Skip to main content

Advertisement

SpringerLink
Log in

Spatial perception predicts laparoscopic skills on virtual reality laparoscopy simulator

  • Original Paper
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Objects

This study evaluates the influence of visual-spatial perception on laparoscopic performance of novices with a virtual reality simulator (LapSim®).

Materials and methods

Twenty-four novices completed standardized tests of visual-spatial perception (Lameris Toegepaste Natuurwetenschappelijk Onderzoek [TNO] Test® and Stumpf–Fay Cube Perspectives Test®) and laparoscopic skills were assessed objectively, while performing 1-h practice sessions on the LapSim®, comprising of coordination, cutting, and clip application tasks. Outcome variables included time to complete the tasks, economy of motion as well as total error scores, respectively.

Results

The degree of visual-spatial perception correlated significantly with laparoscopic performance on the LapSim® scores. Participants with a high degree of spatial perception (Group A) performed the tasks faster than those (Group B) who had a low degree of spatial perception (p = 0.001). Individuals with a high degree of spatial perception also scored better for economy of motion (p = 0.021), tissue damage (p = 0.009), and total error (p = 0.007).

Conclusion

Among novices, visual-spatial perception is associated with manual skills performed on a virtual reality simulator. This result may be important for educators to develop adequate training programs that can be individually adapted.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Bowers CA, Milham LM, Price C (1998) Dual-task results and the lateralization of spatial orientation: artifact of test selection? J Gen Psych 125(1):5–16

    Article  CAS  Google Scholar 

  2. Eriksen JR, Grantcharov T (2005) Objective assessment of laparoscopic skills using a virtual reality stimulator. Surg Endosc 19(9):1216–1219

    Article  PubMed  CAS  Google Scholar 

  3. Gallagher AG, McClure N, McGuigan J, Ritchie K, Sheehy NP (1998) An ergonomic analysis of the fulcrum effect in the acquisition of endoscopic skills. Endoscopy 30(7):617–620

    Article  PubMed  CAS  Google Scholar 

  4. Gallagher AG, Cowie R, Crothers I, Jordan-Black JA, Satava RM (2003) PicSOr: an objective test of perceptual skill that predicts laparoscopic technical skill in three initial studies of laparoscopic performance. Surg Endosc 17(9):1468–1471

    Article  PubMed  CAS  Google Scholar 

  5. Hassan I, Weyers P, Marchuw K, Dick B, Gerdes B, Rothmund M, Zielke A (2006) Negative strees-coping strategies among novices in surgery correlate with poor virtual laparoscopic performance. BJS 93(12):1551–1556

    Article  Google Scholar 

  6. Jones DB, Brewer JD, Soper NJ (1996) The influence of three-dimensional video systems on laparoscopic task performance. Surg Laparosc Endosc 6(3):191–197

    Article  PubMed  CAS  Google Scholar 

  7. Keehner MM, Tendick F, Meng MV, Anwar HP, Hegarty M, Stoller ML, Duh QY (2004) Spatial ability, experience, and skill in laparoscopic surgery. Am J Surg 188(1):71–75

    Article  PubMed  Google Scholar 

  8. McClusky DA 3rd, Ritter EM, Lederman AB, Gallagher AG, Smith CD (2005) Correlation between perceptual, visuo-spatial, and psychomotor aptitude to duration of training required to reach performance goals on the MIST-VR surgical simulator. Am Surg 71(1):13–20

    PubMed  Google Scholar 

  9. Mueller MD, Camartin C, Dreher E, Hanggi W (1999) Three-dimensional laparoscopy. Gadget or progress? A randomized trial on the efficacy of three-dimensional laparoscopy. Surg Endosc 13(5):469–472

    Article  PubMed  CAS  Google Scholar 

  10. Mueller M (2004) Safety lessons taken from the airlines. Br J Surg 91(4):393–394

    Article  Google Scholar 

  11. Pressmar SB, Haase W (2001) Effects on depth perception and pattern recognition in random dot stereograms by changing the matrix dot density. Ophthalmologe 98(10):955–959

    Article  PubMed  CAS  Google Scholar 

  12. Ro CY, Toumpoulis IK, Ashton RC Jr, Jebara T, Schulman C, Todd GJ, Derose JJ Jr, McGinty JJ (2005)The LapSim: a learning environment for both experts and novices. Stud Health Technol Inform 111:414–417

    PubMed  Google Scholar 

  13. Schauer P, Ikramuddin S, Hamad G, Gourash W (2003) The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc 17:212–215

    Article  PubMed  CAS  Google Scholar 

  14. Shah J, Buckley D, Frisby J, Darzi A (2003) Depth cue reliance in surgeons and medical students. Surg Endosc 17(9):1472–1474

    Article  PubMed  CAS  Google Scholar 

  15. Taffinder N, McManus I, Jansen J, Russell R, Darzi A (1998) An objective assessment of surgeons psychomotor skills: validation of the MIST-VR laparoscopic simulator. Br J Surg 85(suppl 1):75

    Google Scholar 

  16. Taffinder N, Smith SG, Huber J, Russell RC, Darzi A (1999) The effect of a second-generation 3D endoscope on the laparoscopic precision of novices and experienced surgeons. Surg Endosc 13(11):1087–1092

    Article  PubMed  CAS  Google Scholar 

  17. Tevaearai HT, Mueller XM, von Segesser LK (2000) 3-D vision improves performance in a pelvic trainer. Endoscopy 32(6):464–468

    Article  PubMed  CAS  Google Scholar 

  18. Wanzel KR, Hamstra SJ, Caminiti MF, Anastakis DJ, Grober ED, Reznick RK (2003) Visual-spatial ability correlates with efficiency of hand motion and successful surgical performance. Surgery 134(5):750–757

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Visceral-, Thoracic-, and Vascular Surgery, Philipps University of Marburg, Baldinger Strasse, 35043, Marburg, Germany

    I. Hassan, B. Gerdes, M. Rothmund & A. Zielke

  2. Institute of Theoretical Surgery, Philipps University, Marburg, Germany

    M. Koller

  3. Department of Psychotherapy and Psychosomatic, Mannheim, Germany

    B. Dick

  4. Department of Neurosurgery, Philipps University of Marburg, Marburg, Germany

    D. Hellwig

Authors
  1. I. Hassan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Gerdes
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Koller
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. B. Dick
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. D. Hellwig
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. M. Rothmund
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. A. Zielke
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to I. Hassan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hassan, I., Gerdes, B., Koller, M. et al. Spatial perception predicts laparoscopic skills on virtual reality laparoscopy simulator. Childs Nerv Syst 23, 685–689 (2007). https://doi.org/10.1007/s00381-007-0330-9

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-007-0330-9

Keywords

Search

Navigation