Impact of laparoscopy simulator training on the technical skills of future surgeons in the operating room: a prospective study

Beyer, Laura; Troyer, Jérémie de; Mancini, Julien; Bladou, Franck; Berdah, Stéphane; Karsenty, G.

doi:10.1016/j.amjsurg.2010.11.008

Cited by 88 publications

(51 citation statements)

References 34 publications

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“…In gynecology, Larsen et al (26) demonstrated that training on the LapSim ® resulted in improved STS during a laparoscopic salpingectomy with respect to time and to a validated score. Moreover, both Xitact LS500 ® and LAP Mentor demonstrated a significantly positive impact on STS in the oR in nonrandomized comparative studies (27,28). Finally, beyond training to acquire STS, VR simulators have also demonstrated a positive impact as a warm-up tool for surgeons before doing a laparoscopic cholecystectomy (29).…”

Section: Transfer Of Technical Skillsmentioning

confidence: 99%

“…The last study compared two groups training on simulators, the LAP Mentor or a VT, the Mac Gill Inanimate System for Training and Evaluation of Laparoscopic Skills (MISTELS), to a control group during a laparoscopic cholecystectomy in the oR. Both intervention groups demonstrated a significant improvement compared to the control group, but there were no differences between the VT and VR groups (27).…”

Section: Are Vr Simulators Better Than Vt?mentioning

confidence: 99%

“…Studies comparing VT and VR showed mixed results, and only two studies have compared the impact of VT against VR on STS in the oR (27,30). one systematic review (31) concluded a superiority of VR simulators in terms of scores of performance established outside of the oR but also mentioned that "the advantages of VR over VT training are not evident."…”

Section: Are Vr Simulators Better Than Vt?mentioning

confidence: 99%

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Toward technology-supported surgical training: the potential of virtual simulators in laparoscopic surgery

Beyer-Berjot

Aggarwal

2013

Scand J Surg

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Background and Aims: The mastery of manual skills that are indispensable for the performance of surgical tasks is a competence specific to surgery. one way of facilitating this acquisition is to move the training out of the operating room and all of its restrictions. Surgical training out of the operating room, also called simulation, has spread widely in the past decade, especially in laparoscopic and endoscopic surgery. Material and Methods: This review assesses the role of virtual reality (Vr) simulators in laparoscopic surgery and their actual impact on technical skills.Results and Conclusions: There is a wealth of simulators, ranging from low-to highfidelity simulators incorporating haptic feedback. They comprise basic tasks, procedural modules, and full procedures. Virtual reality simulators have shown acceptable fidelity and validity evidence. moreover, training out of the operating room on virtual reality simulators has demonstrated its positive impact on basic skills during real laparoscopic procedures in patients. The benefit of virtual reality over simple video trainers remains unclear for teaching basic skills. however, virtual reality simulators provide automatic feedback that permitted to design structured competency-based curricula and allow deliberate practice. finally, advanced procedures and patient-specific models have been designed on virtual reality simulators, and further investigations are still awaited to appraise their educational value.

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Section: Transfer Of Technical Skillsmentioning

confidence: 99%

Section: Are Vr Simulators Better Than Vt?mentioning

confidence: 99%

Section: Are Vr Simulators Better Than Vt?mentioning

confidence: 99%

See 1 more Smart Citation

Toward technology-supported surgical training: the potential of virtual simulators in laparoscopic surgery

Beyer-Berjot

Aggarwal

2013

Scand J Surg

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“…Other skills can be acquired with dedicated simulation software, for example, a computer simulation showing distribution and pharmacodynamic effects of anesthetic drugs. 5 A new generation of dedicated laparoscopy simulators teaches surgeons the required skills and eye-hand coordination for laparoscopic surgery 6 and are now being actively incorporated in surgical training programs. 7 These devices can be obtained with various degrees of simulated virtual reality, such as a simulated, highly detailed 3-dimensional visualization of the body cavity or organ.…”

Section: New Formats For Teaching Medical Knowledge and Skillsmentioning

confidence: 99%

Serious Play in the Virtual World: Can We Use Games to Train Young Doctors?

Kalkman¹

2012

Journal of Graduate Medical Education

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“…23 Despite this, further research is required for investigating the impact of LAP Mentor training tutorials in surgical performance, such as that for digestive anastomosis.…”

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confidence: 99%

Virtual Reality Simulation as a Tool to Monitor Surgical Performance Indicators: VIRESI Observational Study

et al. 2017

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A mediana do 'tempo total' necessário para completar a tarefa diminuiu significativamente (p < 0,05) de 759,5 para 523,5 segundos. Verificámos uma diminuição significativa (p < 0,05) nas medianas dos indicadores 'tempo total de carregar a agulha no porta-agulhas' (303,3 para 107,8 segundos), 'tempo médio de carregamento da agulha' (38,5 para 31,0 segundos), 'número de passagens em que a agulha passou precisamente através dos pontos de entrada' (2,5 para 1,0), 'tempo em que a agulha foi manipulada fora do campo de visão' (20,9 para 2,4 segundos), e 'tempo total em que as extremidades dos porta-agulhas foram mantidas fora do campo operatório' (88,2 para 49,6 segundos). Discussão: Este estudo mostra o potencial da realidade virtual servir como ferramenta para a avaliação do desempenho cirúrgico dos cirurgiões portugueses. Conclusão: O simulador de realidade virtual LAP Mentor tem a capacidade de identificar variações em indicadores de desempenho cirúrgico de anastomose digestiva. Palavras-chave: Anastomose Cirúrgica; Laparoscopia/educação; Portugal; Treino de Simulação ABSTRACT Introduction: Virtual reality simulation is a topic of discussion as a complementary tool to traditional laparoscopic surgical training in the operating room. However, it is unclear whether virtual reality training can have an impact on the surgical performance of advanced laparoscopic procedures. Our objective was to assess the ability of the virtual reality simulator LAP Mentor to identify and quantify changes in surgical performance indicators, after LAP Mentor training for digestive anastomosis. Material and Methods:Twelve surgeons from Centro Hospitalar de São João in Porto (Portugal) performed two sessions of advanced task 5: anastomosis in LAP Mentor, before and after completing the tutorial, and were evaluated on 34 surgical performance indicators. Results:The results show that six surgical performance indicators significantly changed after LAP Mentor training. The surgeons performed the task significantly faster as the median 'total time' significantly reduced (p < 0.05) from 759.5 to 523.5 seconds. Significant decreases (p < 0.05) were also found in median 'total needle loading time' (303.3 to 107.8 seconds), 'average needle loading time' (38.5 to 31.0 seconds), 'number of passages in which the needle passed precisely through the entrance dots' (2.5 to 1.0), 'time the needle was held outside the visible field' (20.9 to 2.4 seconds), and 'total time the needle-holders' ends are kept outside the predefined operative field' (88.2 to 49.6 seconds). Discussion: This study raises the possibility of using virtual reality training simulation as a benchmark tool to assess the surgical performance of Portuguese surgeons. Conclusion: LAP Mentor is able to identify variations in surgical performance indicators of digestive anastomosis.

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Impact of laparoscopy simulator training on the technical skills of future surgeons in the operating room: a prospective study

Cited by 88 publications

References 34 publications

Toward technology-supported surgical training: the potential of virtual simulators in laparoscopic surgery

Toward technology-supported surgical training: the potential of virtual simulators in laparoscopic surgery

Serious Play in the Virtual World: Can We Use Games to Train Young Doctors?

Virtual Reality Simulation as a Tool to Monitor Surgical Performance Indicators: VIRESI Observational Study

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