IEEE Robotics and Automation Letters · 2018 · 19 citations · 19 references
EngineeringRobotics EngineeringSurgeryMedical RoboticsMotor LearningRoboticsError-based LearningLaparoscopic SurgeryMotor Skill AcquisitionRobot-assisted SurgerySurgical RoboticsManipulation Skill TrainingRobotic Skill LearningRobotic Surgical SystemsSkill ExecutionSurgical Skill TrainingSurgical TrainingTrainingTraining Transfer Evaluation
In this letter, we propose a training approach combining hand-over-hand and trial and error training approaches and we evaluate its effectiveness for both robotic and standard laparoscopic surgical training. The proposed approach makes use of the data of an expert collected while using the da Vinci Surgical System. We present our data collection system and how we use it in the proposed training approach. We conduct two user studies (N = 21 for each) to evaluate the effectiveness of this approach. Our results show that subjects trained using this combined approach can better balance the speed and accuracy of their task execution compared with others trained using only one of either hand-over-hand or trial and error training approaches. Moreover, this combined approach leads to the best performance when it comes to the transferability of the acquired skills when testing on another task. We show that the results of the two studies are consistent with an established model in the literature for motor skill learning. Moreover, our results show for the first time the feasibility of using a surgical robot and data collected from it as a training platform for conventional laparoscopic surgery without robotic assistance.
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An open-source research kit for the da Vinci® Surgical System
Peter Kazanzides, Zihan Chen, Anton Deguet et al. · 2014 · 498 citations
An Ergonomic Analysis of the Fulcrum Effect in the Acquisition of Endoscopic Skills
Anthony G. Gallagher, Neil McClure, Jim McGuigan et al. · Endoscopy · 1998 · 291 citations
Nursing, Surgery, Ergonomics +11