Hugo Gonçalo Guedes1, Zêmia Maria Câmara Costa Ferreira2, Layra Ribeiro de Sousa Leão3, Edna Frasson Souza Montero4, José Pinhata Otoch4, Everson Luiz de Almeida Artifon4. 1. General Surgery Department, University of Sao Paulo School of Medicine, Carvalho Aguiar Street, number 255, São Paulo, SP, 05422-090, Brazil. Electronic address: hugogguedes@yahoo.com.br. 2. Potiguar University, Senador Salgado Filho Avenue, number 1610, Lagoa Nova, Natal, RN, 59056-000, Brazil. 3. Hospital Israelita Albert Einstein, Albert Einstein Avenue, number 627/701, Morumbi, São Paulo, SP, 05652-900, Brazil. 4. General Surgery Department, University of Sao Paulo School of Medicine, Carvalho Aguiar Street, number 255, São Paulo, SP, 05422-090, Brazil.
Abstract
BACKGROUND: To evaluate the effectiveness of virtual reality simulator (VRS) training compared to box-trainer training (BT) for learning outcomes in minimally invasive surgery (MIS) techniques. MATERIALS AND METHODS: A systematic review of the literature was performed using CENTRAL, MEDLINE, EMBASE, Scopus, CINAHL, LILACS. The primary outcomes were time to perform MIS and performance score in MIS. After being selected, the articles were evaluated for methodological quality and risk of bias. The results were evaluated for quality of evidence and meta-analysis was performed. RESULTS: 20 randomized clinical trials were included in the qualitative analysis and 14 were used in the meta-analysis. VRS training was more efficient than BT training (P < 0.00001, 95% CI: 35.08 to -25.01) when evaluating participant time needed to complete the peg task. In descriptive analysis, VRS training was better than BT training in participant performance score to perform MIS. There was no statistical difference in the meta-analysis in the time needed to perform surgery, time to complete basic or advanced tasks and performance score for basic or advanced tasks. CONCLUSIONS: VRS training was better than BT training in participant performance scores when performing MIS and in the time needed to complete the basic task of peg transfer. In all other outcomes, regardless of the student's level of experience or type of activity, the two forms of training were equivalent. Published by Elsevier Ltd.
BACKGROUND: To evaluate the effectiveness of virtual reality simulator (VRS) training compared to box-trainer training (BT) for learning outcomes in minimally invasive surgery (MIS) techniques. MATERIALS AND METHODS: A systematic review of the literature was performed using CENTRAL, MEDLINE, EMBASE, Scopus, CINAHL, LILACS. The primary outcomes were time to perform MIS and performance score in MIS. After being selected, the articles were evaluated for methodological quality and risk of bias. The results were evaluated for quality of evidence and meta-analysis was performed. RESULTS: 20 randomized clinical trials were included in the qualitative analysis and 14 were used in the meta-analysis. VRS training was more efficient than BT training (P < 0.00001, 95% CI: 35.08 to -25.01) when evaluating participant time needed to complete the peg task. In descriptive analysis, VRS training was better than BT training in participant performance score to perform MIS. There was no statistical difference in the meta-analysis in the time needed to perform surgery, time to complete basic or advanced tasks and performance score for basic or advanced tasks. CONCLUSIONS: VRS training was better than BT training in participant performance scores when performing MIS and in the time needed to complete the basic task of peg transfer. In all other outcomes, regardless of the student's level of experience or type of activity, the two forms of training were equivalent. Published by Elsevier Ltd.
Authors: Lorainne Tudor Car; Selina Poon; Bhone Myint Kyaw; David A Cook; Victoria Ward; Rifat Atun; Azeem Majeed; Jamie Johnston; Rianne M J J van der Kleij; Mariam Molokhia; Florian V Wangenheim; Martin Lupton; Niels Chavannes; Onyema Ajuebor; Charles G Prober; Josip Car Journal: J Med Internet Res Date: 2022-03-17 Impact factor: 7.076