Étude des processus cognitifs impliqués dans la chirurgie minimalement invasive

Abstract : Minimally invasive surgery reduces postoperative pain, hospitalisation and associated costs. The use of long and rigid instruments in a closed haptic space limits incisions. The latter working conditions also challenge cognitive and motor skills of the surgeons. The surgeons need to mentally rotate the work scene, execute accurate movements with decreased sensitive and visual feedback. Moreover, the current learning paradigm needs to be updated to better match laparoscopic requirements. Our results show that cognitive features underpinning laparoscopy e.g., spatial abilities, hand eye coordination need to be contemplated to improve the learning curve. Simulators should provide the training of spatial abilities and better consider learning features (cognitive load, feedback). To be mastered and express the full potential of mental simulation, this technique should be implemented on a distributed way and earlier in the curricula. Hand-eye coordination needs explicit training outside the operation room. Finally, to favour skill learning, simulation techniques should be implemented on a complementary way in the curricula
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Submitted on : Tuesday, April 9, 2019 - 4:41:07 PM
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Benjamin de Witte. Étude des processus cognitifs impliqués dans la chirurgie minimalement invasive. Chirurgie. Université de Lyon, 2018. Français. ⟨NNT : 2018LYSE1281⟩. ⟨tel-02094502⟩

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