Optimal monitor positioning and camera rotation angle for mirror image: overcoming reverse alignment during laparoscopic colorectal surgery

Abstract Mirror image is one of the most difficult situations that the assistant surgeon encounters in laparoscopic colorectal surgery. The aim of the present study was to investigate whether task performance with mirror images improves by changing the position of the monitor and the rotation angle...

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Main Authors: Susumu Miura, Taro Oshikiri, Yukiko Miura, Gosuke Takiguchi, Nobuhisa Takase, Hiroshi Hasegawa, Masashi Yamamoto, Shingo Kanaji, Yoshiko Matsuda, Kimihiro Yamashita, Takeru Matsuda, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji
Format: Article
Language:English
Published: Nature Portfolio 2019-06-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-019-44939-0
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author Susumu Miura
Taro Oshikiri
Yukiko Miura
Gosuke Takiguchi
Nobuhisa Takase
Hiroshi Hasegawa
Masashi Yamamoto
Shingo Kanaji
Yoshiko Matsuda
Kimihiro Yamashita
Takeru Matsuda
Tetsu Nakamura
Satoshi Suzuki
Yoshihiro Kakeji
author_facet Susumu Miura
Taro Oshikiri
Yukiko Miura
Gosuke Takiguchi
Nobuhisa Takase
Hiroshi Hasegawa
Masashi Yamamoto
Shingo Kanaji
Yoshiko Matsuda
Kimihiro Yamashita
Takeru Matsuda
Tetsu Nakamura
Satoshi Suzuki
Yoshihiro Kakeji
author_sort Susumu Miura
collection DOAJ
description Abstract Mirror image is one of the most difficult situations that the assistant surgeon encounters in laparoscopic colorectal surgery. The aim of the present study was to investigate whether task performance with mirror images improves by changing the position of the monitor and the rotation angle of the camera. Twenty-four surgeons performed the task under different conditions: Coaxial image (C), Mirror image (M), Mirror image + Monitor on the left side of participants (M + Mon), Mirror image + Camera rotated 90 degrees to the right (M + Cam), and Mirror image + Monitor on the left side + Camera rotated to the right (M + Mon + Cam) in a training box. The outcome measure was the mean time for completing the task. The mean time for completing the task, in decreasing order, was M (111.4 ± 58.9 seconds) > M + Mon (70.5 ± 29.4 seconds) > M + Cam (47.1 ± 17.1 seconds) > M + Mon + Cam (33.4 ± 10.3 seconds) > C (20.5 ± 3.5 seconds). (multivariable analysis of variance (MANOVA), p = 7.9 × 10−7) Task performance with mirror images improved by changing the monitor positioning and camera rotation angle. This novel method is a simple way to overcome mirror image in laparoscopic colorectal surgery.
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spelling doaj.art-017ca64c7ba544399074f382325ec4772022-12-21T18:01:44ZengNature PortfolioScientific Reports2045-23222019-06-01911610.1038/s41598-019-44939-0Optimal monitor positioning and camera rotation angle for mirror image: overcoming reverse alignment during laparoscopic colorectal surgerySusumu Miura0Taro Oshikiri1Yukiko Miura2Gosuke Takiguchi3Nobuhisa Takase4Hiroshi Hasegawa5Masashi Yamamoto6Shingo Kanaji7Yoshiko Matsuda8Kimihiro Yamashita9Takeru Matsuda10Tetsu Nakamura11Satoshi Suzuki12Yoshihiro Kakeji13Division of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityDivision of Minimally Invasive Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityDivision of Community Medicine and Medical Network, Department of Social Community Medicine and Health Science, Graduate School of Medicine, Kobe UniversityDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe UniversityAbstract Mirror image is one of the most difficult situations that the assistant surgeon encounters in laparoscopic colorectal surgery. The aim of the present study was to investigate whether task performance with mirror images improves by changing the position of the monitor and the rotation angle of the camera. Twenty-four surgeons performed the task under different conditions: Coaxial image (C), Mirror image (M), Mirror image + Monitor on the left side of participants (M + Mon), Mirror image + Camera rotated 90 degrees to the right (M + Cam), and Mirror image + Monitor on the left side + Camera rotated to the right (M + Mon + Cam) in a training box. The outcome measure was the mean time for completing the task. The mean time for completing the task, in decreasing order, was M (111.4 ± 58.9 seconds) > M + Mon (70.5 ± 29.4 seconds) > M + Cam (47.1 ± 17.1 seconds) > M + Mon + Cam (33.4 ± 10.3 seconds) > C (20.5 ± 3.5 seconds). (multivariable analysis of variance (MANOVA), p = 7.9 × 10−7) Task performance with mirror images improved by changing the monitor positioning and camera rotation angle. This novel method is a simple way to overcome mirror image in laparoscopic colorectal surgery.https://doi.org/10.1038/s41598-019-44939-0
spellingShingle Susumu Miura
Taro Oshikiri
Yukiko Miura
Gosuke Takiguchi
Nobuhisa Takase
Hiroshi Hasegawa
Masashi Yamamoto
Shingo Kanaji
Yoshiko Matsuda
Kimihiro Yamashita
Takeru Matsuda
Tetsu Nakamura
Satoshi Suzuki
Yoshihiro Kakeji
Optimal monitor positioning and camera rotation angle for mirror image: overcoming reverse alignment during laparoscopic colorectal surgery
Scientific Reports
title Optimal monitor positioning and camera rotation angle for mirror image: overcoming reverse alignment during laparoscopic colorectal surgery
title_full Optimal monitor positioning and camera rotation angle for mirror image: overcoming reverse alignment during laparoscopic colorectal surgery
title_fullStr Optimal monitor positioning and camera rotation angle for mirror image: overcoming reverse alignment during laparoscopic colorectal surgery
title_full_unstemmed Optimal monitor positioning and camera rotation angle for mirror image: overcoming reverse alignment during laparoscopic colorectal surgery
title_short Optimal monitor positioning and camera rotation angle for mirror image: overcoming reverse alignment during laparoscopic colorectal surgery
title_sort optimal monitor positioning and camera rotation angle for mirror image overcoming reverse alignment during laparoscopic colorectal surgery
url https://doi.org/10.1038/s41598-019-44939-0
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