Randomized controlled trial of virtual reality and hybrid simulation for robotic surgical training Journal Article


Authors: Feifer, A.; Al-Ammari, A.; Kovac, E.; Delisle, J.; Carrier, S.; Anidjar, M.
Article Title: Randomized controlled trial of virtual reality and hybrid simulation for robotic surgical training
Abstract: OBJECTIVE To evaluate if two commonly used laparoscopic simulators could be adapted and used successfully for the robotics platform in a laparoscopic and roboticnaïve medical student population. MATERIALS AND METHODS We identified two widely validated laparoscopic simulation programs, LapSim® (Surgical Science Sweden AB), and ProMIS® (Haptica, Ireland)for inclusion in the study. The McGill Inanimate System for Training and Evaluation of Laparoscopic Skills® task set was used for ProMIS, and adapted for the DaVinci® console (Intuitive Surgical, Inc., Sunnyvale, CA, USA) robotic platform. We then randomized 20 naïve medical students to receive training on either LapSimor ProMIS, both or neither, and evaluated them beforeand aftertraining. RESULTS When the groups were compared at baseline, there were no statistical differences in mean scores amongst the groups in univariate analysis (α= 0.05). Whencomparing mean scores within groups before and after training sessions, statistically significant performance enhancement in all four robotic tasks were identified in the groups receiving dual training. CONCLUSION We have shownthat the use of ProMIS hybrid and LapSimvirtual reality (VR) simulators in conjunction with each other can considerable improve robotic console performance in novice medical students compared with hybrid and VR simulation alone. © 2011 BJU INTERNATIONAL. NO CLAIM TO ORIGINAL US GOVERNMENT WORKS.
Keywords: controlled study; validation process; laparoscopy; laparoscopic surgery; randomized controlled trial; clinical competence; surgical training; clinical evaluation; intermethod comparison; computer simulation; clinical effectiveness; robotics; task performance; surgical equipment; medical student; virtual reality
Journal Title: BJU International
Volume: 108
Issue: 10
ISSN: 1464-4096
Publisher: Wiley Blackwell  
Date Published: 2011-11-01
Start Page: 1652
End Page: 1657
Language: English
DOI: 10.1111/j.1464-410X.2010.10060.x
PROVIDER: scopus
PUBMED: 21470359
DOI/URL:
Notes: --- - "Cited By (since 1996): 1" - "Export Date: 9 December 2011" - "CODEN: BJINF" - "Source: Scopus"
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  1. Andrew Feifer
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