Literature DB >> 17512295

Curriculum-based solo virtual reality training for laparoscopic intracorporeal knot tying: objective assessment of the transfer of skill from virtual reality to reality.

Yaron Munz1, Alex M Almoudaris, Krishna Moorthy, Aristotelis Dosis, Alexander D Liddle, Ara W Darzi.   

Abstract

BACKGROUND: Very few studies have addressed the transferability of skills from virtual reality (VR) to real life. The aim of this study was to assess the feasibility and effectiveness of teaching intracorporeal knot tying (ICKT) by VR simulation only.
METHODS: Twenty novices underwent structured training of basic skills training on the Minimally Invasive Surgical Trainer simulator (Mentice AB, Gothenburg, Sweden) followed by knot tying training on the LapSim simulator (Surgical Science, Gothenburg, Sweden). They were assessed pre- and post-training on a video trainer. Assessment of performance included motion tracking and video-based checklist. Nonparametric statistical analysis was used, and P < .05 was deemed significant.
RESULTS: All participants completed a correct knot as compared with only 25% before VR training. Time to completion was 66% faster and knot quality 45% better after VR training. Significant reduction in number of movements (P = .006) and distance traveled (P < .000) by both hands after VR training.
CONCLUSIONS: Teaching ICKT by VR simulators only is feasible and effective. Furthermore, this study highlights the complementary use of different VR simulators within a structured curriculum.

Entities:  

Mesh:

Year:  2007        PMID: 17512295     DOI: 10.1016/j.amjsurg.2007.01.022

Source DB:  PubMed          Journal:  Am J Surg        ISSN: 0002-9610            Impact factor:   2.565


  24 in total

1.  A head-to-head comparison between virtual reality and physical reality simulation training for basic skills acquisition.

Authors:  Constantinos Loukas; Nikolaos Nikiteas; Dimitrios Schizas; Vasileios Lahanas; Evangelos Georgiou
Journal:  Surg Endosc       Date:  2012-04-05       Impact factor: 4.584

Review 2.  Simulation in surgical education.

Authors:  Vanessa N Palter; Teodor P Grantcharov
Journal:  CMAJ       Date:  2010-03-29       Impact factor: 8.262

3.  European consensus on a competency-based virtual reality training program for basic endoscopic surgical psychomotor skills.

Authors:  Koen W van Dongen; Gunnar Ahlberg; Luigi Bonavina; Fiona J Carter; Teodor P Grantcharov; Anders Hyltander; Marlies P Schijven; Alessandro Stefani; David C van der Zee; Ivo A M J Broeders
Journal:  Surg Endosc       Date:  2010-06-24       Impact factor: 4.584

Review 4.  The LapSim virtual reality simulator: promising but not yet proven.

Authors:  Katherine Fairhurst; Andrew Strickland; Guy Maddern
Journal:  Surg Endosc       Date:  2010-07-08       Impact factor: 4.584

5.  Validation of laparoscopic surgical skills training outside the operating room: a long road.

Authors:  N J Hogle; L Chang; V E M Strong; A O U Welcome; M Sinaan; R Bailey; D L Fowler
Journal:  Surg Endosc       Date:  2009-03-05       Impact factor: 4.584

6.  Sequential learning of psychomotor and visuospatial skills for laparoscopic suturing and knot tying-a randomized controlled trial "The Shoebox Study" DRKS00008668.

Authors:  Felix Nickel; Jonathan D Hendrie; Karl-Friedrich Kowalewski; Thomas Bruckner; Carly R Garrow; Maisha Mantel; Hannes G Kenngott; Philipp Romero; Lars Fischer; Beat P Müller-Stich
Journal:  Langenbecks Arch Surg       Date:  2016-04-07       Impact factor: 3.445

7.  Validation of the ArthroS virtual reality simulator for arthroscopic skills.

Authors:  J J Stunt; G M M J Kerkhoffs; C N van Dijk; G J M Tuijthof
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2014-06-11       Impact factor: 4.342

8.  Decomposition and analysis of laparoscopic suturing task using tool-motion analysis (TMA): improving the objective assessment.

Authors:  J B Pagador; F M Sánchez-Margallo; L F Sánchez-Peralta; J A Sánchez-Margallo; J L Moyano-Cuevas; S Enciso-Sanz; J Usón-Gargallo; J Moreno
Journal:  Int J Comput Assist Radiol Surg       Date:  2011-08-14       Impact factor: 2.924

Review 9.  [Improved quality of coronary diagnostics and interventions by virtual reality simulation].

Authors:  W Voelker; S Maier; B Lengenfelder; W Schöbel; J Petersen; A Bonz; G Ertl
Journal:  Herz       Date:  2011-08       Impact factor: 1.443

10.  Operator experience determines performance in a simulated computer-based brain tumor resection task.

Authors:  Terrell Holloway; Zachary S Lorsch; Michael A Chary; Stanislaw Sobotka; Maximillian M Moore; Anthony B Costa; Rolando F Del Maestro; Joshua Bederson
Journal:  Int J Comput Assist Radiol Surg       Date:  2015-03-26       Impact factor: 2.924

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