The Eindhoven laparoscopic cholecystectomy training course - improving operating room performance using virtual reality training - Results from the first EAES accredited virtual reality trainings curriculum
The Eindhoven laparoscopic cholecystectomy training course - improving operating room performance using virtual reality training - Results from the first EAES accredited virtual reality trainings curriculum
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DOI：
10.1007/s00464-004-2240-1
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发表时间：
2005-09-01
影响因子：
3.1
通讯作者：
Tseng, LNL
中科院分区：
文献类型：
--
作者：
Schijven, MP;Jakimowicz, JJ;Tseng, LNL
背景资料：本研究旨在调查外科住院医师在参加埃因霍温虚拟现实腹腔镜胆囊切除术培训课程后的手术室表现。本课程是第一个正式的外科住院医师培训课程，使用各种互补的虚拟现实（VR）技能培训模拟，以准备外科住院医师为他们的第一个腹腔镜胆囊切除术。方法：采用多媒体多模态教学法，为期4天。包括各种越来越困难的模拟培训课程，以及亲密的焦点小组“知识课程”。使用MIST-VR和Xitacts的LapChol模拟软件，进行基本和过程VR模拟。比较了12名参加课程的外科住院医师和12名病例对照患者的手术室表现。病例对照组的临床数量腹腔镜胆囊切除术性能（最多4个程序）相匹配。两名观察员分析了一个随机混合的录像带，其中包括腹腔镜胆囊切除术的“夹切”过程，并对参与者的组状态设盲。包括多个观察量表的结构化问卷被用来评估性能。实验组和对照组的居民在人口统计学参数上没有差异，除了腹腔镜胆囊切除术的数量有利于对照组（p值0.008）。两名观察员均判断实验组表现明显更好（p值0.004和0.013）。实验组居民高度重视他们的课程在他们的腹腔镜手术技能的提高和VR模拟器的使用在surgical curiculum.Conclusions：埃因霍温虚拟现实腹腔镜胆囊切除术培训课程提高了手术室的手术技能以上的各种其他培训方法培训的居民的水平。
Background: This study was undertaken to investigate operating room performance of surgical residents, after participating in the Eindhoven virtual reality laparoscopic cholecystectomy training course. This course is the first formal surgical resident trainings course, using a variety of complementary virtual reality (VR) skills training simulation in order to prepare surgical residents for their first laparoscopic cholecystectomy. The course was granted EAES certification.Methods: The four-day course is based on multimedia and multimodality approach. A variety of increasingly difficult simulation training sessions, next to intimate focus-group "knowledge sessions" are included. Both basic and procedural VR simulation is featured, using MIST-VR and the Xitacts' LapChol simulation software. The operating room performance of twelve surgical residents who participated in the course and twelve case-control counterparts were compared. The case-control grup was matched for clinical number laparoscopic cholecystectomy performance (maximum of 4 procedures). Two observers analyzed a randomly mixed videotape, featuring the part of the "clip-and-cut" procedure of the laparoscopic cholecystectomy, and were blinded for participants' group status. Structured questionnaires including multiple observation scales were used to assess performance.Results.- Residents of both the experimental and control group did not differ in demographic parameters, except for number of laparoscopic cholecystectornies in favor of the control group (p-value 0.008). Both observers judge the experimental group to perform significantly better (p-value 0.004 and 0.013). Experimental group residents valued their course highly in terms of their laparoscopic surgical skills improvement and the use of VR simulators in the surgical curiculum.Conclusions: The Eindhoven Virtual Reality laparoscopic cholecyctectomy training course improves surgical skill in the operating room above the level of residents trained by a variety of other training methods.