20/06/2016 Engineering Medicine
DOI: 10.1102/2051-7726.2016.0001 SemanticScholar ID: 22644234 MAG: 2534044098

Does monitor position influence visual-motor performance during minimally invasive surgery?

Publication Summary

Background: In minimally invasive surgery (MIS), the natural relationship between hand and eye is disrupted, i.e. surgeons typically control tools inserted through the patient’s abdomen while viewing the workspace on a remote monitor, which can be located in a variety of positions. This separates the location of visual feedback from the area in which a motor action is executed. Previous studies suggest that the visual display should be placed directly ahead of the surgeon (i.e. to preserve visual-motor mapping). However, the extent of the impact of this rotation on surgical performance is unknown. Methods: Eighteen participants completed an aiming task on a tablet PC within a surgical box trainer using a laparoscopic tool in a controlled simulated environment. Visual feedback was presented on a remote monitor located at 0°, ±45° and ±90°, with order randomised using the Latin Square method. Results: Movements were significantly slower when the monitor was 90° relative to midline, but spatial accuracy was unaffected by monitor position. Interestingly, the effect of reduced speed in the 90° condition was transient, decreasing over time, suggesting rapid adaptation to the rotation. Conclusions: We conclude that the angle of the visual display in the context of MIS may require a surgeon to adapt to a changed mapping between visual inputs and motor outputs. While this adaptation occurs relatively quickly, it may interfere with skilled actions (e.g. intracorporeal suturing) in complex surgical procedures.

CAER Authors

Avatar Image for Faisal Mushtaq

Dr. Faisal Mushtaq

University of Leeds - Associate Professor in Cognitive Neuroscience

Avatar Image for Mark Mon-Williams

Prof. Mark Mon-Williams

University of Leeds - Chair in Cognitive Psychology

Share this

Next publication

2009 Psychology

The Dynamics of Category Conjunctions

R. Hutter, R. Crisp, G. Humphreys, Gillian. M. Waters + 1 more