The benefits of haptic feedback in robot assisted surgery and their moderators: a meta-analysis
Abstract Robot assisted surgery (RAS) provides medical practitioners with valuable tools, decreasing strain during surgery and leading to better patient outcomes. While the loss of haptic sensation is a commonly cited disadvantage of RAS, new systems aim to address this problem by providing artifici...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-11-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-46641-8 |
| _version_ | 1797630226214158336 |
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| author | Max Bergholz Manuel Ferle Bernhard M. Weber |
| author_facet | Max Bergholz Manuel Ferle Bernhard M. Weber |
| author_sort | Max Bergholz |
| collection | DOAJ |
| description | Abstract Robot assisted surgery (RAS) provides medical practitioners with valuable tools, decreasing strain during surgery and leading to better patient outcomes. While the loss of haptic sensation is a commonly cited disadvantage of RAS, new systems aim to address this problem by providing artificial haptic feedback. N = 56 papers that compared robotic surgery systems with and without haptic feedback were analyzed to quantify the performance benefits of restoring the haptic modality. Additionally, this study identifies factors moderating the effect of restoring haptic sensation. Overall results showed haptic feedback was effective in reducing average forces (Hedges’ g = 0.83) and peak forces (Hedges’ g = 0.69) applied during surgery, as well as reducing the completion time (Hedges’ g = 0.83). Haptic feedback has also been found to lead to higher accuracy (Hedges’ g = 1.50) and success rates (Hedges’ g = 0.80) during surgical tasks. Effect sizes on several measures varied between tasks, the type of provided feedback, and the subjects’ levels of surgical expertise, with higher levels of expertise generally associated with smaller effect sizes. No significant differences were found between virtual fixtures and rendering contact forces. Implications for future research are discussed. |
| first_indexed | 2024-03-11T11:05:11Z |
| format | Article |
| id | doaj.art-4228e808c557484ab2df08060ba0e56a |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-11T11:05:11Z |
| publishDate | 2023-11-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-4228e808c557484ab2df08060ba0e56a2023-11-12T12:16:23ZengNature PortfolioScientific Reports2045-23222023-11-0113111510.1038/s41598-023-46641-8The benefits of haptic feedback in robot assisted surgery and their moderators: a meta-analysisMax Bergholz0Manuel Ferle1Bernhard M. Weber2Department of Ergonomics, Technical University of MunichDepartment of Ergonomics, Technical University of MunichInstitute of Robotics and Mechatronics, German Aerospace CenterAbstract Robot assisted surgery (RAS) provides medical practitioners with valuable tools, decreasing strain during surgery and leading to better patient outcomes. While the loss of haptic sensation is a commonly cited disadvantage of RAS, new systems aim to address this problem by providing artificial haptic feedback. N = 56 papers that compared robotic surgery systems with and without haptic feedback were analyzed to quantify the performance benefits of restoring the haptic modality. Additionally, this study identifies factors moderating the effect of restoring haptic sensation. Overall results showed haptic feedback was effective in reducing average forces (Hedges’ g = 0.83) and peak forces (Hedges’ g = 0.69) applied during surgery, as well as reducing the completion time (Hedges’ g = 0.83). Haptic feedback has also been found to lead to higher accuracy (Hedges’ g = 1.50) and success rates (Hedges’ g = 0.80) during surgical tasks. Effect sizes on several measures varied between tasks, the type of provided feedback, and the subjects’ levels of surgical expertise, with higher levels of expertise generally associated with smaller effect sizes. No significant differences were found between virtual fixtures and rendering contact forces. Implications for future research are discussed.https://doi.org/10.1038/s41598-023-46641-8 |
| spellingShingle | Max Bergholz Manuel Ferle Bernhard M. Weber The benefits of haptic feedback in robot assisted surgery and their moderators: a meta-analysis Scientific Reports |
| title | The benefits of haptic feedback in robot assisted surgery and their moderators: a meta-analysis |
| title_full | The benefits of haptic feedback in robot assisted surgery and their moderators: a meta-analysis |
| title_fullStr | The benefits of haptic feedback in robot assisted surgery and their moderators: a meta-analysis |
| title_full_unstemmed | The benefits of haptic feedback in robot assisted surgery and their moderators: a meta-analysis |
| title_short | The benefits of haptic feedback in robot assisted surgery and their moderators: a meta-analysis |
| title_sort | benefits of haptic feedback in robot assisted surgery and their moderators a meta analysis |
| url | https://doi.org/10.1038/s41598-023-46641-8 |
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