Transferability of laparoscopic skills using the virtual reality simulator

Yang, Cui; Kalinitschenko, Uljana; Helmert, Jens R.; Weitz, Juergen; Reißfelder, Christoph; Mees, Soeren Torge

doi:10.1007/s00464-018-6156-6

Cited by 28 publications

(39 citation statements)

References 24 publications

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“… 31 The evidence for transfer of skills using nonhaptic feedback VR simulators is well established. 9 , 10 , 14 - 17 Therefore, haptic feedback seems, in the current technical state, not a cost-effective feature in VR simulators for minimally invasive surgery.…”

Section: Discussionmentioning

confidence: 99%

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Bimanual Fundamentals: Validation of a New Curriculum for Virtual Reality Training of Laparoscopic Skills

et al. 2020

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Background. To determine face and construct validity for the new Bimanual Fundamentals curriculum for the Simendo® Virtual Reality Laparoscopy Simulator and prove its efficiency as a training and objective assessment tool for surgical resident’s advanced psychomotor skills. Methods. 49 participants were recruited: 17 medical students (novices), 15 residents (intermediates), and 17 medical specialists (experts) in the field of gynecology, general surgery, and urology in 3 tertiary medical centers in the Netherlands. All participants performed the 5 exercises of the curriculum for 3 consecutive times on the simulator. Intermediates and experts filled in a questionnaire afterward, regarding the reality of the simulator and training goals of each exercise. Statistical analysis of performance was performed between novices, intermediates, and experts. Parameters such as task time, collisions/displacements, and path length right and left were compared between groups. Additionally, a total performance score was calculated for each participant. Results. Face validity scores regarding realism and training goals were overall positive (median scores of 4 on a 5-point Likert scale). Participants felt that the curriculum was a useful addition to the previous curricula and the used simulator would fit in their residency programs. Construct validity results showed significant differences on the great majority of measured parameters between groups. The simulator is able to differentiate between performers with different levels of laparoscopic experience. Conclusions. Face and construct validity for the new Bimanual Fundamental curriculum for the Simendo virtual reality simulator could be established. The curriculum is suitable to use in resident’s training programs to improve and maintain advanced psychomotor skills.

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Section: Discussionmentioning

confidence: 99%

“… 9 , 11 Skills acquired on a VR simulator are transferable to actual medical practice. 9 , 10 , 14 - 17 …”

Section: Introductionmentioning

confidence: 99%

Bimanual Fundamentals: Validation of a New Curriculum for Virtual Reality Training of Laparoscopic Skills

et al. 2020

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“…However, the movements of group 1 participants were more economical. Hence, this shows that though the participants may benefit from the transfer of motor skills, the procedures need to be trained separately [21].…”

Section: Multitask Trainingmentioning

confidence: 99%

Virtual Reality as an Affirmative Spin-Off to Laparoscopic Training: An Updated Review

Kantamaneni¹,

Jalla²,

Renzu³

et al. 2021

Cureus

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Latest advancements in science lead to drastic improvements in patient health care. Techniques and technology evolved in surgery over the years have resulted in the improvement of patient outcomes by leaps and bounds. Open surgeries previously done for procedures like appendectomy and cholecystectomy evolved into laparoscopic minimally invasive procedures. Such procedures pose few challenges to the surgeons, like lack of tissue feedback and fulcrum effect of the abdominal wall. But training surgeons for such an advanced skill is still following conventional methods. These procedures can be effectively trained using Virtual Reality (VR), which can simulate operations outside the operating room (OR). To maximize the outcomes of VR training, knowledge on various strategies affecting the skills acquisition and retention in VR training is essential. This review collected information from PubMed, EMBASE, Cochrane Library (CENTRAL) databases. Data from the previous ten years are included in the review. This included documents, clinical trials, meta-analysis, randomized controlled trials, reviews, systematic reviews, letters to editors, and grey literature. After an advanced Medical Subject Headings (MeSH) search, we got 59,532 results, and after the application of filters, 189 results showed up. Out of these, studies that were not exclusively relevant to the use of VR in laparoscopic surgery were manually excluded, and a total of 35 articles were included in the study. VR is found to be an excellent training modality with promising outcomes. It helps the surgeons perform the surgery accurately at a faster pace and improves confidence and multitasking ability in OR. Instructor feedback from mentors and deliberate practice of trainees, and early introduction of haptics in VR resulted in the most effective outcomes of the VR training. Box trainers are also compared with VR trainers as they are the cheaper modalities of training. However, this area needs more research to conclude if box trainers can act as a cheaper alternative to VR training providing similar outcomes.

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“…In total, 24 articles employed quantitative methods, 1,3,4,7,10,34,36,37,39,40,42,88-100 3 were qualitative, 101-103 5 used mixed methods, 9,38,45,104,105 8 were literature reviews, 2,8,11,18,31,35,106,107 5 were perspective papers, 6,30,32,33,43 3 were descriptive in nature, 41,44,108 and 2 were systematic reviews. 5,109 Nineteen studies in-volved mentees only, 3,4,32,36,40,42,45,88,90,92,94-96,98,99,…”

Section: Stage 4: Data Characterisation and Analysismentioning

confidence: 99%

“…Provide students shadowing opportunities and chances to assist in operating rooms to broaden professional network 107 7. Social media can serve as a valuable tool to enhance networking of mentees in seeking mentorship 91 Lack of time [1][2][3][4][5][7][8][9]11,18,34,36,38,39,45,[88][89][90]97,98,103,104,108,109 Culture and sex differences 2,5,11,18,101 Generational gaps 5,11,18,42,98 Power differences inherent within surgical specialities 10,34,42 Personality conflicts 9,11,36,39,41,43,44,91,98,107 Overstepping boundaries 2,11,31,100 Table 5. Proposed solutions to ethical issue...…”

mentioning

confidence: 99%

A Systematic Scoping Review of Ethical Issues in Mentoring in Surgery

Lee

Chua

Cheong

et al. 2019

Journal of Medical Education and Curricular Development

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Background: Mentoring is crucial to the growth and development of mentors, mentees, and host organisations. Yet, the process of mentoring in surgery is poorly understood and increasingly mired in ethical concerns that compromise the quality of mentorship and prevent mentors, mentees, and host organisations from maximising its full potential. A systematic scoping review was undertaken to map the ethical issues in surgical mentoring to enhance understanding, assessment, and guidance on ethical conduct. Methods: Arksey and O’Malley’s methodological framework was used to guide a systematic scoping review involving articles published between January 1, 2000 and December 31, 2018 in PubMed, Embase, Scopus, ERIC, ScienceDirect, Mednar, and OpenGrey databases. Braun and Clarke’s thematic analysis approach was adopted to compare ethical issues in surgical mentoring across different settings, mentee and mentor populations, and host organisations. Results: A total of 3849 abstracts were identified, 464 full-text articles were retrieved, and 50 articles were included. The 3 themes concerned ethical lapses at the levels of mentor or mentee, mentoring relationships, and host organisation. Conclusions: Mentoring abuse in surgery involves lapses in conduct, understanding of roles and responsibilities, poor alignment of expectations, and a lack of clear standards of practice. It is only with better structuring of mentoring processes and effective support of host organisation tasked with providing timely, longitudinal, and holistic assessment and oversight will surgical mentoring overcome prevailing ethical concerns surrounding it.

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Transferability of laparoscopic skills using the virtual reality simulator

Cited by 28 publications

References 24 publications

Bimanual Fundamentals: Validation of a New Curriculum for Virtual Reality Training of Laparoscopic Skills

Bimanual Fundamentals: Validation of a New Curriculum for Virtual Reality Training of Laparoscopic Skills

Virtual Reality as an Affirmative Spin-Off to Laparoscopic Training: An Updated Review

A Systematic Scoping Review of Ethical Issues in Mentoring in Surgery

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