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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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Evaluating Virtual Reality-based Training Programs for Mine Rescue Brigades in New South Wales (Australia)

Shiva Pedram
TL;DR: A court may impose penalties and award damages in relation to offences and infringements relating to copyright material as mentioned in this paper, and higher penalties may apply, and higher damages may be awarded, for offences and inferences involving the conversion of material into digital or electronic form.
Journal ArticleDOI

Realistic surgical training. The Aachen model

TL;DR: The Aachen model is a practical mode in teaching and advanced training, which is closely geared to the areas of academic acquisition and training, and quality, transparency and reliability are particularly emphasized.
Journal ArticleDOI

Feasibility and Benefit of Incorporating a Multimedia Cadaver Laboratory Training Program into a Didactics Curriculum for Junior and Senior Surgical Residents.

TL;DR: In this paper, a multimedia cadaver laboratory course was incorporated into a general surgery residency didactics curriculum with the objective to demonstrate a benefit of the program as well as the feasibility of incorporation.
Journal ArticleDOI

Surgical education using a multi-viewpoint and multi-layer three-dimensional atlas of surgical anatomy (with video).

TL;DR: A novel teaching atlas of surgical anatomy is developed using a multi‐viewpoint and multi‐layer three‐dimensional camera system to help trainee surgeons in the hepatobiliary‐pancreatic field.
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.
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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.
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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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