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
Technology-enhanced simulation for health professions education: a systematic review and meta-analysis
David A. Cook,Rose Hatala,Ryan Brydges,Benjamin Zendejas,Jason H. Szostek,Amy T. Wang,Patricia J. Erwin,Stanley J. Hamstra +7 more
TL;DR: In comparison with no intervention, technology-enhanced simulation training in health professions education is consistently associated with large effects for outcomes of knowledge, skills, and behaviors and moderate effects for patient-related outcomes.
Journal ArticleDOI
Effect of a comprehensive surgical safety system on patient outcomes
Eefje N. de Vries,Hubert A. Prins,Adriaan J. den Outer,George van Andel,Sven H. van Helden,Wolfgang Schlack,M. Agnès van Putten,Dirk J. Gouma,Susanne M. Smorenburg,Marja A. Boermeester +9 more
TL;DR: In this paper, the authors implemented a comprehensive checklist for surgical complications and mortality in hospitals with a high standard of care, which was associated with a reduction in surgical complications in hospitals.
Journal ArticleDOI
Comparative effectiveness of instructional design features in simulation-based education: Systematic review and meta-analysis
David A. Cook,Stanley J. Hamstra,Ryan Brydges,Benjamin Zendejas,Jason H. Szostek,Amy T. Wang,Patricia J. Erwin,Rose Hatala +7 more
TL;DR: A systematic review of studies comparing different simulation-based interventions confirmed quantitatively the effectiveness of several instructional design features in simulation- based education.
Journal ArticleDOI
Computerized virtual patients in health professions education: a systematic review and meta-analysis.
TL;DR: Comparisons of different virtual patient designs suggest that repetition until demonstration of mastery, advance organizers, enhanced feedback, and explicitly contrasting cases can improve learning outcomes.
Journal ArticleDOI
Virtual reality training for surgical trainees in laparoscopic surgery
Myura Nagendran,Kurinchi Selvan Gurusamy,Rajesh Aggarwal,Marilena Loizidou,Brian R. Davidson +4 more
TL;DR: The results showed that the operative performance in the virtual reality group was significantly better than the control group and the results became non-significant when the random-effects model was used, and two trials that could not be included in the meta-analysis showed a reduction in operating time.
References
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Journal ArticleDOI
The financial impact of teaching surgical residents in the operating room
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Evaluation of the Learning Curve in Laparoscopic Colorectal Surgery: Comparison of Right-Sided and Left-Sided Resections
TL;DR: Conversion rates for laparoscopic colectomy are dependent on a multitude of factors that require appropriate adjustment including the learning curve (operative experience) for individual surgeons.
Journal ArticleDOI
Laparoscopic training on bench models: better and more cost effective than operating room experience?
Daniel J. Scott,Patricia C. Bergen,Robert V. Rege,Royce Laycock,Seifu T. Tesfay,R. James Valentine,David M. Euhus,D. Rohan Jeyarajah,William M. Thompson,Daniel B. Jones +9 more
TL;DR: In this paper, a study was conducted to determine if laparoscopic skills training using simulated tasks on a video-trainer improves the operative performance of junior surgery residents, and the results showed that intensive training improves video-eye-hand skills and translates into improved operative performance.