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.read more
Citations
More filters
Book ChapterDOI
How Serious Games Will Improve Healthcare
TL;DR: It is concluded that although the field is maturing in terms of diversification and evidence, more high-quality trials are needed to gain insight into the effectiveness of individual games as well as methods to improve transparency for individual users and clinicians.
A Review of Virtual Reality as a Medium for Safety Related Training in the Minerals Industry
TL;DR: In this paper, a review examines the evidence for the effectiveness of virtual reality as a medium for safety related training in a range of industries, including mining, and the issues associated with the implementation and evaluation of VR as a training medium.
Journal ArticleDOI
On the validity of virtual reality-based auditory experiments: a case study about ratings of the overall listening experience
TL;DR: There are only minor statistically significant differences between the two environments when the overall listening experience is rated, and in the real-world environment, the ratings given in the listening booth were slightly higher than in the cinema.
Journal ArticleDOI
'See one, practise on a simulator, do one' - the mantra of the modern surgeon
TL;DR: This paper explores some of the current issues of learning minimally invasive surgical skills in a simulated environment, and suggests that such simulation should not be seen in isolation but as a part of a wider and encompassing curriculum of learning for the 21st-century surgeon.
Journal Article
The European Academy laparoscopic "Suturing Training and Testing'' (SUTT) significantly improves surgeons' performance.
TL;DR: A short well-guided training course, using the SUTT model, improves significantly surgeon’s laparoscopic suturing ability, independently of the level of experience in laparoscopy.
References
More filters
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.
Journal ArticleDOI
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.
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
David Moher,David Moher,Ba' Pham,Alison Jones,Deborah J. Cook,Alejandro R. Jadad,Michael Moher,Peter Tugwell,Terry P. Klassen,Terry P. Klassen +9 more
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.