+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Transferability of Virtual Reality, Simulation-Based, Robotic Suturing Skills to a Live Porcine Model in Novice Surgeons: A Single-Blind Randomized Controlled Trial



Transferability of Virtual Reality, Simulation-Based, Robotic Suturing Skills to a Live Porcine Model in Novice Surgeons: A Single-Blind Randomized Controlled Trial



Journal of Minimally Invasive Gynecology 24(3): 420-425



To assess whether a robotic simulation curriculum for novice surgeons can improve performance of a suturing task in a live porcine model. Randomized controlled trial (Canadian Task Force classification I). Academic medical center. Thirty-five medical students without robotic surgical experience. Participants were enrolled in an online session of training modules followed by an in-person orientation. Baseline performance testing on the Mimic Technologies da Vinci Surgical Simulator (dVSS) was also performed. Participants were then randomly assigned to the completion of 4 dVSS training tasks (camera clutching 1, suture sponge 1 and 2, and tubes) versus no further training. The intervention group performed each dVSS task until proficiency or up to 10 times. A final suturing task was performed on a live porcine model, which was video recorded and blindly assessed by experienced surgeons. The primary outcomes were Global Evaluative Assessment of Robotic Skills (GEARS) scores and task time. The study had 90% power to detect a mean difference of 3 points on the GEARS scale, assuming a standard deviation (SD) of 2.65, and 80% power to detect a mean difference of 3 minutes, assuming an SD of 3 minutes. There were no differences in demographics and baseline skills between the 2 groups. No significant differences in task time in minutes or GEARS scores were seen for the final suturing task between the intervention and control groups, respectively (9.2 [2.65] vs 9.9 [2.07] minutes, p = .406; and 15.37 [2.51] vs 15.25 [3.38], p = .603). The 95% confidence interval for the difference in mean task times was -2.36 to .96 minutes and for mean GEARS scores -1.91 to 2.15 points. Live suturing task performance was not improved with a proficiency-based virtual reality simulation suturing curriculum compared with standard orientation to the da Vinci robotic console in a group of novice surgeons.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 060416279

Download citation: RISBibTeXText

PMID: 28027975

DOI: 10.1016/j.jmig.2016.12.016


Related references

Virtual reality robotic surgery simulation curriculum to teach robotic suturing: a randomized controlled trial. Journal of Robotic Surgery 9(3): 179-186, 2016

A Randomized Controlled Trial Comparing Trainee-Directed Virtual Reality Simulation Training and Box Trainer on the Acquisition of Laparoscopic Suturing Skills. Journal of Obstetrics and Gynaecology Canada 40(3): 310-316, 2017

Randomized controlled trial investigating the effect of music on the virtual reality laparoscopic learning performance of novice surgeons. Surgical Endoscopy 22(11): 2416-2420, 2008

The effect of implementing cognitive load theory-based design principles in virtual reality simulation training of surgical skills: a randomized controlled trial. Advances in Simulation 1: 20, 2016

Randomized controlled trial of virtual reality and hybrid simulation for robotic surgical training. Bju International 108(10): 1652-6; Discussion 1657, 2011

Robotic virtual reality simulation plus standard robotic orientation versus standard robotic orientation alone: a randomized controlled trial. Female Pelvic Medicine and Reconstructive Surgery 19(5): 266-270, 2013

Porcine cadaver organ or virtual-reality simulation training for laparoscopic cholecystectomy: a randomized, controlled trial. Journal of Surgical Education 72(3): 483-490, 2016

Simulation-based training for thoracoscopic lobectomy: a randomized controlled trial: virtual-reality versus black-box simulation. Surgical Endoscopy 28(6): 1821-1829, 2014

Preliminary study of virtual reality and model simulation for learning laparoscopic suturing skills. Journal of Urology 182(3): 1018-1025, 2009

Virtual Reality Telerehabilitation for Postural Instability in Parkinson's Disease: A Multicenter, Single-Blind, Randomized, Controlled Trial. Biomed Research International 2017: 7962826, 2018

Development of simulated arthroscopic skills: A randomized trial of virtual-reality training of 21 orthopedic surgeons. Yearbook of Orthopedics 2011: 37-38, 2011

Do soft skills predict surgical performance?: a single-center randomized controlled trial evaluating predictors of skill acquisition in virtual reality laparoscopy. World Journal of Surgery 35(3): 480-486, 2011

Fundamental skills of robotic surgery: a multi-institutional randomized controlled trial for validation of a simulation-based curriculum. Urology 81(4): 767-774, 2013

Fundamental Skills of Robotic Surgery (Fsrs): A multi-institutional randomized controlled trial for validation of a simulation-based curriculum. European Urology Suppl.s 12(1): e20-e21, 2013

Randomized clinical trial of virtual reality simulation for laparoscopic skills training. British Journal of Surgery 91(2): 146-150, 2004