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Deformable mesh simulation for virtual laparoscopic cholecystectomy training

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Abstract

Virtual simulation of laparoscopic surgery is getting attention for training novice surgeons and medical residents for practice. Virtual surgical simulation has many advantages because it can provide users with a safe environment without animal or patient subjects. Although several solutions are available in the market, there are no reported studies with detailed technical descriptions of the virtual simulation of laparoscopic cholecystectomy (gallbladder removal surgery), one of the major surgeries performed using laparoscopic surgical procedures. Here, we present a realistic laparoscopic cholecystectomy training simulator. The system was developed by applying state-of-the-art computer graphical technologies using an open source library and proposing a new method of deformable mesh carving. The deformable mesh carving is a volume-based method using potential fields and hexahedral finite element method. In this paper, we describe the detailed techniques used to realize the laparoscopic cholecystectomy simulation. The experimental and user study results prove that the presented system simulates the cholecystectomy procedures in real time with high degree of realism and fidelity.

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References

  1. Soper, N.J., Stockmann, P.T., Dunnegan, D.L., Ashley, S.W.: Laparoscopic cholecystectomy. The new gold standard? Arch. Surg. 127(8), 917–921 (1992)

    Article  Google Scholar 

  2. WebSurg. Available at http://www.websurg.com/ (2013)

  3. Schijven, M.P., Jakimowicz, J.J., Broeders, I.A.M.J., Tseng, L.N.L.: The Eindhoven laparoscopic cholecystectomy training course improving operating room performance using virtual reality training: results from the first E.A.E.S. accredited virtual reality trainings curriculum. Surg. Endo. 19(9), 1220–1226 (2005)

  4. Gauger, P.G., et al.: Laparoscopic simulation training with proficiency targets improves practice and performance of novice surgeons. Am. J. Surg. 199, 72–80 (2010)

    Article  Google Scholar 

  5. Zhang, A., Hunerbein, M., Dai, Y., Schlag, P.M., Beller, S.: Construct validity testing of a laparoscopic surgery simulator (Lap Mentor). Surg. Endosc. 22, 1440–1444 (2008)

    Article  Google Scholar 

  6. Peterlik, I., Nouicer, M., Duriez, C., Cotin, S., Kheddar, A.: Constraint-based haptic rendering of multirate compliant mechanisms. IEEE Trans. Haptics 4(3), 175–187 (2011)

    Article  Google Scholar 

  7. Yiasemidou, M., Glassman, D., Vasas, P., Badiani, S., Patel, B.: Faster simulated laparoscopic cholecystectomy with haptic feedback technology. Open Access Surg. 4, 39–44 (2011)

    Article  Google Scholar 

  8. SOFA. Available at http://www.sofa-framework.org/ (2013)

  9. Faure, F., Duriez, C., Delingette, H., Allard, J., Gilles, B., Marchesseau, S., Talbot, H., Courtecuisse, H., Bousquet, G., Peterlik, I., Cotin, S.: Sofa: a multi-model framework for interactive physical simulation. Soft Tissue Biomech. Model. Comput. Assist. Surg. 283–321 (2012)

  10. Courtecuisse, H., Jung, H., Allard, J., Duriez, C., Lee, D.Y., Cotin, S.: GPU-based real-time soft tissue deformation with cutting and haptic feedback. Prog. Biophys. Mol. Biol. 103(2), 159–168 (2010)

  11. Pemmod, E., Semesant, M., Relan, J., Delingette, H.: Interactive real time simulation of cardiac radio-frequency ablation. VCBM 91–98, 2010 (2010)

    Google Scholar 

  12. Nesme, M., Kry, P.G., Jeřábková, L., Faure, F.: Preserving topology and elasticity for embedded deformable models. ACM Trans. Graph. 28(3), 52 (2009)

    Article  Google Scholar 

  13. SEP, SimSurgery Co., Available at http://www.simsurgery.com/ (2013)

  14. LAP Mentor, Simbionix Co., Available at http://www.simbionix.com/ (2013)

  15. LapVR, Immersion Co., Available at http://www.immersion.com/ (2013)

  16. Gallagher, A.G., et al.: Virtual reality simulation for the operating room proficiency-based training as a paradigm shift in surgical skills training. Ann. Surg. 241(2), 364–372 (2005)

    Article  Google Scholar 

  17. Rajesh, A., Jonnie, W., Indran, B., Parvinderpal, S., Thanos, A., Ara, D.: Proving the effectiveness of virtual reality simulation for training in laparoscopic surgery. Ann. Surg. 246(5), 771–779 (2007)

    Article  Google Scholar 

  18. Basdogan, C., Ho, C.H., Srinivasan, M.A.: Virtual environments for medical training: graphical and haptic simulation of laparoscopic common bile duct exploration. IEEE/ASME Trans. Mech. 6(3), 269–285 (2001)

    Article  Google Scholar 

  19. Park, J.S., Chung, M.S., Hwang, S.B., Shin, B.S., Park, H.S.: Visible Korean human: its techniques and applications. Clin. Anat. 19, 216–224 (2006)

    Article  Google Scholar 

  20. Georgii, J., Westermann, R.: Corotated finite elements made fast and stable. VRIPHYS 11–19 (2008)

  21. Labelle, F., Shewchuk, J.R.: Isosurface stuffing: fast tetrahedral meshes with good dihedral angles. ACM Trans. Graph. 26(3), 1–10 (2007)

    Article  Google Scholar 

  22. Nesme, M., Marchal, M., Promayon, E., Chabanas, M., Payan, Y., Faure, F.: Physically realistic interactive simulation for biological soft tissues. Recent Res. Dev. Biomech. 2 (2005)

  23. Hubert, N.: GPU Gems 3. Lab Companion Series 3. Addison-Wesley, ISBN 0321515269 (2008)

  24. Bruyns, C.D., Montgomery, K.: Generalized interactions using virtual tools within the Spring framework: probing, piercing, cauterizing and ablating. Stud. Health Tech. Inform. 85, 74–78 (2002)

    Google Scholar 

  25. Kim, Y., Lee, S., Roy, F., Lee, D., Kim, L., Park, S.: Carving mesh with deformation for soft tissue removal simulation. In: Mesh Processing in Medical Image Analysis, pp. 70–79 (2012)

  26. Kim, L.H., Park, S.H.: Haptic interaction and volume modeling techniques for realistic dental simulation. Visual Comput. 22, 90–98 (2006)

    Article  Google Scholar 

  27. Mauch, S.: A fast algorithm for computing the closest point and distance transform. Technical Report. Available at http://www.its.caltech.edu/sean/ (2013)

  28. Velho, L., Figureiredo, L.H.D., Gomes, J.: A unified approach for hierarchical adaptive tessellation of surfaces. ACM Trans. Graph. 18(4), 329–360 (1999)

    Article  Google Scholar 

  29. Jeřábková, L., Bousquet, G., Barbier, S., Faure, F., Allard, J.: Volumetric modeling and interactive cutting of deformable bodies. Prog. Biophys. Mol Biol. 103(2), 217–224 (2010)

    Article  Google Scholar 

  30. Kim, Y., Chang, D., Kim, J., Park, S.: Gallbladder removal simulation for laparoscopic surgery training: a hybrid modeling method. J. Comput. Sci. Technol. 28(3), 499–507 (2013)

    Article  Google Scholar 

  31. Duriez, C., Cotin, S., Lenoir, J., Neumann, P.: New approaches to catheter navigation for interventional radiology simulation. Comput. Aided Surg. 11(6), 300–308 (2006)

    Google Scholar 

  32. Rapidform XOR3, INUS Tech. Co., Available at http://www.rapidform.com/ (2013)

  33. NT Research Co., Available at http://www.ntresearch.net/ (2013)

Download references

Acknowledgments

This research was supported by the KIST Institutional Program (2E24520, 2E24551).

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Correspondence to Sehyung Park.

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Kim, Y., Kim, L., Lee, D. et al. Deformable mesh simulation for virtual laparoscopic cholecystectomy training. Vis Comput 31, 485–495 (2015). https://doi.org/10.1007/s00371-014-0944-3

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