M B Jalink1, J Goris, E Heineman, J P E N Pierie, H O ten Cate Hoedemaker. 1. Department of Surgery, University Medical Center Groningen, University of Groningen, De Brug, room 5.062, P.O. Box 30 001, 9700 RB, Groningen, The Netherlands, maartenjalink@hotmail.com.
Abstract
BACKGROUND: Virtual reality (VR) laparoscopic simulators have been around for more than 10 years and have proven to be cost- and time-effective in laparoscopic skills training. However, most simulators are, in our experience, considered less interesting by residents and are often poorly accessible. Consequently, these devices are rarely used in actual training. In an effort to make a low-cost and more attractive simulator, a custom-made Nintendo Wii game was developed. This game could ultimately be used to train the same basic skills as VR laparoscopic simulators ought to. Before such a video game can be implemented into a surgical training program, it has to be validated according to international standards. METHODS: The main goal of this study was to test construct and concurrent validity of the controls of a prototype of the game. In this study, the basic laparoscopic skills of experts (surgeons, urologists, and gynecologists, n = 15) were compared to those of complete novices (internists, n = 15) using the Wii Laparoscopy (construct validity). Scores were also compared to the Fundamentals of Laparoscopy (FLS) Peg Transfer test, an already established assessment method for measuring basic laparoscopic skills (concurrent validity). RESULTS: Results showed that experts were 111 % faster (P = 0.001) on the Wii Laparoscopy task than novices. Also, scores of the FLS Peg Transfer test and the Wii Laparoscopy showed a significant, high correlation (r = 0.812, P < 0.001). CONCLUSIONS: The prototype setup of the Wii Laparoscopy possesses solid construct and concurrent validity.
BACKGROUND: Virtual reality (VR) laparoscopic simulators have been around for more than 10 years and have proven to be cost- and time-effective in laparoscopic skills training. However, most simulators are, in our experience, considered less interesting by residents and are often poorly accessible. Consequently, these devices are rarely used in actual training. In an effort to make a low-cost and more attractive simulator, a custom-made Nintendo Wii game was developed. This game could ultimately be used to train the same basic skills as VR laparoscopic simulators ought to. Before such a video game can be implemented into a surgical training program, it has to be validated according to international standards. METHODS: The main goal of this study was to test construct and concurrent validity of the controls of a prototype of the game. In this study, the basic laparoscopic skills of experts (surgeons, urologists, and gynecologists, n = 15) were compared to those of complete novices (internists, n = 15) using the Wii Laparoscopy (construct validity). Scores were also compared to the Fundamentals of Laparoscopy (FLS) Peg Transfer test, an already established assessment method for measuring basic laparoscopic skills (concurrent validity). RESULTS: Results showed that experts were 111 % faster (P = 0.001) on the Wii Laparoscopy task than novices. Also, scores of the FLS Peg Transfer test and the Wii Laparoscopy showed a significant, high correlation (r = 0.812, P < 0.001). CONCLUSIONS: The prototype setup of the Wii Laparoscopy possesses solid construct and concurrent validity.
Authors: Gerald M Fried; Liane S Feldman; Melina C Vassiliou; Shannon A Fraser; Donna Stanbridge; Gabriela Ghitulescu; Christopher G Andrew Journal: Ann Surg Date: 2004-09 Impact factor: 12.969
Authors: F J Carter; M P Schijven; R Aggarwal; T Grantcharov; N K Francis; G B Hanna; J J Jakimowicz Journal: Surg Endosc Date: 2005-10-26 Impact factor: 4.584
Authors: Gunnar Ahlberg; Lars Enochsson; Anthony G Gallagher; Leif Hedman; Christian Hogman; David A McClusky; Stig Ramel; C Daniel Smith; Dag Arvidsson Journal: Am J Surg Date: 2007-06 Impact factor: 2.565
Authors: Barry D Mann; Benjamin M Eidelson; Steven G Fukuchi; Steven A Nissman; Scott Robertson; Lori Jardines Journal: Am J Surg Date: 2002-03 Impact factor: 2.565
Authors: Ciro Esposito; Maria Escolino; Amulya Saxena; Philippe Montupet; Fabio Chiarenza; Juan De Agustin; Isabela Magdalena Draghici; Mariapina Cerulo; Mario Mendoza Sagaon; Vincenzo Di Benedetto; Piergiorgio Gamba; Alessandro Settimi; Azad Najmaldin Journal: Pediatr Surg Int Date: 2015-02-10 Impact factor: 1.827
Authors: Karl-Friedrich Kowalewski; Jonathan D Hendrie; Mona W Schmidt; Tanja Proctor; Sai Paul; Carly R Garrow; Hannes G Kenngott; Beat P Müller-Stich; Felix Nickel Journal: Surg Endosc Date: 2017-03-09 Impact factor: 4.584
Authors: Maurits Graafland; Maarten F Vollebergh; Sjoerd M Lagarde; M van Haperen; Willem A Bemelman; Marlies P Schijven Journal: World J Surg Date: 2014-12 Impact factor: 3.352
Authors: Cuan M Harrington; Vishwa Chaitanya; Patrick Dicker; Oscar Traynor; Dara O Kavanagh Journal: Surg Endosc Date: 2018-02-14 Impact factor: 4.584