New dimensions in surgical training: immersive virtual reality laparoscopic simulation exhilarates surgical staff

Introduction Virtual reality (VR) and head mount displays (HMDs) have been advanced for multimedia and information technologies but have scarcely been used in surgical training. Motion sickness and individual psychological changes have been associated with VR. The goal was to observe first experienc...

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Published in:Surgical endoscopy Vol. 31; no. 11; pp. 4472 - 4477
Main Authors: Huber, Tobias, Paschold, Markus, Hansen, Christian, Wunderling, Tom, Lang, Hauke, Kneist, Werner
Format: Journal Article
Language:English
Published: New York Springer US 01.11.2017
Springer Nature B.V
Subjects:
Abdominal Surgery
Cholecystectomy
Clinical Competence - statistics & numerical data
Feasibility Studies
Female
Gastroenterology
Gynecology
Health Personnel - education
Hepatology
Humans
Laparoscopy
Laparoscopy - education
Laparoscopy - methods
Male
Medicine
Medicine & Public Health
Motion sickness
Proctology
Simulation
Simulation Training - methods
Surgery
Surveys and Questionnaires
Virtual Reality
Abdominal surgery
Training
Laparoscopy
Simulation
Immersive virtual reality
Virtual surgery
ISSN:0930-2794, 1432-2218, 1432-2218
Online Access:Get full text
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Summary:Introduction Virtual reality (VR) and head mount displays (HMDs) have been advanced for multimedia and information technologies but have scarcely been used in surgical training. Motion sickness and individual psychological changes have been associated with VR. The goal was to observe first experiences and performance scores using a new combined highly immersive virtual reality (IVR) laparoscopy setup. Methods During the study, 10 members of the surgical department performed three tasks (fine dissection, peg transfer, and cholecystectomy) on a VR simulator. We then combined a VR HMD with the VR laparoscopic simulator and displayed the simulation on a 360° video of a laparoscopic operation to create an IVR laparoscopic simulation. The tasks were then repeated. Validated questionnaires on immersion and motion sickness were used for the study. Results Participants’ times for fine dissection were significantly longer during the IVR session (regular: 86.51 s [62.57 s; 119.62 s] vs. IVR: 112.35 s [82.08 s; 179.40 s]; p  = 0.022). The cholecystectomy task had higher error rates during IVR. Motion sickness did not occur at any time for any participant. Participants experienced a high level of exhilaration, rarely thought about others in the room, and had a high impression of presence in the generated IVR world. Conclusion This is the first clinical and technical feasibility study using the full IVR laparoscopy setup combined with the latest laparoscopic simulator in a 360° surrounding. Participants were exhilarated by the high level of immersion. The setup enables a completely new generation of surgical training.
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ISSN:0930-2794
1432-2218
1432-2218
DOI:10.1007/s00464-017-5500-6