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Journal ArticleDOI

Systematic review of randomized controlled trials on the effectiveness of virtual reality training for laparoscopic surgery.

TLDR
The aim of this review was to determine whether virtual reality (VR) training can supplement and/or replace conventional laparoscopic training in surgical trainees with limited or no Laparoscopic experience.
Abstract
Background: Surgical training has traditionally been one of apprenticeship. The aim of this review was to determine whether virtual reality (VR) training can supplement and/or replace conventional laparoscopic training in surgical trainees with limited or no laparoscopic experience. Methods: Randomized clinical trials addressing this issue were identified from The Cochrane Library trials register, Medline, Embase, Science Citation Index Expanded, grey literature and reference lists. Standardized mean difference was calculated with 95 per cent confidence intervals based on available case analysis. Results: Twenty-three trials (mostly with a high risk of bias) involving 622 participants were included in this review. In trainees without surgical experience, VR training decreased the time taken to complete a task, increased accuracy and decreased errors compared with no training. In the same participants, VR training was more accurate than video trainer (VT) training. In participants with limited laparoscopic experience, VR training resulted in a greater reduction in operating time, error and unnecessary movements than standard laparoscopic training. In these participants, the composite performance score was better in the VR group than the VT group. Conclusion: VR training can supplement standard laparoscopic surgical training. It is at least as effective as video training in supplementing standard laparoscopic training.

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Citations
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Journal ArticleDOI

The role of virtual and augmented reality in orthopedic trauma surgery: From diagnosis to rehabilitation.

TL;DR: The primary goal is to introduce novel researchers to current trends applied to orthopedic trauma surgery, proposing new lines of research and to propose and evaluate a set of qualitative metrics to highlight the most promising challenges of virtual and augmented reality technologies in this context.
Journal ArticleDOI

Investigating the process of mine rescuers' safety training with immersive virtual reality: A structural equation modelling approach

TL;DR: There are multiple paths by which immersive virtual reality training can have a positive impact on learning, and immersive VR training will not replace the requirement for skilled trainers, but rather it can serve as an effective vehicle to convey their expertise.
Journal ArticleDOI

Developing basic hand-eye coordination skills for laparoscopic surgery using gaze training

TL;DR: The following sections provide theoretical support for an increased understanding of gaze strategies, and outline some concerns with simply focusing on the ‘hand’ component of hand-eye coordination.
Journal ArticleDOI

Robotic Surgical Training Program in Gynecology: How to Train Residents and Fellows

TL;DR: A method to accomplish robotic training that standardizes instruction and assessment of skills is reported and performance times and pass rates were not improved with higher level of training or previous robotic experience.
References
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Journal ArticleDOI

Bias in meta-analysis detected by a simple, graphical test

TL;DR: Funnel plots, plots of the trials' effect estimates against sample size, are skewed and asymmetrical in the presence of publication bias and other biases Funnel plot asymmetry, measured by regression analysis, predicts discordance of results when meta-analyses are compared with single large trials.
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Meta-Analysis in Clinical Trials*

TL;DR: This paper examines eight published reviews each reporting results from several related trials in order to evaluate the efficacy of a certain treatment for a specified medical condition and suggests a simple noniterative procedure for characterizing the distribution of treatment effects in a series of studies.
Journal ArticleDOI

Quantifying heterogeneity in a meta‐analysis

TL;DR: It is concluded that H and I2, which can usually be calculated for published meta-analyses, are particularly useful summaries of the impact of heterogeneity, and one or both should be presented in publishedMeta-an analyses in preference to the test for heterogeneity.
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Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials.

TL;DR: Empirical evidence is provided that inadequate methodological approaches in controlled trials, particularly those representing poor allocation concealment, are associated with bias.
Journal ArticleDOI

Does quality of reports of randomised trials affect estimates of intervention efficacy reported in meta-analyses

TL;DR: Study of low methodological quality in which the estimate of quality is incorporated into the meta-analyses can alter the interpretation of the benefit of intervention, whether a scale or component approach is used in the assessment of trial quality.
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