دورية أكاديمية
Sensorimotor Challenges in Minimally Invasive Surgery: A Theoretically-Oriented Review.
| العنوان: | Sensorimotor Challenges in Minimally Invasive Surgery: A Theoretically-Oriented Review. |
|---|---|
| المؤلفون: | Hewitson CL; Yale University, USA., Crossley MJ; Macquarie University, Australia., Cartmill J; Macquarie University, Australia., Kaplan DM; Macquarie University, Australia. |
| المصدر: | Human factors [Hum Factors] 2024 Jul 22, pp. 187208241263684. Date of Electronic Publication: 2024 Jul 22. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Human Factors and Ergonomics Society Country of Publication: United States NLM ID: 0374660 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1547-8181 (Electronic) Linking ISSN: 00187208 NLM ISO Abbreviation: Hum Factors Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Santa Monica, Ca : Human Factors and Ergonomics Society Original Publication: New York, N.Y. : Pergamon Press, 1958-4 |
| مستخلص: | Objective: This review surveys the literature on sensorimotor challenges impacting performance in laparoscopic minimally invasive surgery (MIS). Background: Despite its well-known benefits for patients, achieving proficiency in MIS can be challenging for surgeons due to many factors including altered visual perspectives and fulcrum effects in instrument handling. Research on these and other sensorimotor challenges has been hindered by imprecise terminology and the lack of a unified theoretical framework to guide research questions in the field. Method: We conducted a systematic survey of the MIS literature, focusing on studies investigating sensorimotor challenges affecting laparoscopic performance. To provide a common foundation for cross-study comparisons, we propose a standardized taxonomy that distinguishes between different experimental paradigms used in the literature. We then show how the computational motor learning perspective provides a unifying theoretical framework for the field that can facilitate progress and motivate future research along clearer, hypothesis-driven lines. Results: The survey identified diverse sensorimotor perturbations in MIS, which can be effectively categorized according to our proposed taxonomy. Studies investigating monitor-, camera-, and tool-based perturbations were systematically analyzed, elucidating their impact on surgical performance. We also show how the computational motor learning perspective provides deeper insights and potential strategies to mitigate challenges. Conclusion: Sensorimotor challenges significantly impact MIS, necessitating a systematic, empirically informed approach. Our proposed taxonomy and theoretical framework shed light on the complexities involved, paving the way for more structured research and targeted training approaches to enhance surgical proficiency. Application: Understanding the sensorimotor challenges inherent to MIS can guide the design of improved training curricula and inform the configuration of setups in the operating room to enhance surgeon performance and ultimately patient outcomes. This review offers key insights for surgeons, educators, and researchers in surgical performance and technology development. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| فهرسة مساهمة: | Keywords: medical simulation/training and assessment; motor control; motor learning; performance; sensorimotor-adaptation; simulation and training; skilled; surgical training |
| تواريخ الأحداث: | Date Created: 20240722 Latest Revision: 20240816 |
| رمز التحديث: | 20240816 |
| DOI: | 10.1177/00187208241263684 |
| PMID: | 39038166 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1547-8181 |
|---|---|
| DOI: | 10.1177/00187208241263684 |