2007
DOI: 10.1007/s00464-007-9672-3
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Transfer validity of laparoscopic knot-tying training on a VR simulator to a realistic environment: A randomized controlled trial

Abstract: Background Laparoscopic suturing is one of the most difficult tasks in endoscopic surgery, requiring extensive training. The aim of this study was to determine the transfer validity of knot-tying training on a virtual-reality (VR) simulator to a realistic laparoscopic environment. Methods Twenty surgical trainees underwent basic eyehand coordination training on a VR simulator (SIMENDO, DelltaTech, Delft, the Netherlands) until predefined performance criteria were met. Then, they were randomized into two groups… Show more

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Cited by 85 publications
(57 citation statements)
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“…The incorporation of VR simulators in training regimes offers the potential to reduce error rate which, as well as improving patient outcomes and satisfaction, will also reduce fiscal burden by decreasing the risk of litigation. Seymour et al (2002) showed skills transfer from training on a simulator to the operating theater, and this has been emulated by other studies (Ahlberg et al 2007, Verdaasdonk et al 2008, Larsen et al 2009) including 1 with an orthopedic arthroscopic simulator (Howells et al 2008). Other factors to consider include gender differences, hand dominance, and age correlated with objective scoring.…”
Section: Discussionmentioning
confidence: 86%
“…The incorporation of VR simulators in training regimes offers the potential to reduce error rate which, as well as improving patient outcomes and satisfaction, will also reduce fiscal burden by decreasing the risk of litigation. Seymour et al (2002) showed skills transfer from training on a simulator to the operating theater, and this has been emulated by other studies (Ahlberg et al 2007, Verdaasdonk et al 2008, Larsen et al 2009) including 1 with an orthopedic arthroscopic simulator (Howells et al 2008). Other factors to consider include gender differences, hand dominance, and age correlated with objective scoring.…”
Section: Discussionmentioning
confidence: 86%
“…6,7,17,[25][26][27][28][29] The OSATS assessment tool assesses members on regard for tissue dissection, time and movement, instrument ergonomy, information of instruments, stream of operation, utilization of collaborator, and learning of methodology. GOALS rating scale 30 25 Also, in the same article, 100% of intervention members achieved the passing score level whereas it was just 37.5% of the control group.…”
Section: Global Ratings (N = 7 Studies)mentioning
confidence: 99%
“…5,6,18,19,21,22,32 These were accounted for as clipping errors, dissection errors, tissue damage, incorrect plane for dissection, lack of progress, and instrument out of view. Each one of the seven investigations looked into articles for detailed statistical discoveries that the intervention diminished and the number of errors that happened.…”
Section: Mistakes (N = 7 Studies)mentioning
confidence: 99%
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“…However, some studies have assessed the transfer of STS after training on VR simulators. Several randomized controlled trials have shown that training to expert levels of proficiency on VR simulators results in improved performance in a porcine model compared to conventional apprenticeship (20)(21)(22). Four randomized controlled trials assessed the impact of VR training during a real procedure in man (23)(24)(25)(26).…”
Section: Transfer Of Technical Skillsmentioning
confidence: 99%