A Virtual Reality Training Curriculum for Laparoscopic Colorectal Surgery
| Autor: | Ara Darzi, Laura Beyer-Berjot, Rajesh Aggarwal, Daniel A. Hashimoto, Stéphane Berdah |
|---|---|
| Přispěvatelé: | Saint Mary's Hospital [London], St Mary's Hospital [London], Laboratoire de Biomécanique Appliquée (LBA UMR T24), Aix Marseille Université (AMU)-Université Gustave Eiffel, Massachusetts General Hospital [Boston], Arnold & Blema Steinberg Medical Simulation Centre, parent |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty ENSEIGNEMENT 030230 surgery Anastomosis law.invention Hospitals University 03 medical and health sciences User-Computer Interface 0302 clinical medicine Randomized controlled trial law Health care COLORECTAL MEDICAL KNOWLEDGE medicine Humans Laparoscopy Curriculum Simulation Training medicine.diagnostic_test business.industry General surgery Internship and Residency EDUCATION [INFO.INFO-MO]Computer Science [cs]/Modeling and Simulation Colorectal surgery United Kingdom Surgery Dissection PRACTICE-BASED LEARNING AND IMPROVEMENT Learning curve REALITE VIRTUELLE Education Medical Graduate 030220 oncology & carcinogenesis SIMULATION CHIRURGIE Female Clinical Competence France business ADVANCED SURGERY Colorectal Surgery SYSTEMS-BASED PRACTICE Learning Curve |
| Zdroj: | Journal of Surgical Education Journal of Surgical Education, 2016, 73 (6), p. 932-941. ⟨10.1016/j.jsurg.2016.05.012⟩ |
| ISSN: | 1878-7452 |
| DOI: | 10.1016/j.jsurg.2016.05.012⟩ |
| Popis: | Training within a competency-based curriculum (CBC) outside the operating room enhances performance during real basic surgical procedures. This study aimed to design and validate a virtual reality CBC for an advanced laparoscopic procedure: sigmoid colectomy.This was a multicenter randomized study. Novice (surgeons who had performed5 laparoscopic colorectal resections as primary operator), intermediate (between 10 and 20), and experienced surgeons (50) were enrolled. Validity evidence for the metrics given by the virtual reality simulator, the LAP Mentor, was based on the second attempt of each task in between groups. The tasks assessed were 3 modules of a laparoscopic sigmoid colectomy (medial dissection [MD], lateral dissection [LD], and anastomosis) and a full procedure (FP). Novice surgeons were randomized to 1 of 2 groups to perform 8 further attempts of all 3 modules or FP, for learning curve analysis.Two academic tertiary care centers-division of surgery of St. Mary's campus, Imperial College Healthcare NHS Trust, London and Nord Hospital, Assistance Publique-Hôpitaux de Marseille, Aix-Marseille Université, Marseille, were involved.Novice surgeons were residents in digestive surgery at St. Mary's and Nord Hospitals. Intermediate and experienced surgeons were board-certified academic surgeons.A total of 20 novice surgeons, 7 intermediate surgeons, and 6 experienced surgeons were enrolled. Evidence for validity based on experience was identified in MD, LD, and FP for time (p = 0.005, p = 0.003, and p = 0.001, respectively), number of movements (p = 0.013, p = 0.005, and p = 0.001, respectively), and path length (p = 0.03, p = 0.017, and p = 0.001, respectively), and only for time (p = 0.03) and path length (p = 0.013) in the anastomosis module. Novice surgeons' performance significantly improved through repetition for time, movements, and path length in MD, LD, and FP. Experienced surgeons' benchmark criteria were defined for all construct metrics showing validity evidence.A CBC in laparoscopic colorectal surgery has been designed. Such training may reduce the learning curve during real colorectal resections in the operating room. |
| Databáze: | OpenAIRE |
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