Surgical simulation: a current review

Dunkin, Brian J.; Adrales, Gina L.; Apelgren, Keith N.; Mellinger, John D.

doi:10.1007/s00464-006-9072-0

Cited by 198 publications

(124 citation statements)

References 31 publications

Supporting

Mentioning

115

Contrasting

Unclassified

Order By: Relevance

“…VR simulators offer various advantages that are valuable for the training and assessment of motor skills. They allow for training in controlled environments, are generally available for the trainee, and do not require the presence of a supervisor (which may help to optimize the mentors' schedules) [63].…”

Section: Tracking Systems In Virtual Reality Simulatorsmentioning

confidence: 99%

Methods and Tools for Objective Assessment of Psychomotor Skills in Laparoscopic Surgery

García

Sánchez-González

Lamata

et al. 2011

Journal of Surgical Research

132

View full text Add to dashboard Cite

Training and assessment paradigms for laparoscopic surgical skills are evolving from traditional mentortrainee tutorship towards structured, more objective and safer programs. Accreditation of surgeons requires reaching a consensus on metrics and tasks used to assess surgeons' psychomotor skills. Ongoing development of tracking systems and software Solutions has allowed for the expansión of novel training and assessment means in laparoscopy. The current challenge is to adapt and include these systems within training programs, and to exploit their possibilities for evaluation purposes. This paper describes the state of the art in research on measuring and assessing psychomotor laparoscopic skills. It gives an overview on tracking systems as well as on metrics and advanced statistical and machine learning techniques employed for evaluation purposes. The later ones have a potential to be used as an aid in deciding on the surgical competence level, which is an important aspect when accreditation of the surgeons in particular, and patient safety in general, are considered. The prospective of these methods and tools make them complementary means for surgical assessment of motor skills, especially in the early stages of training. Successful examples such as the Fundamentáis of Laparoscopic Surgery should help drive a paradigm change to structured curricula based on objective parameters. These may improve the accreditation of new surgeons, as 1 To whom correspondence and reprint requests should be addressed at Bioengineering and Telemedicine Centre (GBT), ETSI Telecomunicación, Universidad Politécnica de Madrid (UPM). Avda Complutense, 30, 28040, Madrid, Spain. E-mail: ioropesa@gbt.tfo. upm.es. well as optimize their already overloaded training schedules.

show abstract

Section: Tracking Systems In Virtual Reality Simulatorsmentioning

confidence: 99%

Methods and Tools for Objective Assessment of Psychomotor Skills in Laparoscopic Surgery

García

Sánchez-González

Lamata

et al. 2011

Journal of Surgical Research

132

View full text Add to dashboard Cite

show abstract

“…Few companies that really put an effort in this particular area, for example are Imersion Medical, Mentice, Surgical Science and Reachin [15]- [17]. This has led to the growth of research in haptics and simulations.…”

Section: Literature Reviewmentioning

confidence: 99%

Design of Class Components for Laparoscopy Surgery Simulation with Haptic Elements: A Case Study of SPLasH

Rawi¹,

Zaman²,

Ahmad³

2013

LNSE

View full text Add to dashboard Cite

Abstract-Minimal invasive surgery or laparoscopy has taken part especially for pediatrics. Traditionally, medical students learn surgical skills through the mentorship model during their residency training. As technology evolves, more and more applications, simulations and system are built as aids to medical students in acquiring surgical skills. This research is conducted to identify how haptics technology can play part in shaping student skills in Surgery Department of HUKM. This paper will discuss the second phase of the research: Design and Development that focus on simulation class structure based on preliminary analysis. Results show that current training approaches have some weaknesses that can be replaced by applying simulations with haptics devices. Proposed structure will be tested in development stage. It is a hope that this research will enrich the literature review for visual informatics area.

show abstract

“…13 The fidelity of virtual-reality simulators ranges widely, from the Minimally Invasive Surgical Trainer -Virtual Reality (MIST-VR) system, which is a low-fidelity system designed to teach general laparoscopic proficiency, to systems that teach component procedural skills and other systems that replicate entire operations 17 ( Figure 2 and Videos 1 and 2, available at www .cmaj .ca /cgi /content /full /cmaj .091743 /DC1). Unlike bench-model learning, the presence of an expert is not necessary when virtual-reality simulation is used.…”

Section: Virtual-reality Simulationmentioning

confidence: 99%

Simulation in surgical education

Palter

Grantcharov²

2010

Canadian Medical Association Journal

119

View full text Add to dashboard Cite

Key points• Both technical and non-technical skills are essential for surgeons in training.• Technical skills learned on low-fidelity benchtop models, video-based trainers and virtual-reality models are transferable to the operating room.• Current evidence does not show a clear advantage of either virtual reality or synthetic models in teaching technical skills.• Evidence is lacking on how best to integrate each type of simulator into a holistic, proficiency-based curriculum. Simulation in surgical educationVanessa N. Palter MD, Teodor P. Grantcharov MD PhDPreviously published at www.cmaj.caReview those used for teaching minimally invasive procedures (referred to as tower trainers or video-box trainers). Numerous benchtop models are available for the simulation of a variety of procedures, including knot-tying, fascial closure, and suturing 14 (Figure 1). The most obvious limitation of such models is that they teach only one surgical technique rather than an entire operation. 5 Their use requires the presence of an expert to demonstrate the procedure and provide feedback on performance. 1,5 Tower trainers include a box with slits on the superior surface for trocar insertion. Real laparoscopic instruments are inserted through the trocars into the box, where the procedure is simulated. A camera inside the box provides video output to a monitor on which trainees can watch their own movements. These models can simulate a variety of techniques, including laparoscopic suturing, knot-tying, clip-applying and coordination drills.14 One of the most well-described tower trainers is the physical laparoscopy trainer known as the McGill Inanimate System for Training and Evaluation of Laparoscopic Skills. This system consists of five tasks performed on an endotrainer box. 16 The tasks include peg transfer, cutting, placing a ligating loop and intracorporeal suturing. Virtual-reality simulationTraining by virtual-reality simulation encompasses systems designed to teach laparoscopic, endoscopic and percutaneous interventions. 13 The fidelity of virtual-reality simulators ranges widely, from the Minimally Invasive Surgical Trainer -Virtual Reality (MIST-VR) system, which is a low-fidelity system designed to teach general laparoscopic proficiency, to systems that teach component procedural skills and other systems that replicate entire operations 17 ( Figure 2 and Videos 1 and 2, available at www .cmaj .ca /cgi /content /full /cmaj .091743 /DC1). Unlike bench-model learning, the presence of an expert is not necessary when virtual-reality simulation is used. Such models allow for practice at varying levels of difficulty, can simulate complications and automatically provide objective measures of assessment, allowing for both formative and summative trainee assessment.18 Virtual-reality models have been criticized, however, for high initial cost of system acquisition, limited force-feedback with use of surgical instruments and lack of realism of graphics. 14,19The virtual operating room Benchtop models, virtual-reality models, and an...

show abstract

Surgical simulation: a current review

Cited by 198 publications

References 31 publications

Methods and Tools for Objective Assessment of Psychomotor Skills in Laparoscopic Surgery

Methods and Tools for Objective Assessment of Psychomotor Skills in Laparoscopic Surgery

Design of Class Components for Laparoscopy Surgery Simulation with Haptic Elements: A Case Study of SPLasH

Simulation in surgical education

Contact Info

Product

Resources

About