Comparing Video Games and Laparoscopic Simulators in the Development of Laparoscopic Skills in Surgical Residents

Adams, Barbara J.; Margaron, Franklin C.; Kaplan, Brian J.

doi:10.1016/j.jsurg.2012.06.006

Cited by 65 publications

(43 citation statements)

References 14 publications

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“…This transfer of laparoscopic surgery experience to robotic surgery sparked the idea of evaluating medical students' baseline abilities on a robotic simulator. Many studies in the literature suggest the possible positive effect of video games on learning laparoscopic skills (6,8).…”

Section: Discussionmentioning

confidence: 99%

“…The idea originated from studies that pointed out that video game playing was associated with improved reaction time, spatial visualization, and mental rotation (3,4). Although some authors were unable to show the beneficial effects of video game playing on the ability to learn robotic suturing (5), other studies concluded that training on video games appeared to improve laparoscopic skills (6)(7)(8). Our group previously demonstrated that residents with prior laparoscopic suturing experience may learn more quickly from robotic surgery training than those with less laparoscopic surgery experience (9).…”

Section: Introductionmentioning

confidence: 92%

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Impact of current video game playing on robotic simulation skills among medical students

Öge¹,

Borahay²,

Achjian³

et al. 2015

J Turkish German Gynecol Assoc

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Minimally invasive surgery (MIS) is gaining popularity as technology advances. Robot-assisted surgery represents an increasing share of MIS in the field of gynecology as well as urology and other surgical specialties. Overall, MIS has some advantages, such as decreased blood loss, less postoperative pain, shorter hospital stay, better visualization, improved postoperative recovery, and better cosmetic outcomes, compared with open surgical cases. Robotic surgery has additional technical advantages, such as 3D viewing and better dexterity compared with conventional laparoscopy. The presence of robot-assisted surgery is projected to grow in the various surgical fields. Thus, teaching robot-assisted surgical skills is becoming part of the curriculum of surgical residency programs nationwide. To create well-structured residency training, determining future surgeons' hand-eye coordination skills is a necessity (1). One of the main disadvantages of robotic surgery is that surgeons must operate without tactile sense. Therefore, simulation training is necessary to improve the outcome of initial hands-on experiences to avoid errors and malpractice. Video games have been discussed previously in the English medical literature for the development of laparoscopic skills to improve the learning curve in simulators and in surgery (2). The idea originated from studies that pointed out that video game playing was associated with improved reaction time, spatial visualization, and mental rotation (3, 4). Although some authors were unable to show the beneficial effects of video game playing on the ability to learn robotic suturing (5), other studies concluded that training on video games appeared to improve laparoscopic skills (6-8). Our group previously demonstrated that residents with prior laparoscopic suturing experience may learn more quickly from robotic surgery training than those with less laparoscopic surgery experience (9). Medical schools are currently educating a generation of students who played video games from the beginning of their childhoods. They have more ability than their older counterparts to adapt to technological developments, and their experience using computers and video game consoles may afford them an advantage in their baseline eye-brain-hand coordination skills. We therefore hypothesize that these visuospatial skills acquired from playing video games can be adapted to learning robotic surgery skills. To test this hypothesis, we Objective: To evaluate the impact of current and prior video game playing on initial robotic simulation skill acquisition. Material and Methods:This cross-sectional descriptive study (Canadian Task Force Classification II-1) was conducted at a medical university training center. The study subjects were medical students who currently played video games (Group I) and those who had not played video games in the last 2 years (Group II). The robotic skills of both groups were assessed using simulation.Results: Twenty-two students enrolled in this study; however, only 21 completed it. ...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 92%

Impact of current video game playing on robotic simulation skills among medical students

Öge¹,

Borahay²,

Achjian³

et al. 2015

J Turkish German Gynecol Assoc

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show abstract

“…Previous studies have shown that residents who are interested in video games have better visual, spatial, and motor coordination. [16][17][18][19] It was also indicated that such residents can quickly learn endoscopical techniques and perform better. [20] Nonetheless, studies have also compared computer game players with non-players and lefthand dominance with right-hand dominance in the context of laparoscopic surgery training and determined that right-hand dominance provided fewer unnecessary movements, faster learning, and fewer errors.…”

Section: Discussionmentioning

confidence: 99%

A randomized, crossover model-based study of five different laryngoscopes in normal airway scenario

Saraçoğlu¹

2015

FNG & Bilim Tıp Dergisi

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Objectives: Direct laryngoscopy is a conventional method that has been taught in endotracheal intubation training. However, it is difficult to become skilled. Videolaryngoscopy has become a widely accepted technique for training both novice and inexperienced medical staff on airway management. We aimed to compare the performances of novices using direct and indirect laryngoscopes. Materials and methods: Fifty eight first-year anesthesia nurse students without previous tracheal intubation experience were included in the study. Standard size 3 Macintosh, Miller, McCoy, McGrath, Storz C-Mac laryngoscopes were used. The participants were asked to intubate the AirMan manikin five times with each device. The participants were also asked for their familiarity with computer games. After all the students completed their fifth intubations; the duration of successful tracheal intubation, number of attempts, success rate, severity of the dental trauma, and the used optimization maneuvers were recorded in the course of students' sixth intubations. Results: Time to successful intubation was the shortest for C-Mac laryngoscope with 5.34±2.19 sec. The requirement of optimization maneuvers (12.1%) and additional intubation attempts (1.7%) were significantly lower with C-Mac and McGrath laryngoscopes compared to Macintosh, Miller and McCoy laryngoscopes (p<0.001). Dental trauma incidence was significantly lower during the use of C-Mac laryngoscope (p<0.001). The VAS score on the ease of intubation were significantly lower with C-Mac laryngoscope. No advantages related to the familiarity with computer games were documented. Conclusion: In conclusion, C-Mac was observed to provide a higher overall success rate for tracheal intubation and less dental trauma incidence when it was used in a normal airway scenario.Keywords: Airway; intubation; laryngoscope.Normal havayolu senaryosunda beş farklı laringoskopa ait randomize, crossover, manken bazlı bir çalışma Dental travma insidansı C-Mac laringoskop kullanımında anlamlı olarak daha düşüktü (p<0.001). Entübasyon kolaylığı üzerine Görsel analog skala skorları C-Mac laringoskopla anlamlı olarak daha düşüktü. Bilgisayar oyunlarına yatkınlıkla ilişkili bir avantaj dökümente edilemedi. Sonuç: Sonuç olarak normal havayolu senaryosunda C-Mac'ın trakeal entübasyon için daha yüksek genel başarı oranı ve daha düşük dental travma insidansı sağladığı ortaya konuldu.Anahtar sözcükler: Havayolu; entübasyon; laringoskop.

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“…Training residents to be proficient in these specialized skills goes beyond what hands-on experience in the operating room can achieve [37] . Video games have been shown to improve handeye coordination, spatial visualization, manual dexterity, and rapid mental processing, which are important in the development of laparoscopic skills [38] .…”

Section: Technology Limitationsmentioning

confidence: 99%

Telementoring in education of laparoscopic surgeons: An emerging technology

Bogen

Augestad

Patel

et al. 2014

WJGE

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Laparoscopy, minimally invasive and minimal access surgery with more surgeons performing these advanced procedures. We highlight in the review several key emerging technologies such as the telementoring and virtual reality simulators, that provide a solid ground for delivering surgical education to rural area and allow young surgeons a safety net and confidence while operating on a newly learned technique. Core tip: Telemedicine is becoming used more and more in today's surgical practice. We highlight a new low cost telementoring prototype we developed that allows the delivery of better surgical education and delivering specialized expertise to rural areas. Telemedicine is a global term for a computer technology that allows medical information exchange from one location to another via telecommunication. Telemedicine helps in eliminating the distance barriers and provides medical expertise to rural communities.

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Comparing Video Games and Laparoscopic Simulators in the Development of Laparoscopic Skills in Surgical Residents

Cited by 65 publications

References 14 publications

Impact of current video game playing on robotic simulation skills among medical students

Impact of current video game playing on robotic simulation skills among medical students

A randomized, crossover model-based study of five different laryngoscopes in normal airway scenario

Telementoring in education of laparoscopic surgeons: An emerging technology

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