ArticleWorld journal of urology2017
Proctors exploit three-dimensional ghost tools during clinical-like training scenarios: a preliminary study.
Article in World journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness of tele-proctoring in robotic surgery: systematic review of different robotic platforms.World journal of urology · 2025Pooled it
- Pooled it
- Telestration with augmented reality improves surgical performance through gaze guidance.Surgical endoscopy · 2023Trial
- Intraoperative Teaching in Robotic-Assisted Surgery-A Systematic Review.Journal of clinical medicine · 2026Review
- Dynamic Augmented Reality Cues for Telementoring in Laparoscopic Surgery: Usability Study.JMIR human factors · 2026Article
- Telestration with augmented reality in minimally invasive and robotic-assisted surgery: a scoping review.Surgical endoscopy · 2025Article
- Dynamic Augmented Reality Cues for Telementoring in Minimally Invasive Surgeries: Scoping Review.Journal of medical Internet research · 2025Article
- Usability, Ergonomics, and Educational Value of a Novel Telestration Tool for Surgical Coaching: Usability Study.JMIR human factors · 2024Article
- The Impact of Surgical Telementoring on Reducing the Complication Rate in Endoscopic Endonasal Surgery of the Skull Base.Diagnostics (Basel, Switzerland) · 2024Article
- A new mixed reality tool for training in minimally invasive robotic-assisted surgery.Health information science and systems · 2023Article
- Robust hand tracking for surgical telestration.International journal of computer assisted radiology and surgery · 2022Article
- Preliminary design and evaluation of a remote tele-mentoring system for minimally invasive surgery.Surgical endoscopy · 2022Article
- A virtual pointer to support the adoption of professional vision in laparoscopic training.International journal of computer assisted radiology and surgery · 2018Article
- Training and credentialing in Robotic Surgery in India: Current perspectives.Journal of minimal access surgeryReview
- Overcoming the Impact of COVID-19 on Surgical Mentorship: A Scoping Review of Long-distance Mentorship in Surgery.Journal of surgical educationArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn this study, we examine three-dimensional (3D) proctoring tools (i.e., semitransparent ghost tools overlaid on the surgeon's field of view) on realistic surgical tasks. Additionally, we develop novel, quantitative measures of whether proctors exploit the additional capabilities offered by ghost tools.
methodsSeven proctor-trainee pairs completed realistic surgical tasks such as tissue dissection and suturing in a live porcine model using 3D ghost tools on the da Vinci Xi Surgical System. The usability and effectiveness of 3D ghost tools were evaluated using objective measures of proctor performance based on proctor hand movements and button presses, as well as post-study questionnaires.
resultsProctors exploited the capabilities of ghost tools, such as 3D hand movement (p < 0.001), wristedness (p < 0.001), finger pinch gestures (p < 0.001), and bimanual hand motions (p < 0.001). The median ghost tool excursion distances across proctors in the x-, y-, and z-directions were 57.6, 31.9, and 50.7, respectively. Proctors and trainees consistently evaluated the ghost tools as effective across multiple categories of mentoring. Trainees found ghost tools more helpful than proctors across all categories (p < 0.05).
conclusionsProctors exploit the augmented capabilities of 3D ghost tools during clinical-like training scenarios. Additionally, both proctors and trainees evaluated ghost tools as effective mentoring tools, thereby confirming previous studies on simple, inanimate tasks. Based on this preliminary work, advanced mentoring technologies, such as 3D ghost tools, stand to improve current telementoring and training technologies in robot-assisted minimally invasive surgery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.