Recording of cranial and spinal surgical procedures, and analysis of workflows for study of the surgical processes

Laurent Riffaud 1, 2
1 VisAGeS - Vision, Action et Gestion d'informations en Santé
INSERM - Institut National de la Santé et de la Recherche Médicale : U746, Inria Rennes – Bretagne Atlantique , IRISA-D5 - SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE
Abstract : Analysing the surgical process, understanding the learning of the necessary gestures, how best to prepare them and carry them out, is an ambitious project. Since 2008, we have been working in close collaboration with the Innovation Center Computer Assisted Surgery(ICCAS) of Leipzig University, Germany, and using their tool, the Surgical Workflow Editor, which enables the recording of all the gestures and actions of surgeon, in the form of an action-instrument-target triple. We chose to examine standard surgical procedures, in other words those which were frequently carried out , standardized and short in duration. We therefore made live recordings in the operating theatre of the Neurosurgery Department of University Hospital of Leipzig. These concerned the gestures of surgeons performing spinal surgical procedures (removal of lumbar disc herniation) and cranial procedures (removal of pituitary tumors via transsphenoidal approach). Subsequently, in the same way, similar procedures were recorded in the Neurosurgery Department of the University Hospital of Rennes. Results illustrated the relationship in surgical practice between the surgeon's experience and the manual skills demonstrated in real-life situations. We demonstrated that there exists a real optimization of surgical gestures which develops with the seniority of the surgeons: overall reduction of operating time, reduction of the number of gestures in the most standardized phases particularly with the dominant hand, optimization of non-dominant hand use in the most complex phases.
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https://tel.archives-ouvertes.fr/tel-00737144
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Submitted on : Monday, October 1, 2012 - 12:50:08 PM
Last modification on : Tuesday, March 5, 2019 - 1:45:45 AM
Document(s) archivé(s) le : Wednesday, January 2, 2013 - 5:25:09 AM

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  • HAL Id : tel-00737144, version 1

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Laurent Riffaud. Recording of cranial and spinal surgical procedures, and analysis of workflows for study of the surgical processes. Tissues and Organs [q-bio.TO]. Université Rennes 1, 2012. English. ⟨NNT : 2012REN1B005⟩. ⟨tel-00737144⟩

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