1
|
A Butt K, Augestad KM. Educational value of surgical telementoring. J Surg Oncol 2021; 124:231-240. [PMID: 34245572 PMCID: PMC8361692 DOI: 10.1002/jso.26524] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2021] [Revised: 04/09/2021] [Accepted: 04/12/2021] [Indexed: 12/15/2022]
Abstract
Educating surgeons is a time‐consuming process. In addition to theoretical knowledge, the practical tasks of surgical procedures must be mastered. Translation of such knowledge from mentor to mentee may be efficiently done by surgical telementoring (ST). This is a review on surgical telementoring. Recent technological advances have made this tool in surgical education more available and applicable but future applications of ST have to be wisely guided by high‐quality trials.
Collapse
Affiliation(s)
- Khayam A Butt
- Department of Gastrointestinal Surgery, Nordlandssykehuset, Bodø, Norway
| | - Knut Magne Augestad
- Department of Gastrointestinal Surgery, Akershus University Hospital, Oslo, Norway.,Department of Surgery, Helgelandssykehuset, Sandnessjøen, Sandnessjøen, Norway
| |
Collapse
|
2
|
Zhang F, Zhu X, Gao J, Wu B, Liu P, Shao P, Xu M, Pawlik TM, Martin EW, Xu RX. Coaxial projective imaging system for surgical navigation and telementoring. JOURNAL OF BIOMEDICAL OPTICS 2019; 24:1-9. [PMID: 31650743 PMCID: PMC7000882 DOI: 10.1117/1.jbo.24.10.105002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Accepted: 09/10/2019] [Indexed: 05/13/2023]
Abstract
A coaxial projective imaging (CPI) module acquires surgical scene images from the local site of surgery, transfers them wirelessly to the remote site, and projects instructive annotations to the surgical field. At the remote site, the surgical scene images are displayed, and the instructive annotations from a surgical specialist are wirelessly transferred back to the local site in order to guide the surgical intervention by a less experienced surgeon. The CPI module achieves seamless imaging of the surgical field and accurate projection of the instructive annotations, by a coaxial optical path design that couples the imaging arm with the projection arm and by a color correction algorithm that recovers the true color of the surgical scene. Our benchtop study of tele-guided intervention verifies that the proposed system has a positional accuracy of better than 1 mm at a working distance ranging from 300 to 500 mm. Our in vivo study of cricothyrotomy in a rabbit model proves the concept of tele-mentored surgical navigation. This is the first report of tele-guided surgery based on CPI. The proposed technique can be potentially used for surgical training and for telementored surgery in resource-limited settings.
Collapse
Affiliation(s)
- Fan Zhang
- University of Science and Technology of China, Department of Precision Machinery and Precision Instrumentation, Hefei, China
- University of Science and Technology of China, Key Laboratory of Precision Scientific Instrumentation of Anhui Higher Education Institutes, Hefei, China
| | - Xiang Zhu
- University of Science and Technology of China, Department of Precision Machinery and Precision Instrumentation, Hefei, China
- University of Science and Technology of China, Key Laboratory of Precision Scientific Instrumentation of Anhui Higher Education Institutes, Hefei, China
| | - Jian Gao
- University of Science and Technology of China, Department of Precision Machinery and Precision Instrumentation, Hefei, China
- University of Science and Technology of China, Key Laboratory of Precision Scientific Instrumentation of Anhui Higher Education Institutes, Hefei, China
| | - Bingxuan Wu
- University of Science and Technology of China, Department of Precision Machinery and Precision Instrumentation, Hefei, China
- University of Science and Technology of China, Key Laboratory of Precision Scientific Instrumentation of Anhui Higher Education Institutes, Hefei, China
| | - Peng Liu
- University of Science and Technology of China, Department of Precision Machinery and Precision Instrumentation, Hefei, China
- University of Science and Technology of China, Key Laboratory of Precision Scientific Instrumentation of Anhui Higher Education Institutes, Hefei, China
- Address all correspondence to Peng Liu, E-mail: ; Ronald X. Xu, E-mail:
| | - Pengfei Shao
- University of Science and Technology of China, Department of Precision Machinery and Precision Instrumentation, Hefei, China
- University of Science and Technology of China, Key Laboratory of Precision Scientific Instrumentation of Anhui Higher Education Institutes, Hefei, China
| | - Min Xu
- Sino-Medic, Hefei, Anhui, China
| | - Timothy M. Pawlik
- The Ohio State University, Department of Surgery, Columbus, Ohio, United States
| | - Edward W. Martin
- The Ohio State University, Department of Surgery, Columbus, Ohio, United States
| | - Ronald X. Xu
- University of Science and Technology of China, Department of Precision Machinery and Precision Instrumentation, Hefei, China
- The Ohio State University, Department of Biomedical Engineering, Columbus, Ohio, United States
- Address all correspondence to Peng Liu, E-mail: ; Ronald X. Xu, E-mail:
| |
Collapse
|
3
|
Glenn IC, Bruns NE, Hayek D, Hughes T, Ponsky TA. Rural surgeons would embrace surgical telementoring for help with difficult cases and acquisition of new skills. Surg Endosc 2016; 31:1264-1268. [PMID: 27444835 DOI: 10.1007/s00464-016-5104-6] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2016] [Accepted: 07/09/2016] [Indexed: 10/21/2022]
Abstract
BACKGROUND Surgical telementoring, consisting of an expert surgeon guiding a less experienced surgeon through advanced or novel cases from a remote location, is an evolving technology which has potential to become an integral part of surgical practice. This study sought to apprise the attitudes of rural general surgeons toward the possible benefits and applications of surgical telementoring in their practices. METHODS A survey assessing demographics and attitudes toward telementoring was e-mailed to members of the American College of Surgeons (ACS) Advisory Council for Rural Surgery and posted to the ACS website in areas targeting rural surgeons. A link to a webpage with a description of surgical telementoring and brief demonstrative video were included with the survey. RESULTS There were 159 respondents, with 82.3 % of them practicing in communities smaller than 50,000 people. Overall, 78.6 % felt that telementoring would be useful to their practice, and 69.8 % thought it would benefit their hospitals. There was no correlation between years of practice and perceived usefulness of surgical telementoring. When asked the single most useful, or primary, application of surgical telementoring there was a split between learning new techniques (46.5 %) and intraoperative assistance with unexpected findings (39.0 %). When asked to select all applications in which they would be interested in using telementoring from a list of possible uses, surgeons most frequently selected: intraoperative consultation for unexpected findings (67.7 %), trauma consultation (32.9 %), and laparoscopic colectomy (32.9 %). CONCLUSIONS Surgical telementoring is on the verge of widespread use but industry and surgical societies remain ambivalent about supporting its implementation due to concerns over lack of interest. This study demonstrates interest among rural surgeons. While there are differing opinions regarding compensation of the telementoring, the most common, single interest in the use of surgical telementoring was for learning new techniques or skill sets.
Collapse
Affiliation(s)
- Ian C Glenn
- Akron Children's Hospital, 1 Perkins Sq, Ste 8400, Akron, OH, 44308, USA
| | - Nicholas E Bruns
- Akron Children's Hospital, 1 Perkins Sq, Ste 8400, Akron, OH, 44308, USA
| | - Danial Hayek
- Akron Children's Hospital, 1 Perkins Sq, Ste 8400, Akron, OH, 44308, USA
| | | | - Todd A Ponsky
- Akron Children's Hospital, 1 Perkins Sq, Ste 8400, Akron, OH, 44308, USA.
| |
Collapse
|
4
|
Frye TP, Sadowski DJ, Zahnd WE, Jenkins WD, Dynda DI, Mueller GS, Alanee SR, McVary KT. Impact of County Rurality and Urologist Density on Urological Cancer Mortality in Illinois. J Urol 2015; 193:1608-13. [DOI: 10.1016/j.juro.2014.11.100] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/26/2014] [Indexed: 12/23/2022]
Affiliation(s)
- Thomas P. Frye
- Division of Urology and Center for Clinical Research (WEZ, WDJ, DID, GSM), Southern Illinois University School of Medicine, Springfield, Illinois
| | - Daniel J. Sadowski
- Division of Urology and Center for Clinical Research (WEZ, WDJ, DID, GSM), Southern Illinois University School of Medicine, Springfield, Illinois
| | - Whitney E. Zahnd
- Division of Urology and Center for Clinical Research (WEZ, WDJ, DID, GSM), Southern Illinois University School of Medicine, Springfield, Illinois
| | - Wiley D. Jenkins
- Division of Urology and Center for Clinical Research (WEZ, WDJ, DID, GSM), Southern Illinois University School of Medicine, Springfield, Illinois
| | - Danuta I. Dynda
- Division of Urology and Center for Clinical Research (WEZ, WDJ, DID, GSM), Southern Illinois University School of Medicine, Springfield, Illinois
| | - Georgia S. Mueller
- Division of Urology and Center for Clinical Research (WEZ, WDJ, DID, GSM), Southern Illinois University School of Medicine, Springfield, Illinois
| | - Shaheen R. Alanee
- Division of Urology and Center for Clinical Research (WEZ, WDJ, DID, GSM), Southern Illinois University School of Medicine, Springfield, Illinois
| | - Kevin T. McVary
- Division of Urology and Center for Clinical Research (WEZ, WDJ, DID, GSM), Southern Illinois University School of Medicine, Springfield, Illinois
| |
Collapse
|
5
|
Bogen EM, Augestad KM, Patel HRH, Lindsetmo RO. Telementoring in education of laparoscopic surgeons: An emerging technology. World J Gastrointest Endosc 2014; 6:148-55. [PMID: 24944728 PMCID: PMC4024487 DOI: 10.4253/wjge.v6.i5.148] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2013] [Revised: 03/31/2014] [Accepted: 04/17/2014] [Indexed: 02/05/2023] Open
Abstract
Laparoscopy, minimally invasive and minimal access surgery with more surgeons performing these advanced procedures. We highlight in the review several key emerging technologies such as the telementoring and virtual reality simulators, that provide a solid ground for delivering surgical education to rural area and allow young surgeons a safety net and confidence while operating on a newly learned technique.
Collapse
|