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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

Surgical simulation: where have we come from? Where are we now? Where are we going?

TL;DR: The history of simulation is explored, available video trainers provide the opportunity for skill development that at present is not surpassed by virtual reality systems, and the results of a modified systematic review of currently available systems and performance are reported.
Journal ArticleDOI

Peer coaching to teach faculty surgeons an advanced laparoscopic skill: A randomized controlled trial.

TL;DR: This trial demonstrates that a structured peer coaching program can facilitate faculty surgeons learning a novel procedure.
Journal ArticleDOI

Testing the construct validity of a soccer-specific virtual reality simulator using novice, academy and professional soccer players

TL;DR: Results provide some support for the construct validity of a soccer-specific VR simulator and suggest at least partial overlap between the perceptual-cognitive and motor skills needed to perform well across ‘real’ and virtual environments.
Journal ArticleDOI

Does training laparoscopic skills in a virtual reality simulator improve surgical performance

TL;DR: This study could not demonstrate that VRSS training resulted in improved surgical performance, but it may be useful, however, in familiarizing surgeons with laparoscopic surgery.
Journal ArticleDOI

Effects of two training curricula on basic laparoscopic skills and surgical performance among veterinarians.

TL;DR: MISTELS training resulted in significant improvement of basic laparoscopic skills but not in the assessment used for surgical performance, which may have been due to the small number of study participants, the assessment tool, or the method of training.
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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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.
Journal ArticleDOI

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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