Image-Guided Procedures, Robotic Interventions, and Modeling

Improved depth perception with three-dimensional auxiliary display and computer generated three-dimensional panoramic overviews in robot-assisted laparoscopy

[+] Author Affiliations
Fokko P. Wieringa

Netherlands Org. for Appl. Scientific Research TNO, P.O. Box 6235, 5600 HE Eindhoven, The Netherlands

Henri Bouma

Netherlands Org. for Appl. Scientific Research TNO, P.O. Box 6235, 5600 HE Eindhoven, The Netherlands

Pieter T. Eendebak

Netherlands Org. for Appl. Scientific Research TNO, P.O. Box 6235, 5600 HE Eindhoven, The Netherlands

Jean-Paul A. van Basten

Canisius Wilhelmina Hospital, P.O. Box 9015, 6500 GS Nijmegen, The Netherlands

Harrie P. Beerlage

Jeroen Bosch Hospital, P.O. Box 90153, 5200 ME ‘s-Hertogenbosch, The Netherlands

Geert A. H. J. Smits

Rijnstate Hospital, P.O. Box 9555, 6800 TA Arnhem, The Netherlands

Jelte E. Bos

Netherlands Org. for Appl. Scientific Research TNO, P.O. Box 6235, 5600 HE Eindhoven, The Netherlands

VU University Amsterdam, De Boelelaan 1105, 1081 HV Amsterdam, The Netherlands

J. Med. Imag. 1(1), 015001 (May 16, 2014). doi:10.1117/1.JMI.1.1.015001
History: Received October 22, 2013; Revised April 15, 2014; Accepted April 21, 2014
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Abstract.  In comparison to open surgery, endoscopic surgery offers impaired depth perception and narrower field-of-view. To improve depth perception, the Da Vinci robot offers three-dimensional (3-D) video on the console for the surgeon but not for assistants, although both must collaborate. We improved the shared perception of the whole surgical team by connecting live 3-D monitors to all three available Da Vinci generations, probed user experience after two years by questionnaire, and compared time measurements of a predefined complex interaction task performed with a 3-D monitor versus two-dimensional. Additionally, we investigated whether the complex mental task of reconstructing a 3-D overview from an endoscopic video can be performed by a computer and shared among users. During the study, 925 robot-assisted laparoscopic procedures were performed in three hospitals, including prostatectomies, cystectomies, and nephrectomies. Thirty-one users participated in our questionnaire. Eighty-four percent preferred 3-D monitors and 100% reported spatial-perception improvement. All participating urologists indicated quicker performance of tasks requiring delicate collaboration (e.g., clip placement) when assistants used 3-D monitors. Eighteen users participated in a timing experiment during a delicate cooperation task in vitro. Teamwork was significantly (40%) faster with the 3-D monitor. Computer-generated 3-D reconstructions from recordings offered very wide interactive panoramas with educational value, although the present embodiment is vulnerable to movement artifacts.

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© 2014 Society of Photo-Optical Instrumentation Engineers

Citation

Fokko P. Wieringa ; Henri Bouma ; Pieter T. Eendebak ; Jean-Paul A. van Basten ; Harrie P. Beerlage, et al.
"Improved depth perception with three-dimensional auxiliary display and computer generated three-dimensional panoramic overviews in robot-assisted laparoscopy", J. Med. Imag. 1(1), 015001 (May 16, 2014). ; http://dx.doi.org/10.1117/1.JMI.1.1.015001


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