Curriculum-based solo virtual reality training for laparoscopic intracorporeal knot tying: objective assessment of the transfer of skill from virtual reality to reality - 22/08/11
, Alex M. Almoudaris, M.B.B.S. b, Krishna Moorthy, M.D. b, Aristotelis Dosis, Ph.D. b, Alexander D. Liddle, M.B.B.S. b, Ara W. Darzi, M.D. b
Corresponding author. Tel.: +972-354-99079; fax: +972-354-99070.Abstract |
Background |
Very few studies have addressed the transferability of skills from virtual reality (VR) to real life. The aim of this study was to assess the feasibility and effectiveness of teaching intracorporeal knot tying (ICKT) by VR simulation only.
Methods |
Twenty novices underwent structured training of basic skills training on the Minimally Invasive Surgical Trainer simulator (Mentice AB, Gothenburg, Sweden) followed by knot tying training on the LapSim simulator (Surgical Science, Gothenburg, Sweden). They were assessed pre- and post-training on a video trainer. Assessment of performance included motion tracking and video-based checklist. Nonparametric statistical analysis was used, and P < .05 was deemed significant.
Results |
All participants completed a correct knot as compared with only 25% before VR training. Time to completion was 66% faster and knot quality 45% better after VR training. Significant reduction in number of movements (P = .006) and distance traveled (P < .000) by both hands after VR training.
Conclusions |
Teaching ICKT by VR simulators only is feasible and effective. Furthermore, this study highlights the complementary use of different VR simulators within a structured curriculum.
El texto completo de este artículo está disponible en PDF.Keywords : Virtual reality, Laparoscopic training, Curriculum, Intracorporeal knot tying, Objective assessment
Esquema
Vol 193 - N° 6
P. 774-783 - juin 2007 Regresar al número
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