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Virtual reality laparoscopy: which potential trainee starts with a higher proficiency level?

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Minimally invasive surgery requires technical skills distinct from those used in conventional surgery. The aim of this prospective study was to identify personal characteristics that may predict the attainable proficiency level of first-time virtual reality laparoscopy (VRL) trainees.

Methods

Two hundred and seventy-nine consecutive undergraduate medical students without experience attended a standardized VRL training. Performance data of an abstract and a procedural task were correlated with possible predictive factors providing potential competence in VRL.

Results

Median global score requirement status was 86.7% (interquartile range (IQR) 75–93) for the abstract task and 74.4% (IQR 67–88) for the procedural task. Unadjusted analysis showed significant increase in the global score in both tasks for trainees who had a gaming console at home and frequently used it as well as for trainees who felt self-confident to assist in a laparoscopic operation. Multiple logistic regression analysis identified frequency of video gaming (often/frequently vs. rarely/not at all, odds ratio: abstract model 2.1 (95% confidence interval 1.2; 3.6),P = 0.009; virtual reality operation procedure 2.4 (95% confidence interval 1.3; 4.2),P = 0.003) as a predictive factor for VRL performance.

Conclusion

Frequency of video gaming is associated with quality of first-time VRL performance. Video game experience may be used as trainee selection criteria for tailored concepts of VRL training programs.

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References

  1. Bittner JG, Hathaway CA, Brown JA (2008) Three-dimensional visualisation and articulating instrumentation: impact on simulated laparoscopic tasks. J Minim Access Surg 4: 31–38

    Article PubMed  Google Scholar 

  2. Gurusamy KS, Aggarwal R, Palanivelu L, Davidson BR (2009) Virtual reality training for surgical trainees in laparoscopic surgery. Cochrane Database Syst Rev CD006575

  3. Ahlberg G, Enochsson L, Gallagher AG, Hedman L, Hogman C, McClusky DA III, Ramel S, Smith CD, Arvidsson D (2007) Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg 193: 797–804

    Article PubMed  Google Scholar 

  4. Calatayud D, Arora S, Aggarwal R, Kruglikova I, Schulze S, Funch-Jensen P, Grantcharov T (2010) Warm-up in a virtual reality environment improves performance in the operating room. Ann Surg 251: 1181–1185

    Article PubMed  Google Scholar 

  5. Larsen CR, Soerensen JL, Grantcharov TP, Dalsgaard T, Schouenborg L, Ottosen C, Schroeder TV, Ottesen BS (2009) Effect of virtual reality training on laparoscopic surgery: randomised controlled trial. BMJ 338: 1802–1807

    Article  Google Scholar 

  6. Seymour NE, Gallagher AG, Roman SA, O’Brien MK, Bansal VK, Andersen DK, Satava RM (2002) Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 236:458–463 (discussion 463–464)

    Google Scholar 

  7. Kneist W (2010) Chirurgische Simulation in Deutschland. MedReport 34:6;http://www.schroeders-agentur.de/medpdf2010/MedReport18_2010.pdf

  8. Rosenthal R, Gantert WA, Hamel C, Metzger J, Kocher T, Vogelbach P, Demartines N, Hahnloser D (2008) The future of patient safety: surgical trainees accept virtual reality as a new training tool. Patient Saf Surg 2: 16

    Article PubMed  Google Scholar 

  9. Stefanidis D, Korndorffer JR Jr, Black FW, Dunne JB, Sierra R, Touchard CL, Rice DA, Markert RJ, Kastl PR, Scott DJ (2006) Psychomotor testing predicts rate of skill acquisition for proficiency-based laparoscopic skills training. Surgery 140: 252–262

    Article PubMed  Google Scholar 

  10. Aggarwal R, Crochet P, Dias A, Misra A, Ziprin P, Darzi A (2009) Development of a virtual reality training curriculum for laparoscopic cholecystectomy. Br J Surg 96: 1086–1093

    Article PubMed CAS  Google Scholar 

  11. Hogle NJ, Chang L, Strong VE, Welcome AO, Sinaan M, Bailey R, Fowler DL (2009) Validation of laparoscopic surgical skills training outside the operating room: a long road. Surg Endosc 23: 1476–1482

    Article PubMed CAS  Google Scholar 

  12. Sweet RM, Hananel D, Lawrenz F (2010) A unified approach to validation, reliability, and education study design for surgical technical skills training. Arch Surg 145: 197–201

    Article PubMed  Google Scholar 

  13. Wright AS (2010) Validity in educational research: critically important but frequently misunderstood. Arch Surg 145: 201

    Article PubMed  Google Scholar 

  14. Rosenthal R, Gantert WA, Scheidegger D, Oertli D (2006) Can skills assessment on a virtual reality trainer predict a surgical trainee’s talent in laparoscopic surgery?. Surg Endosc 20: 1286–1290

    Article PubMed CAS  Google Scholar 

  15. Naylor RA, Hollett LA, Castellvi A, Valentine RJ, Scott DJ (2010) Preparing medical students to enter surgery residencies. Am J Surg 199: 105–109

    Article PubMed  Google Scholar 

  16. Naylor RA, Hollett LA, Valentine RJ, Mitchell IC, Bowling MW, Ma AM, Dineen SP, Bruns BR, Scott DJ (2009) Can medical students achieve skills proficiency through simulation training?. Am J Surg 198: 277–282

    Article PubMed  Google Scholar 

  17. Kneist W, Timm S, Kauff D, Rink A, Herzer M, Gercek E, Kurz S, Lang H (2009) Simulationsgestützte chirurgische Lehre—evaluation von Akzeptanz und Attraktivität. Chirurgische Allgemeine 10: 519–524

    Google Scholar 

  18. Buzink SN, Botden SM, Heemskerk J, Goossens RH, de Ridder H, Jakimowicz JJ (2009) Camera navigation and tissue manipulation; are these laparoscopic skills related?. Surg Endosc 23: 750–757

    Article PubMed  Google Scholar 

  19. Mathis KL, Wiegmann DA (2007) Construct validation of a laparoscopic surgical simulator. Simul Healthc 2: 178–182

    Article PubMed  Google Scholar 

  20. Wohaibi EM, Bush RW, Earle DB, Seymour NE (2010) Surgical resident performance on a virtual reality simulator correlates with operating room performance. J Surg Res 160: 67–72

    Article PubMed  Google Scholar 

  21. Boot WR, Kramer AF, Simons DJ, Fabiani M, Gratton G (2008) The effects of video game playing on attention, memory, and executive control. Acta Psychol (Amst) 129: 387–398

    Google Scholar 

  22. Castel AD, Pratt J, Drummond E (2005) The effects of action video game experience on the time course of inhibition of return and the efficiency of visual search. Acta Psychol (Amst) 119: 217–230

    Article  Google Scholar 

  23. Rosenberg BH, Landsittel D, Averch TD (2005) Can video games be used to predict or improve laparoscopic skills?. J Endourol 19: 372–376

    Article PubMed  Google Scholar 

  24. Badurdeen S, Abdul-Samad O, Story G, Wilson C, Down S, Harris A (2010) Nintendo Wii video-gaming ability predicts laparoscopic skill. Surg Endosc

  25. Boyd T, Jung I, Van Sickle K, Schwesinger W, Michalek J, Bingener J (2008) Music experience influences laparoscopic skills performance. JSLS 12: 292–294

    PubMed  Google Scholar 

  26. Madan AK, Frantzides CT, Park WC, Tebbit CL, Kumari NV, O’Leary PJ (2005) Predicting baseline laparoscopic surgery skills. Surg Endosc 19: 101–104

    Article PubMed CAS  Google Scholar 

  27. Moore AK, Grow DR, Bush RW, Seymour NE (2008) Novices outperform experienced laparoscopists on virtual reality laparoscopy simulator. JSLS 12: 358–362

    PubMed  Google Scholar 

  28. Madan AK, Harper JL, Frantzides CT, Tichansky DS (2008) Nonsurgical skills do not predict baseline scores in inanimate box or virtual-reality trainers. Surg Endosc 22: 1686–1689

    Article PubMed  Google Scholar 

  29. Schlickum MK, Hedman L, Enochsson L, Kjellin A, Fellander-Tsai L (2009) Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study. World J Surg 33: 2360–2367

    Article PubMed  Google Scholar 

  30. Buzink SN, Goossens RH, De Ridder H, Jakimowicz JJ (2010) Training of basic laparoscopy skills on SimSurgery SEP. Minim Invasive Ther Allied Technol 19: 35–41

    Article PubMed  Google Scholar 

  31. Grantcharov TP, Bardram L, Funch-Jensen P, Rosenberg J (2003) Impact of hand dominance, gender, and experience with computer games on performance in virtual reality laparoscopy. Surg Endosc 17: 1082–1085

    Article PubMed CAS  Google Scholar 

  32. Buzink SN, Christie LS, Goossens RH, de Ridder H, Jakimowicz JJ (2010) Influence of anatomic landmarks in the virtual environment on simulated angled laparoscope navigation. Surg Endosc doi:10.1007/s00464-010-1074-2 [Epub ahead of print]

  33. Kauff DW, Timm S, Rink AD, Herzer M, Lang H, Kneist W (2009) Virtual surgical education motivates medical students to assist in laparoscopic procedures. Int J Comput Assist Radiol Surg (Suppl 1):294

  34. Maschuw K, Osei-Agyemang T, Weyers P, Danila R, Bin Dayne K, Rothmund M, Hassan I (2008) The impact of self-belief on laparoscopic performance of novices and experienced surgeons. World J Surg 32: 1911–1916

    Article PubMed CAS  Google Scholar 

  35. Hogle NJ, Widmann WD, Ude AO, Hardy MA, Fowler DL (2008) Does training novices to criteria and does rapid acquisition of skills on laparoscopic simulators have predictive validity or are we just playing video games?. J Surg Educ 65: 431–435

    Article PubMed  Google Scholar 

  36. Shane MD, Pettitt BJ, Morgenthal CB, Smith CD (2008) Should surgical novices trade their retractors for joysticks? Videogame experience decreases the time needed to acquire surgical skills. Surg Endosc 22: 1294–1297

    Article PubMed  Google Scholar 

  37. Rosser JC Jr, Lynch PJ, Cuddihy L, Gentile DA, Klonsky J, Merrell R (2007) The impact of video games on training surgeons in the 21st century. Arch Surg 142:181–186 (discussion 186)

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of General and Abdominal Surgery, University Medicine of the Johannes Gutenberg-University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany

    M. Paschold, M. Schröder, D. W. Kauff, H. Lang & W. Kneist

  2. Interdisciplinary Center for Clinical Trials (IZKS), University Medicine of the Johannes Gutenberg-University Mainz, Mainz, Germany

    T. Gorbauch

  3. Department of Quality-Management and -Development, Johannes Gutenberg-University of Mainz, Mainz, Germany

    M. Herzer

Authors
  1. M. Paschold

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  2. M. Schröder

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  3. D. W. Kauff

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  4. T. Gorbauch

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  5. M. Herzer

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  6. H. Lang

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  7. W. Kneist

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Corresponding author

Correspondence toW. Kneist.

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Paschold, M., Schröder, M., Kauff, D.W.et al. Virtual reality laparoscopy: which potential trainee starts with a higher proficiency level?.Int J CARS6, 653–662 (2011). https://doi.org/10.1007/s11548-010-0542-4

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