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腹腔镜检查中对硬度的感知——支点效应。

Perception of stiffness in laparoscopy - the fulcrum effect.

作者信息

Nisky Ilana, Huang Felix, Milstein Amit, Pugh Carla M, Mussa-Ivaldi Ferdinando A, Karniel Amir

机构信息

Biomedical Engineering Department, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

出版信息

Stud Health Technol Inform. 2012;173:313-9.

PMID:22357009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4102265/
Abstract

We explored how the perception of stiffness can be distorted in Minimally Invasive Surgery. We combined a mechanical simulator with a haptic device, and implemented linear springs at the tip of the simulated laparoscopic device. To explore the influence of mechanical advantage on perception, we set different values of the ratio between internal and external length of the tool. We found that a nonsymmetrical ratio causes bias in the perceived stiffness when novice tangential probing is compared to radial probing. In contrast, haptic experts did not show similar perceptual bias.

摘要

我们探究了在微创手术中,对刚度的感知是如何被扭曲的。我们将一个机械模拟器与一个触觉设备相结合,并在模拟腹腔镜设备的尖端设置了线性弹簧。为了探究机械优势对感知的影响,我们设定了工具内外长度比的不同值。我们发现,与径向探测相比,当新手进行切向探测时,不对称的比例会导致感知刚度出现偏差。相比之下,触觉专家并未表现出类似的感知偏差。

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IEEE Trans Haptics. 2008 Jul-Dec;1(2):73-82. doi: 10.1109/TOH.2008.17.
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Impact of virtual reality-simulated training on urology residents' performance of transurethral resection of the prostate.虚拟现实模拟训练对泌尿科住院医师经尿道前列腺切除术表现的影响。
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Proximodistal gradient in the perception of delayed stiffness.远近梯度感知延迟刚度。
机器人单部位胆囊切除术在减轻术后疼痛方面优于单孔和传统多孔腹腔镜胆囊切除术。
Surg Endosc. 2023 May;37(5):3548-3556. doi: 10.1007/s00464-022-09846-y. Epub 2023 Jan 5.
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Safety assessment of robotic gastrectomy and analysis of surgical learning process: a multicenter cohort study.机器人胃切除术的安全性评估及手术学习过程分析:多中心队列研究。
Gastric Cancer. 2022 Jul;25(4):817-826. doi: 10.1007/s10120-022-01289-7. Epub 2022 Apr 13.
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LAPKaans: Tool-Motion Tracking and Gripping Force-Sensing Modular Smart Laparoscopic Training System.LAPKaans:工具运动跟踪与抓握力传感模块化智能腹腔镜训练系统。
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J Obes Metab Syndr. 2018 Mar 30;27(1):25-34. doi: 10.7570/jomes.2018.27.1.25.
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Mechanical simulators for training for laparoscopic surgery in urology.用于泌尿外科腹腔镜手术训练的机械模拟器。
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