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
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Journal ArticleDOI
Best Practices for Robotic Surgery Training and Credentialing
TL;DR: Surgical training in robotics should involve a structured, competency based curriculum that allows the trainee to progress in a graduated fashion and the accreditation process should be iterative to ensure accountability to the patient.
Journal ArticleDOI
Individualized deliberate practice on a virtual reality simulator improves technical performance of surgical novices in the operating room: a randomized controlled trial.
TL;DR: A curriculum of deliberate individualized practice on a VR simulator improves technical performance in the OR, which has implications to greatly improve the feasibility of implementing simulation-based curricula in residency training programs, rather then having them being limited to research protocols.
Journal ArticleDOI
Setting a research agenda for simulation-based healthcare education: a synthesis of the outcome from an Utstein style meeting.
TL;DR: Although the use of simulation as a methodology for learning continues to grow at a rapid pace throughout all of the healthcare professions and disciplines, research in this field is still at an early stage.
Journal ArticleDOI
Virtual reality simulation in neurosurgery: technologies and evolution.
TL;DR: Recent developments in research areas related to virtual reality simulation, including anatomic modeling, computer graphics and visualization, haptics, and physics simulation, are highlighted and their implication for the simulation of neurosurgery is discussed.
Journal ArticleDOI
Development and validation of a comprehensive curriculum to teach an advanced minimally invasive procedure: a randomized controlled trial.
TL;DR: Participation in a comprehensive ex vivo training curriculum for laparoscopic colorectal surgery results in improved technical knowledge and improved performance in the operating room compared with conventional residency training, and outperformed conventionally trained residents in 7 of 8 tasks on the simulator.
References
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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.
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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.