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Quality Assurance of Multiport Image-Guided Minimally Invasive Surgery at the Lateral Skull Base

Nau-Hermes, Maria and Schmitt, Robert and Becker, Meike and El Hakimi, Wissam and Hansen, Stefan and Klenzner, Thomas and Schipper, Jörg (2014):
Quality Assurance of Multiport Image-Guided Minimally Invasive Surgery at the Lateral Skull Base.
2014, In: BioMed Research International, pp. ArticleID904803, DOI: 10.1155/2014/904803,
[Article]

Abstract

For multiport image-guided minimally invasive surgery at the lateral skull base a quality management is necessary to avoid the damage of closely spaced critical neurovascular structures. So far there is no standardized method applicable independently from the surgery. Therefore, we adapt a quality management method, the quality gates (QG), which is well established in, for example, the automotive industry and apply it to multiport image-guided minimally invasive surgery. QG divide a process into different sections. Passing between sections can only be achieved if previously defined requirements are fulfilled which secures the process chain. An interdisciplinary team of otosurgeons, computer scientists, and engineers has worked together to define the quality gates and the corresponding criteria that need to be fulfilled before passing each quality gate. In order to evaluate the defined QG and their criteria, the new surgery method was applied with a first prototype at a human skull cadaver model. We show that the QG method can ensure a safe multiport minimally invasive surgical process at the lateral skull base. Therewith, we present an approach towards the standardization of quality assurance of surgical processes.

Item Type: Article
Erschienen: 2014
Creators: Nau-Hermes, Maria and Schmitt, Robert and Becker, Meike and El Hakimi, Wissam and Hansen, Stefan and Klenzner, Thomas and Schipper, Jörg
Title: Quality Assurance of Multiport Image-Guided Minimally Invasive Surgery at the Lateral Skull Base
Language: English
Abstract:

For multiport image-guided minimally invasive surgery at the lateral skull base a quality management is necessary to avoid the damage of closely spaced critical neurovascular structures. So far there is no standardized method applicable independently from the surgery. Therefore, we adapt a quality management method, the quality gates (QG), which is well established in, for example, the automotive industry and apply it to multiport image-guided minimally invasive surgery. QG divide a process into different sections. Passing between sections can only be achieved if previously defined requirements are fulfilled which secures the process chain. An interdisciplinary team of otosurgeons, computer scientists, and engineers has worked together to define the quality gates and the corresponding criteria that need to be fulfilled before passing each quality gate. In order to evaluate the defined QG and their criteria, the new surgery method was applied with a first prototype at a human skull cadaver model. We show that the QG method can ensure a safe multiport minimally invasive surgical process at the lateral skull base. Therewith, we present an approach towards the standardization of quality assurance of surgical processes.

Journal or Publication Title: BioMed Research International
Volume: 2014
Uncontrolled Keywords: Forschungsgruppe Medical Computing (MECO), Quality assurance, Minimally invasive surgery, Computer assisted surgery, Uncertainty, Medical sciences
Divisions: 20 Department of Computer Science
20 Department of Computer Science > Interactive Graphics Systems
Date Deposited: 12 Nov 2018 11:16
DOI: 10.1155/2014/904803
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