Gietzelt, Caroline ORCID: 0000-0002-9145-7385, Datta, Rabi, Busshoff, Jana, Bruns, Thomas, Wahba, Roger and Hedergott, Andrea (2022). The influence of stereoscopic vision on surgical performance in minimal invasive surgery-a substudy of the IDOSP-Study (Influence of 3D-vs. 4 K-Display Systems on Surgical Performance in minimal invasive surgery). Langenbecks Arch. Surg., 407 (7). S. 3069 - 3079. NEW YORK: SPRINGER. ISSN 1435-2451

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Abstract

Purpose This study is a secondary analysis of the IDOSP trial published in the Annals of Surgery 2020. The aim of this study was to examine the influence of stereo acuity on surgical performance in a laparoscopic training parkour with 3D- versus 4 K-2D-display technique. Methods The surgical performance of medical students (MS), non-board-certified surgeons (NBC), and board-certified surgeons (BC) was compared using 3D- versus 4 K-2D-display technique at a training parkour in a randomized cross-over trial. Stereo acuity was tested by TNO and Titmus Stereo tests. Results Eighty-nine participants were included in this sub-trial. The median stereo acuity for all participants, measured with the Titmus test, was 25 s arc, with TNO test 30 s arc. Higher quality stereo vision, measured with the Titmus test, correlated significantly with a reduced parkour time (r = 0.26, p = 0.02) and error (r = 0.21, p = 0.048) with the 3D screen. The TNO test did not correlate significantly with parkour performance. There was no statistically significant correlation between parkour time nor error and stereo acuity using the 4 K system (p > 0.457 respectively). Higher age showed a significant correlation with lower stereo acuity measured with TNO (r = 0.21, p = 0.014), but not with the Titmus test (r = - 0.7, p = 0.39). Seven percent of the group NBC and BC showed reduced stereo acuity > 120 s arc with the Titmus test and 3% with the TNO test. Conclusion High-quality stereo vision is of utmost importance for surgical skills using a 3D-display system. This was most obvious for MS and for tasks that place particularly high demands on hand-eye coordination. The Titmus test was more precise than the TNO test to predict the benefit of a 3D monitor system. Experience and fine motor skills could partly compensate for a poorer stereo acuity.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Gietzelt, CarolineUNSPECIFIEDorcid.org/0000-0002-9145-7385UNSPECIFIED
Datta, RabiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Busshoff, JanaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bruns, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wahba, RogerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hedergott, AndreaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-661076
DOI: 10.1007/s00423-022-02608-3
Journal or Publication Title: Langenbecks Arch. Surg.
Volume: 407
Number: 7
Page Range: S. 3069 - 3079
Date: 2022
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1435-2451
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
3D; STEREOACUITY; AGEMultiple languages
SurgeryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/66107

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