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Open Access 17-06-2024 | Original Article

Model-based individual life-spanning documentation in visceral surgery: a proof of concept

Authors: Maximilian Berlet, Alissa Jell, Lars Wagner, Lukas Bernhard, Jonas Fuchtmann, Luca Wegener, Hubertus Feussner, Helmut Friess, Dirk Wilhelm

Published in: International Journal of Computer Assisted Radiology and Surgery

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Abstract

Introduction

Surgical documentation has many implications. However, its primary function is to transfer information about surgical procedures to other medical professionals. Thereby, written reports describing procedures in detail are the current standard, impeding comprehensive understanding of patient-individual life-spanning surgical course, especially if surgeries are performed at a timely distance and in diverse facilities. Therefore, we developed a novel model-based approach for documentation of visceral surgeries, denoted as 'Surgical Documentation Markup-Modeling' (SDM-M).

Material and methods

For scientific evaluation, we developed a web-based prototype software allowing for creating hierarchical anatomical models that can be modified by individual surgery-related markup information. Thus, a patient's cumulated 'surgical load' can be displayed on a timeline deploying interactive anatomical 3D models. To evaluate the possible impact on daily clinical routine, we performed an evaluation study with 24 surgeons and advanced medical students, elaborating on simulated complex surgical cases, once with classic written reports and once with our prototypical SDM-M software.

Results

Leveraging SDM-M in an experimental environment reduced the time needed for elaborating simulated complex surgical cases from 354 ± 85 s with the classic approach to 277 ± 128 s. (p = 0.00109) The perceived task load measured by the Raw NASA-TLX was reduced significantly (p = 0.00003) with decreased mental (p = 0.00004) and physical (p = 0.01403) demand. Also, time demand (p = 0.00041), performance (p = 0.00161), effort (p = 0.00024), and frustration (p = 0.00031) were improved significantly.

Discussion

Model-based approaches for life-spanning surgical documentation could improve the daily clinical elaboration and understanding of complex cases in visceral surgery. Besides reduced workload and time sparing, even a more structured assessment of individual surgical cases could foster improved planning of further surgeries, information transfer, and even scientific evaluation, considering the cumulative 'surgical load.'

Conclusion

Life-spanning model-based documentation of visceral surgical cases could significantly improve surgery and workload.
Literature
11.
go back to reference R Core Team (2021) R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria R Core Team (2021) R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria
12.
go back to reference Adler D, Nenadic O, Zucchini W (2003) Rgl: A r-library for 3d visualization with opengl. In: Proceedings of the 35th symposium of the interface: computing science and statistics, Salt Lake City. Citeseer, pp 1–11 Adler D, Nenadic O, Zucchini W (2003) Rgl: A r-library for 3d visualization with opengl. In: Proceedings of the 35th symposium of the interface: computing science and statistics, Salt Lake City. Citeseer, pp 1–11
13.
go back to reference Vaidyanathan R, Xie Y, Allaire J, Cheng J, Russell K (2018) htmlwidgets: HTML Widgets for R. R package version 6: Vaidyanathan R, Xie Y, Allaire J, Cheng J, Russell K (2018) htmlwidgets: HTML Widgets for R. R package version 6:
14.
17.
go back to reference Gliem JA, Gliem RR (2003) Calculating, Interpreting, And Reporting Cronbach’s Alpha Reliability Coefficient For Likert-Type Scales Gliem JA, Gliem RR (2003) Calculating, Interpreting, And Reporting Cronbach’s Alpha Reliability Coefficient For Likert-Type Scales
18.
go back to reference Revelle W (2017) Using the psych package to generate and test structural models. Recuperado de http://bioconductor statistik tu-dortmund de/cran/web/packages/psych/vignettes/psych_for_sem pdf Revelle W (2017) Using the psych package to generate and test structural models. Recuperado de http://​bioconductor statistik tu-dortmund de/cran/web/packages/psych/vignettes/psych_for_sem pdf
25.
go back to reference He Z, Mottaghi A, Sharghi A, Jamal MA, Mohareri O (2022) An empirical study on activity recognition in long surgical videos. Machine Learn Health PMLR 193:356–372 He Z, Mottaghi A, Sharghi A, Jamal MA, Mohareri O (2022) An empirical study on activity recognition in long surgical videos. Machine Learn Health PMLR 193:356–372
30.
go back to reference Maier-Hein L, Vedula SS, Speidel S, Navab N, Kikinis R, Park A, Eisenmann M, Feussner H, Forestier G, Giannarou S, Hashizume M, Katic D, Kenngott H, Kranzfelder M, Malpani A, März K, Neumuth T, Padoy N, Pugh C, Schoch N, Stoyanov D, Taylor R, Wagner M, Hager GD, Jannin P (2017) Surgical data science for next-generation interventions. Nature Biomed Eng 1:691–696. https://doi.org/10.1038/s41551-017-0132-7CrossRef Maier-Hein L, Vedula SS, Speidel S, Navab N, Kikinis R, Park A, Eisenmann M, Feussner H, Forestier G, Giannarou S, Hashizume M, Katic D, Kenngott H, Kranzfelder M, Malpani A, März K, Neumuth T, Padoy N, Pugh C, Schoch N, Stoyanov D, Taylor R, Wagner M, Hager GD, Jannin P (2017) Surgical data science for next-generation interventions. Nature Biomed Eng 1:691–696. https://​doi.​org/​10.​1038/​s41551-017-0132-7CrossRef
31.
go back to reference Bacon J, Tardella N, Pratt J, English JHJ (2006) The surgical simulation and training based language for medical simulation. Med Meets Virtual Reality 119:37–42 Bacon J, Tardella N, Pratt J, English JHJ (2006) The surgical simulation and training based language for medical simulation. Med Meets Virtual Reality 119:37–42
Metadata
Title
Model-based individual life-spanning documentation in visceral surgery: a proof of concept
Authors
Maximilian Berlet
Alissa Jell
Lars Wagner
Lukas Bernhard
Jonas Fuchtmann
Luca Wegener
Hubertus Feussner
Helmut Friess
Dirk Wilhelm
Publication date
17-06-2024
Publisher
Springer International Publishing
Published in
International Journal of Computer Assisted Radiology and Surgery
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-024-03214-y