MEASUREMENT OF THE IMPROVEMENT IN ABILITY LAPAROSCOPY
USING A VIRTUAL SIMULATOR
Bricelis Urbina
bricelis@opalo.ciens.ucv.ve
Ernesto Coto
ecoto@opalo.ciens.ucv.ve
José Manuel Motezuma
jmmotezuma@gmail.com
Marvi Martinez
marvi.martinez@gmail.com
Miguel Cerrolaza
mcerrola@reacciun.ve
Omaira RodrÃguez
omaira@opalo.ciens.ucv.ve
Computer Graphics Lab, Faculty of Sciences. Central University of Venezuela
Abstract. Laparoscopic surgery is a surgical technique which demands surgeon visuospatial and
motor skills that seldom are exercised. The surgical instruments handling and laparoscopic
camera navigation are complicated tasks in small spaces such as the abdominal cavity, where the
visualized image is magnified and the size of the instruments reduces the skill, eliminates the
tactile sensation and reduces kinesthetic force feedback to the surgeon. In addition, the surgeon
must interpret a 3D space from images transmitted by video to a 2D monitor. LAPAROS is a
developed tool thanks to the multidisciplinary work of the Computer Graphics Laboratory, the
Bioengineering Center and the Experimental Surgery Institute at the Central University of
Venezuela. This system for laparoscopic surgery training presents a dual platform: mechanical
and virtual simulator. The mechanical simulator SIMULAP v.1 has been developed bearing in
mind design aspects resembling to the human torso. The virtual simulator provides three training
levels: basic, average and advanced, each one focused to develop specific abilities and skills in
the surgeons. In this work we present the measurement of the effectiveness of the basic level of
our system in the laparoscopic training process. The tests were applied to a group of seven expert
surgeons in laparoscopy and to eleven medicine students without any knowledge in the area.
These tests consisted in the accomplishment of seven training sessions in the virtual simulator
and one in the mechanical simulator. The results were obtained through careful measurement of
the movement precision, ability in handling of instruments and speed of execution of the
exercises proposed in the mechanical simulator.
Keywords: Laparoscopy, Simulation, Virtual Reality, Surgical Training, Tests.