 2009;5:1–7.CrossRefPubMedPubMedCentral

27.

Storz P, Buess GF, Kunert W, Kirschniak A. 3D HD versus 2D HD: surgical task efficiency in standardised phantom tasks. Surg Endosc. 2011;26:1454–60.CrossRefPubMed

28.

Pedraza R, Ramos-Valadez DI, Haas EM. Robotic-assisted laparoscopic surgery of the colon and rectum: a literature review. Cir Cir. 2011;79:384–91.PubMed

29.

Hanna GB, Shimi SM. Cuschieri a. Randomised study of influence of two-dimensional versus three-dimensional imaging on performance of laparoscopic cholecystectomy. Lancet. 1998;351:248–51.CrossRefPubMed

30.

Hanna GB, Cuschieri A. Influence of two-dimensional and three-dimensional imaging on endoscopic bowel suturing. World J Surg. 2000;24:444–9.CrossRefPubMed

31.

McLachlan G. From 2D to 3D: the future of surgery? Lancet. 2011;378:1368.CrossRefPubMed

32.

Wilson M, McGrath J, Vine S, Brewer J, Defriend D, Masters R. Psychomotor control in a virtual laparoscopic surgery training environment: gaze control parameters differentiate novices from experts. Surg Endosc. 2010;24:2458–64.CrossRefPubMedPubMedCentral

33.

Wilson MR, McGrath JS, Vine SJ, Brewer J, Defriend D, Masters RSW. Perceptual impairment and psychomotor control in virtual laparoscopic surgery. Surg Endosc. 2011;25:2268–74.CrossRefPubMedPubMedCentral

34.

Richstone L, Schwartz MJ, Seideman C, Cadeddu J, Marshall S, Kavoussi LR. Eye metrics as an objective assessment of surgical skill. Ann Surg. 2010;252:177–82.CrossRefPubMed

Title: Impact of examinees’ stereopsis and near visual acuity on laparoscopic virtual reality performance
Authors: Henry Hoffmann
Rebecca Ruiz-Schirinzi
David Goldblum
Salome Dell-Kuster
Daniel Oertli
Dieter Hahnloser
Rachel Rosenthal
Publication date: 01-10-2015
Publisher: Springer Japan
Published in: Surgery Today / Issue 10/2015
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-014-1046-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Impact of examinees’ stereopsis and near visual acuity on laparoscopic virtual reality performance

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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