Are gamers better laparoscopic surgeons? Impact of gaming skills on laparoscopic performance in “Generation Y” students

Datta, Rabi R.; Dratsch, Thomas; Timmermann, Ferdinand; Müller, L. P.; Plum, Patrick Sven; Haneder, Stefan; Santos, Daniel Pinto dos; Späth, Martin Richard; Wahba, Roger; Bruns, Christiane; Kleinert, Robert

doi:10.1371/journal.pone.0232341

Cited by 19 publications

(16 citation statements)

References 38 publications

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“…Both Sammut et al and Datta et al found the video game experience to be advantageous to laparoscopic performance. 42 , 43 Rosser et al analyzed laparoscopic surgical performance of 33 surgical residents with video game exercises and past video game experiences. 44 Video game experience of >3 hours per week correlated with 37% fewer errors and 27% faster completion.…”

Section: Discussionmentioning

confidence: 99%

Video Game Warm-Up May Suggest Improvement in Ophthalmic Surgical Simulator Performance in Surgically Naïve Students

Khimani¹,

Koshevarova²,

Mathew³

et al. 2022

OPTH

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Purpose Long-term video game play and its effects on the skills used in surgical simulators have been previously studied, but little information is available about short-term video game warm-ups and subsequent ophthalmic surgical simulation performance. In this study, we hypothesize that a video game warm-up will improve performance on the Eyesi Ophthalmic Surgical Simulator. Methods Twenty medical students with no prior surgical simulation experience were recruited for the study. Information regarding prior video game experience was gathered, and half of the participants were then randomly assigned to play a video game session prior to Eyesi performance. All subjects completed three sets of Eyesi modules, and the scores and time to completion were recorded. Bivariate analysis including Fisher’s Exact test and Wilcoxon rank-sum test were used for statistical analysis. Results The warm-up group scored higher in Navigation, Bimanual, and Forceps modules (33.6, 39.7, 7.2, respectively) compared to non-warm-up group (27.3, 27.3, 3.6, respectively). In addition, average times (sec) were lower (310.5, 117.4, 229.2, respectively) compared to non-warm-up group (321.9, 163.3, 235.8, respectively). It was also observed that significantly more participants in the warm-up group had reported a history of spending >15 hours per week playing video games compared to the non-warm-up group (80% vs 20%, p=0.0402). Conclusion In our pilot study, there appears to be a positive trend between video game warm-up and Eyesi simulation performance; however, no statistically significant difference was observed due to lower power. This trend can be explained by a greater collective video game experience within the warm-up group, mechanical factors (increased flexibility and grip strength after playing video games) and feeling more relaxed after the video game warm-up. Larger follow-up studies are needed to further investigate the relationship between short-term video game use on ophthalmic surgical simulation performance.

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Section: Discussionmentioning

confidence: 99%

Video Game Warm-Up May Suggest Improvement in Ophthalmic Surgical Simulator Performance in Surgically Naïve Students

Khimani¹,

Koshevarova²,

Mathew³

et al. 2022

OPTH

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“…This could be the consequence of the associations between video games and improved complex hand-eye coordination and visual attention. 12,26 Extensive video gaming is thought to alter cortical network plasticity and affect other dissociated tasks resulting in reduced reaction times. 27 Reconstructing two-dimensional images into three-dimensional environments is integral to both videogames and laparoscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

“…A typical example is computer gaming which has been reported to increase laparoscopic baseline performance and response to training. 12 Gender has also been reported to affect initial performance, with male students seaming to outperform females in certain aspects such as speed. [13][14][15] A different factor is experience in playing musical instruments which requires advanced motor skills.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Performance in Laparoscopic Suturing and Knot Tying: A Cohort Study

et al. 2022

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Background Laparoscopic suturing and knot tying are regarded as some of the most difficult laparoscopic skills to learn. Training is essential to reach proficiency, but available training opportunities are limited. Various techniques to improve training have been evaluated. It appears that individual-related factors affect initial performance and response to training. Thus, the current study aimed to assess factors influencing laparoscopic-suturing and knot-tying performances. Methods All patients were trained one-on-one (teacher–student) for 3 hours. Patients were tested before training (bowel anastomosis model) and directly after training (congenital diaphragmatic hernia or esophageal atresia model) to evaluate transferability. Primary endpoints were time, knot quality, precision, knot strength, and overall laparoscopic knotting performance. Moreover, factors such as (1) age, (2) gender, (3) handedness, (4) previous training or operative experience, (5) playing an instrument, (6) sportive activities, and (7) computer gaming which may influence the primary endpoints were assessed. Results In total, 172 medical students or novice surgical residents were included. Training significantly improved all outcome parameters assessed in the current study. More than 50% of the patients reached proficiency after 3 hours of training. Personal factors like operative experience, playing music instruments, sportive activities, and computer gaming affected some outcome parameters. Handedness and gender affected initial performance but differences partially subsided after training. Younger participants showed a much better response to training. Conclusion In conclusion, several factors influence initial performance and response to the training of laparoscopic suturing and knot tying. Surgeons who want to improve their laparoscopic performance, should concentrate on playing a musical instrument and performing sports rather than playing videos gaming. It appears that training is a key and more practice opportunities should be incorporated into medical school and surgical curricula. Moreover, handedness may affect the outcome but only if the training concepts are not tailored to the dominant hand of the surgeon. Future training and surgical curricula should adapt to this and tailor their concepts accordingly.

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“…Recent studies underlined this, showing that gaming skills may be an advantage when learning laparoscopic surgery [ 44 ]. Gradl et al put forward the hypothesis that women have less opportunity to deal with visual-spatial tasks in their childhood development and socialization, and conclude this may prove disadvantageous [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Gender benefit in laparoscopic surgical performance using a 3D-display system: data from a randomized cross-over trial

et al. 2021

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Background The use of 3D technique compared to high-resolution 2D-4K-display technique has been shown to optimize spatial orientation and surgical performance in laparoscopic surgery. Since women make up an increasing amount of medical students and surgeons, this study was designed to investigate whether one gender has a greater benefit from using a 3D compared to a 4K-display system. Methods In a randomized cross-over trial, the surgical performance of male and female medical students (MS), non-board certified surgeons (NBCS), and board certified surgeons (BCS) was compared using 3D- vs. 4K-display technique at a minimally invasive training parkour with multiple surgical tasks and repetitions. Results 128 participants (56 women, 72 men) were included. Overall parkour time in seconds was 3D vs. 4K for all women 770.7 ± 31.9 vs. 1068.1 ± 50.0 (p < 0.001) and all men 664.5 ± 19.9 vs. 889.7 ± 31.2 (p < 0.001). Regarding overall mistakes, participants tend to commit less mistakes while using the 3D-vision system, showing 10.2 ± 1.1 vs. 13.3 ± 1.3 (p = 0.005) for all women and 9.6 ± 0.7 vs. 12.2 ± 1.0 (p = 0.001) for all men. The benefit of using a 3D system, measured by the difference in seconds, was for women 297.3 ± 41.8 (27.84%) vs. 225.2 ± 23.3 (25.31%) for men (p = 0.005). This can be confirmed in the MS group with 327.6 ± 65.5 (35.82%) vs. 249.8 ± 33.7 (32.12%), p = 0.041 and in the NBCS group 359 ± 52.4 (28.25%) vs. 198.2 ± 54.2 (18.62%), p = 0.003. There was no significant difference in the BCS group. Conclusion 3D laparoscopic display technique optimizes surgical performance compared to the 2D-4K technique for both women and men. The greatest 3D benefit was found for women with less surgical experience. As a possible result of surgical education, this gender specific difference disappears with higher grade of experience. Using a 3D-vision system could facilitate surgical apprenticeship, especially for women.

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Are gamers better laparoscopic surgeons? Impact of gaming skills on laparoscopic performance in “Generation Y” students

Cited by 19 publications

References 38 publications

Video Game Warm-Up May Suggest Improvement in Ophthalmic Surgical Simulator Performance in Surgically Naïve Students

Video Game Warm-Up May Suggest Improvement in Ophthalmic Surgical Simulator Performance in Surgically Naïve Students

Factors Influencing Performance in Laparoscopic Suturing and Knot Tying: A Cohort Study

Gender benefit in laparoscopic surgical performance using a 3D-display system: data from a randomized cross-over trial

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