Cargando…
Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial
BACKGROUND: Unsteady camera movement and poor visualization contribute to a difficult learning curve for laparoscopic surgery. Remote-controlled camera holders (RCHs) aim to mitigate these factors and may be used to overcome barriers to learning. Our aim was to evaluate performance benefits to lapar...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8263395/ https://www.ncbi.nlm.nih.gov/pubmed/32851466 http://dx.doi.org/10.1007/s00464-020-07899-5 |
_version_ | 1783719380592361472 |
---|---|
author | Amin, Mohammad S. A. Aydin, Abdullatif Abbud, Nurhan Van Cleynenbreugel, Ben Veneziano, Domenico Somani, Bhaskar Gözen, Ali Serdar Redorta, Juan Palou Khan, M. Shamim Dasgupta, Prokar Makanjuoala, Jonathan Ahmed, Kamran |
author_facet | Amin, Mohammad S. A. Aydin, Abdullatif Abbud, Nurhan Van Cleynenbreugel, Ben Veneziano, Domenico Somani, Bhaskar Gözen, Ali Serdar Redorta, Juan Palou Khan, M. Shamim Dasgupta, Prokar Makanjuoala, Jonathan Ahmed, Kamran |
author_sort | Amin, Mohammad S. A. |
collection | PubMed |
description | BACKGROUND: Unsteady camera movement and poor visualization contribute to a difficult learning curve for laparoscopic surgery. Remote-controlled camera holders (RCHs) aim to mitigate these factors and may be used to overcome barriers to learning. Our aim was to evaluate performance benefits to laparoscopic skill acquisition in novices using a RCH. METHODS: Novices were randomized into groups using a human camera assistant (HCA) or the FreeHand v1.0 RCH and trained in the (E-BLUS) curriculum. After completing training, a surgical workload questionnaire (SURG-TLX) was issued to participants. RESULTS: Forty volunteers naïve in laparoscopic skill were randomized into control and intervention groups (n = 20) with intention-to-treat analysis. Each participant received up to 10 training sessions using the E-BLUS curriculum. Competency was reached in the peg transfer task in 5.5 and 7.6 sessions for the ACH and HCA groups, respectively (P = 0.015), and 3.6 and 6.8 sessions for the laparoscopic suturing task (P = 0.0004). No significance differences were achieved in the circle cutting (P = 0.18) or needle guidance tasks (P = 0.32). The RCH group experienced significantly lower workload (P = 0.014) due to lower levels of distraction (P = 0.047). CONCLUSIONS: Remote-controlled camera holders have demonstrated the potential to significantly benefit intra-operative performance and surgical experience where camera movement is minimal. Future high-quality studies are needed to evaluate RCHs in clinical practice. TRIAL REGISTRATION: ISRCTN 83733979 |
format | Online Article Text |
id | pubmed-8263395 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-82633952021-07-20 Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial Amin, Mohammad S. A. Aydin, Abdullatif Abbud, Nurhan Van Cleynenbreugel, Ben Veneziano, Domenico Somani, Bhaskar Gözen, Ali Serdar Redorta, Juan Palou Khan, M. Shamim Dasgupta, Prokar Makanjuoala, Jonathan Ahmed, Kamran Surg Endosc Article BACKGROUND: Unsteady camera movement and poor visualization contribute to a difficult learning curve for laparoscopic surgery. Remote-controlled camera holders (RCHs) aim to mitigate these factors and may be used to overcome barriers to learning. Our aim was to evaluate performance benefits to laparoscopic skill acquisition in novices using a RCH. METHODS: Novices were randomized into groups using a human camera assistant (HCA) or the FreeHand v1.0 RCH and trained in the (E-BLUS) curriculum. After completing training, a surgical workload questionnaire (SURG-TLX) was issued to participants. RESULTS: Forty volunteers naïve in laparoscopic skill were randomized into control and intervention groups (n = 20) with intention-to-treat analysis. Each participant received up to 10 training sessions using the E-BLUS curriculum. Competency was reached in the peg transfer task in 5.5 and 7.6 sessions for the ACH and HCA groups, respectively (P = 0.015), and 3.6 and 6.8 sessions for the laparoscopic suturing task (P = 0.0004). No significance differences were achieved in the circle cutting (P = 0.18) or needle guidance tasks (P = 0.32). The RCH group experienced significantly lower workload (P = 0.014) due to lower levels of distraction (P = 0.047). CONCLUSIONS: Remote-controlled camera holders have demonstrated the potential to significantly benefit intra-operative performance and surgical experience where camera movement is minimal. Future high-quality studies are needed to evaluate RCHs in clinical practice. TRIAL REGISTRATION: ISRCTN 83733979 Springer US 2020-08-26 2021 /pmc/articles/PMC8263395/ /pubmed/32851466 http://dx.doi.org/10.1007/s00464-020-07899-5 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Amin, Mohammad S. A. Aydin, Abdullatif Abbud, Nurhan Van Cleynenbreugel, Ben Veneziano, Domenico Somani, Bhaskar Gözen, Ali Serdar Redorta, Juan Palou Khan, M. Shamim Dasgupta, Prokar Makanjuoala, Jonathan Ahmed, Kamran Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial |
title | Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial |
title_full | Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial |
title_fullStr | Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial |
title_full_unstemmed | Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial |
title_short | Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial |
title_sort | evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8263395/ https://www.ncbi.nlm.nih.gov/pubmed/32851466 http://dx.doi.org/10.1007/s00464-020-07899-5 |
work_keys_str_mv | AT aminmohammadsa evaluationofaremotecontrolledlaparoscopiccameraholderforbasiclaparoscopicskillsacquisitionarandomizedcontrolledtrial AT aydinabdullatif evaluationofaremotecontrolledlaparoscopiccameraholderforbasiclaparoscopicskillsacquisitionarandomizedcontrolledtrial AT abbudnurhan evaluationofaremotecontrolledlaparoscopiccameraholderforbasiclaparoscopicskillsacquisitionarandomizedcontrolledtrial AT vancleynenbreugelben evaluationofaremotecontrolledlaparoscopiccameraholderforbasiclaparoscopicskillsacquisitionarandomizedcontrolledtrial AT venezianodomenico evaluationofaremotecontrolledlaparoscopiccameraholderforbasiclaparoscopicskillsacquisitionarandomizedcontrolledtrial AT somanibhaskar evaluationofaremotecontrolledlaparoscopiccameraholderforbasiclaparoscopicskillsacquisitionarandomizedcontrolledtrial AT gozenaliserdar evaluationofaremotecontrolledlaparoscopiccameraholderforbasiclaparoscopicskillsacquisitionarandomizedcontrolledtrial AT redortajuanpalou evaluationofaremotecontrolledlaparoscopiccameraholderforbasiclaparoscopicskillsacquisitionarandomizedcontrolledtrial AT khanmshamim evaluationofaremotecontrolledlaparoscopiccameraholderforbasiclaparoscopicskillsacquisitionarandomizedcontrolledtrial AT dasguptaprokar evaluationofaremotecontrolledlaparoscopiccameraholderforbasiclaparoscopicskillsacquisitionarandomizedcontrolledtrial AT makanjuoalajonathan evaluationofaremotecontrolledlaparoscopiccameraholderforbasiclaparoscopicskillsacquisitionarandomizedcontrolledtrial AT ahmedkamran evaluationofaremotecontrolledlaparoscopiccameraholderforbasiclaparoscopicskillsacquisitionarandomizedcontrolledtrial |