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The GPS for surgery: A user-centered evaluation of a navigation system for laparoscopic surgery.

作者信息

Penza Veronica, Soriero Domenico, Barresi Giacinto, Pertile Davide, Scabini Stefano, Mattos Leonardo S

机构信息

Biomedical Robotics Lab, Advanced Robotics, Istituto Italiano di Tecnologia, Genoa, Italy.

Unit of Surgical Oncology, San Martino Hospital, Genoa, Italy.

出版信息

Int J Med Robot. 2020 Oct;16(5):1-13. doi: 10.1002/rcs.2119. Epub 2020 Jun 8.

DOI:10.1002/rcs.2119
PMID:32384192
Abstract

BACKGROUND

Unsafe surgical care has emerged as a significant public health concern, motivated by a high percentage of major complications happening during surgery, attributed to surgeons' skills and experience, and determined to be preventable.

METHODS

This article presents APSurg, an Abdominal Positioning Surgical system designed to improve awareness and safety during laparoscopic surgery. The proposed system behaves like a GPS, offering an additional dynamic virtual reality view of the surgical field.

RESULTS

This work presents an evaluation study in terms of accuracy, effectiveness, and usability. Tests were conducted performing a localization task on an abdomen phantom in a simulated scenario. Results show a navigation accuracy below 5 mm. The task execution time was reduced by a 15% and the performed incision dimension was reduced by a 46%, with respect to a standard setup. A custom questionnaire showed a significant positive impact in exploiting APSurg during the surgical task execution.

摘要

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