Augmented reality for basic skills training in laparoscopic surgery: a systematic review and meta-analysis.

Autor: Xiong J; Institute of Dermatology and Venereology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology. No. 32, Western 2nd Section, 1st Ring Road, Chengdu, Sichuan Province, People's Republic of China.; Clinical Immunology Translational Medicine Key Laboratory of Sichuan Province & Organ Transplantation Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology. No.32, Western 2nd Section, 1st Ring Road, Chengdu, Sichuan Province, People's Republic of China., Dai X; Department of Traditional Chinese Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology, Chengdu, China., Zhang Y; Medical College of University of Electronic Science and Technology of China, Chengdu, China., Liu X; Clinical Immunology Translational Medicine Key Laboratory of Sichuan Province & Organ Transplantation Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology. No.32, Western 2nd Section, 1st Ring Road, Chengdu, Sichuan Province, People's Republic of China. liuxingchao@med.uestc.edu.cn., Zhou X; Institute of Dermatology and Venereology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology. No. 32, Western 2nd Section, 1st Ring Road, Chengdu, Sichuan Province, People's Republic of China. zhouxiyuan@med.uestc.edu.cn.
Jazyk: angličtina
Zdroj: Surgical endoscopy [Surg Endosc] 2025 Jan; Vol. 39 (1), pp. 307-318. Date of Electronic Publication: 2024 Nov 12.
DOI: 10.1007/s00464-024-11387-5
Abstrakt: Background: Augmented reality (AR) has emerged as a transformative technology in medical education, particularly in training basic laparoscopic skills. Despite its growing applications, the effectiveness of AR in this specific domain remains underexplored, with a lack of standardized assessment frameworks and inconsistent methodologies across studies. This systematic review and meta-analysis aimed to evaluate the effectiveness of AR in laparoscopic basic skills training for medical students and junior physicians.
Methods: We conducted a systematic review and meta-analysis following PRISMA guidelines. Databases searched included PubMed, Embase, Cochrane Library, Web of Science, and ClinicalTrials.gov. Studies were selected based on their focus on AR applications in laparoscopic training, involving both randomized controlled trials and non-randomized studies. Inclusion criteria focused on medical students and novice surgeons, assessing educational outcomes such as Global Operative Assessment of Laparoscopic Skills (GOALS) Global, Objective Structured Assessment of Technical Skills (OSATS) Global, OSATS Specific, Training Time, and Subjective Workload.
Results: A total of 12 studies involving 434 participants met the inclusion criteria. The analysis revealed that AR technology significantly improved educational outcomes, with participants achieving higher GOALS and OSATS scores. Specifically, the mean difference for GOALS scores was 2.40 points (95% CI [1.30, 3.50], p < 0.001) and for OSATS scores, 7.71 points (95% CI [3.39, 12.03], p < 0.001). Additionally, AR-assisted training showed a reduction in subjective workload, with a mean decrease of 2.95 points (95% CI [- 4.95, - 0.95], p = 0.003).
Conclusions: The findings indicate that AR significantly enhances laparoscopic training outcomes, facilitating improved technical skills, efficiency, and learner independence. However, variability in study designs and outcomes limits generalizability. Future research should focus on standardize AR training protocols and evaluate long-term effectiveness to fully leverage AR's potential in surgical education.
Competing Interests: Declarations. Disclosures: JianXiong, Xiaoqin Dai, Yuyang Zhang, Xingchao Liu and Xiyuan Zhou have no conflicts of interest or financial ties to disclose.
(© 2024. The Author(s).)
Databáze: MEDLINE
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