304 Chapter 12 operative outcome (resulting in the PROTEST assessment tool) a possible relation was suggested between some phases of the RARP surgery and postoperative urinary continence. The Delphi panel agreed that events during the “Pelvic floor muscle exposure/opening of the endopelvic fascia”, and the “Vesico-urethral anastomosis” could be related to postoperative continence. This relation has yet to be proven in further research. Ganni, et al. researched a computer program, Kinovea, which can be used by researchers to perform semiautomated video motion tracking in laparoscopic cholecystectomy procedures. The system is able to track by the researcher selected pixels on the surgical instrument during the surgical procedure. Kinovea is a software-based system used in sports to track trajectories and speeds of items or human movements. The benefit of this system over the dVlogger is that there is no need of additional hardware systems or sensors on the instruments to measure the movements of the item of interest. This means this system can be used in retrospective studies without any preparation during surgery. The system enables the assessment of the video material during the tracking analysis. This tracking system was used to assess surgeons’ skills using existing surgical videos rather than in a simulator9. This raises the question if Kinovea could be used for similar purposes in robot assisted surgery in order to assess the surgical movements based on the video of the surgical procedure. The purpose of this study is to determine whether Kinovea is a valid tool for automated surgical movements tracking in RARP and may be used to evaluate a possible relation between surgical movements and postoperative urinary continence in RARP. The present research questions are: (1) Is Kinovea a valid tool for automated assessment of surgical movements in RARP surgical videos? (2) Can the results found through automated surgical movements tracking using Kinovea be used to predict postoperative continence in RARP? (3) Can results of the Kinovea analysis obtained during the “Pelvic floor muscle exposure/opening of the endopelvic fascia”, and the “Vesico-urethral anastomosis” be used to predict postoperative continence in RARP? These questions will be answered by analysing surgical movements in RARP videos.
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