Three-dimensional imaging improves surgical performance for both novice and experienced operators using the da Vinci Robot System

Department of Surgery, The Mount Sinai School of Medicine, 5 E. 98th Street, 15th Floor, Box 1263, New York, NY 10029, USA.
American journal of surgery (Impact Factor: 2.41). 05/2007; 193(4):519-22. DOI: 10.1016/j.amjsurg.2006.06.042
Source: PubMed

ABSTRACT This study was designed to evaluate the impact of 3-dimensional vision on the performance of resident and experienced surgeons using the da Vinci Robot System (Intuitive Surgical, Sunnyvale, CA).
Four tasks were performed by 12 surgeons with varying experience. Performance times and errors were recorded using both 2-dimensional and 3-dimensional vision for each task.
Performance time and error rates for all 4 skills confirm a significant advantage using 3-dimensional vision. Performance times were reduced by 34% to 46% using 3-dimensional imaging for all participants with statistical significance. Error rates were reduced by 44% and 66%.
Independent of the biomechanical advantages of the da Vinci Robot System, 3-dimensional vision allows for significant improvement in performance times and error rates for both inexperienced residents and advanced laparoscopic surgeons.

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    • "Similarly, operative time interval for other procedures of two groups was compared [Table/Fig-3]. As single surgeon carried out all the procedures, a comparative evaluation was made in terms of operative imaging parameters like image quality, depth of perception, operative strain including laparoscopic surgeons surmount this by extracting 'pictorial' depth cues from conventional images [4] [5]. "
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    • "Pre-operative plannin Hubbold et al. 1999; Reitinger et al. 2006 - - MIS Non-robotic Hofmeister et al. 2001; Kong et al. 2010; Pietrabissa 1994; Vasilyev et al. 2008; Wentink et al. 2002 Hanna et al. 2000; Hofmeister et al. 2001; Mueller-Richter et al. 2003; Tabaee et al. 2010; Thomsen et al. 2004 - Robotic Blavier et al. 2007; Byrn et al. 2007; Falk et al. 2001; Hubens et al. 2003; Huber et al 2003; Jourdan et al. 2004; Munz et al; 2004 Blavier et al 2007 - Training/Teaching Ilgner et al. 2007; Luursema et al. 2008; Votanopoulos et al. 2008 - stereoscopic displays has revealed predominantly positive results in terms of both subjective and performance advantages. In general, stereoscopic imaging makes it easier to detect diagnostically relevant features and resolve ambiguities in anatomical structures, especially when such structures are complicated or superimposed. "
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