International Centre for Surgical Safety, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Toronto, Ontario, Canada; Institute of Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada.
International Centre for Surgical Safety, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Toronto, Ontario, Canada; Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
J Surg Res. 2022 Nov;279:774-787. doi: 10.1016/j.jss.2022.05.024. Epub 2022 Aug 6.
Eye tracking (ET) is a popular tool to study what factors affect the visual behaviour of surgical team members. To our knowledge, there have been no reviews to date that evaluate the broad use of ET in surgical research. This review aims to identify and assess the quality of this evidence, to synthesize how ET can be used to inform surgical practice, and to provide recommendations to improve future ET surgical studies.
In line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic literature review was conducted. An electronic search was performed in MEDLINE, Cochrane Central, Embase, and Web of Science databases up to September 2020. Included studies used ET to measure the visual behaviour of members of the surgical team during surgery or surgical tasks. The included studies were assessed by two independent reviewers.
A total of 7614 studies were identified, and 111 were included for data extraction. Eleven applications were identified; the four most common were skill assessment (41%), visual attention assessment (22%), workload measurement (17%), and skills training (10%). A summary was provided of the various ways ET could be used to inform surgical practice, and three areas were identified for the improvement of future ET studies in surgery.
This review provided a comprehensive summary of the various applications of ET in surgery and how ET could be used to inform surgical practice, including how to use ET to improve surgical education. The information provided in this review can also aid in the design and conduct of future ET surgical studies.
眼动追踪（ET）是一种研究哪些因素影响手术团队成员视觉行为的常用工具。据我们所知，目前还没有对眼动追踪在外科研究中的广泛应用进行评估的综述。本综述旨在确定和评估这方面证据的质量，综合眼动追踪如何用于为手术实践提供信息，并提供建议以改进未来的眼动追踪外科研究。
根据系统评价和荟萃分析的首选报告项目的要求，进行了系统的文献综述。对 MEDLINE、Cochrane 中心、Embase 和 Web of Science 数据库进行了电子检索，检索时间截至 2020 年 9 月。纳入的研究使用眼动追踪技术来测量手术或手术任务期间手术团队成员的视觉行为。纳入的研究由两名独立的评审员进行评估。
共确定了 7614 项研究，其中 111 项被纳入提取数据。确定了 11 种应用；最常见的四种是技能评估（41%）、视觉注意力评估（22%）、工作量测量（17%）和技能培训（10%）。提供了眼动追踪在手术中提供信息的各种应用方式的总结，并确定了未来眼动追踪外科研究的三个改进领域。
本综述全面总结了眼动追踪在外科手术中的各种应用以及眼动追踪如何用于为手术实践提供信息，包括如何使用眼动追踪来改善手术教育。本综述提供的信息也可以帮助设计和进行未来的眼动追踪外科研究。
