Haptic simulators accelerate laparoscopic simulator training, but skills are not transferable to a non-haptic simulator: a randomized trial
Background Laparoscopy requires specific psychomotor skills and can be challenging to learn. Most proficiency-based laparoscopic training programs have used non-haptic virtual reality simulators; however, haptic simulators can provide the tactile sensations that the surgeon would experience in the o...
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| Veröffentlicht in: | Surgical endoscopy 2023, Vol.37 (1), p.200-208 |
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| creator | Vamadevan, Anishan Konge, Lars Stadeager, Morten Bjerrum, Flemming |
| description | Background
Laparoscopy requires specific psychomotor skills and can be challenging to learn. Most proficiency-based laparoscopic training programs have used non-haptic virtual reality simulators; however, haptic simulators can provide the tactile sensations that the surgeon would experience in the operating room. The objective was to investigate the effect of adding haptic simulators to a proficiency-based laparoscopy training program.
Methods
A randomized controlled trial was designed where residents (
n
= 36) were randomized to proficiency-based laparoscopic simulator training using haptic or non-haptic simulators. Subsequently, participants from the haptic group completed a follow-up test, where they had to reach proficiency again using the non-haptic simulator. Participants from the non-haptic group returned to train until reaching proficiency again using the non-haptic simulator.
Results
Mean completion times during the intervention were 120 min (SD 38.7 min) and 183 min (SD 66.3 min) for the haptic group and the non-haptic group, respectively (
p
= 0.001). The mean times to proficiency during the follow-up test were 107 min (SD 41.0 min) and 58 min (SD 23.7 min) for the haptic and the non-haptic group, respectively (
p
|
| doi_str_mv | 10.1007/s00464-022-09422-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2697672330</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2697672330</sourcerecordid><originalsourceid>FETCH-LOGICAL-c305t-420d2cd30075af80dde666113b046e2593d5aa1774fa140c33c52210ff9ae0e03</originalsourceid><addsrcrecordid>eNp9kb1uFTEQhS0EIjeBF6BAlmgo2DD-W1_ToQgIUiSaUFu-Xm9w8K4X21uEV-ClmZsbfpQijS3NfGfGPoeQFwxOGYB-WwFkLzvgvAMj8ZSPyIZJwTvO2fYx2YAR0HFt5BE5rvUakDdMPSVHQhm2VVJvyK9zt7ToaY3TmlzLpVLnfUihuBZocosrufq8_I_QVlyc43z1hu7WRuv3mBLKSqBzbvvmXEfU71KgLVOH1bn7dm_NO6wjOOQp_gwDiqJLz8iT0aUant_dJ-Trxw-XZ-fdxZdPn8_eX3RegGqd5DBwPwi0QLlxC8MQ-r5nTOzQjsCVEYNyjmktR8ckeCG8QkNgHI0LEECckNeHuUvJP9ZQm51ixT8nN4e8Vst7o3vNhdijr-6h13ktM77Oct0rznRvDFL8QHk0q5Yw2qXEyZUby8Duo7KHqCxGZW-jshJFL-9Gr7spDH8lf7JBQByAiq35KpR_ux8Y-xuB_KB2</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2765217699</pqid></control><display><type>article</type><title>Haptic simulators accelerate laparoscopic simulator training, but skills are not transferable to a non-haptic simulator: a randomized trial</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Vamadevan, Anishan ; Konge, Lars ; Stadeager, Morten ; Bjerrum, Flemming</creator><creatorcontrib>Vamadevan, Anishan ; Konge, Lars ; Stadeager, Morten ; Bjerrum, Flemming</creatorcontrib><description>Background
Laparoscopy requires specific psychomotor skills and can be challenging to learn. Most proficiency-based laparoscopic training programs have used non-haptic virtual reality simulators; however, haptic simulators can provide the tactile sensations that the surgeon would experience in the operating room. The objective was to investigate the effect of adding haptic simulators to a proficiency-based laparoscopy training program.
Methods
A randomized controlled trial was designed where residents (
n
= 36) were randomized to proficiency-based laparoscopic simulator training using haptic or non-haptic simulators. Subsequently, participants from the haptic group completed a follow-up test, where they had to reach proficiency again using the non-haptic simulator. Participants from the non-haptic group returned to train until reaching proficiency again using the non-haptic simulator.
Results
Mean completion times during the intervention were 120 min (SD 38.7 min) and 183 min (SD 66.3 min) for the haptic group and the non-haptic group, respectively (
p
= 0.001). The mean times to proficiency during the follow-up test were 107 min (SD 41.0 min) and 58 min (SD 23.7 min) for the haptic and the non-haptic group, respectively (
p
< 0.001). The haptic group was not faster to reach proficiency in the follow-up test than during the intervention (
p
= 0.22). In contrast, the non-haptic group reached the required proficiency level significantly faster in the follow-up test (
p
< 0.001).
Conclusion
Haptic virtual reality simulators reduce the time to reach proficiency compared to non-haptic simulators. However, the acquired skills are not transferable to the conventional non-haptic setting.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-022-09422-4</identifier><identifier>PMID: 35918547</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Clinical Competence ; Computer Simulation ; Endoscopy ; Feedback ; Gastroenterology ; Gynecology ; Haptics ; Hepatology ; Hospitals ; Humans ; Laparoscopy ; Laparoscopy - education ; Learning ; Medical education ; Medicine ; Medicine & Public Health ; Original Article ; Proctology ; Simulation ; Surgeons ; Surgery ; Training ; User-Computer Interface ; Virtual Reality</subject><ispartof>Surgical endoscopy, 2023, Vol.37 (1), p.200-208</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c305t-420d2cd30075af80dde666113b046e2593d5aa1774fa140c33c52210ff9ae0e03</citedby><cites>FETCH-LOGICAL-c305t-420d2cd30075af80dde666113b046e2593d5aa1774fa140c33c52210ff9ae0e03</cites><orcidid>0000-0001-7498-5592</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-022-09422-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-022-09422-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27925,27926,41489,42558,51320</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35918547$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vamadevan, Anishan</creatorcontrib><creatorcontrib>Konge, Lars</creatorcontrib><creatorcontrib>Stadeager, Morten</creatorcontrib><creatorcontrib>Bjerrum, Flemming</creatorcontrib><title>Haptic simulators accelerate laparoscopic simulator training, but skills are not transferable to a non-haptic simulator: a randomized trial</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Laparoscopy requires specific psychomotor skills and can be challenging to learn. Most proficiency-based laparoscopic training programs have used non-haptic virtual reality simulators; however, haptic simulators can provide the tactile sensations that the surgeon would experience in the operating room. The objective was to investigate the effect of adding haptic simulators to a proficiency-based laparoscopy training program.
Methods
A randomized controlled trial was designed where residents (
n
= 36) were randomized to proficiency-based laparoscopic simulator training using haptic or non-haptic simulators. Subsequently, participants from the haptic group completed a follow-up test, where they had to reach proficiency again using the non-haptic simulator. Participants from the non-haptic group returned to train until reaching proficiency again using the non-haptic simulator.
Results
Mean completion times during the intervention were 120 min (SD 38.7 min) and 183 min (SD 66.3 min) for the haptic group and the non-haptic group, respectively (
p
= 0.001). The mean times to proficiency during the follow-up test were 107 min (SD 41.0 min) and 58 min (SD 23.7 min) for the haptic and the non-haptic group, respectively (
p
< 0.001). The haptic group was not faster to reach proficiency in the follow-up test than during the intervention (
p
= 0.22). In contrast, the non-haptic group reached the required proficiency level significantly faster in the follow-up test (
p
< 0.001).
Conclusion
Haptic virtual reality simulators reduce the time to reach proficiency compared to non-haptic simulators. However, the acquired skills are not transferable to the conventional non-haptic setting.</description><subject>Abdominal Surgery</subject><subject>Clinical Competence</subject><subject>Computer Simulation</subject><subject>Endoscopy</subject><subject>Feedback</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Haptics</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - education</subject><subject>Learning</subject><subject>Medical education</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Proctology</subject><subject>Simulation</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Training</subject><subject>User-Computer Interface</subject><subject>Virtual Reality</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kb1uFTEQhS0EIjeBF6BAlmgo2DD-W1_ToQgIUiSaUFu-Xm9w8K4X21uEV-ClmZsbfpQijS3NfGfGPoeQFwxOGYB-WwFkLzvgvAMj8ZSPyIZJwTvO2fYx2YAR0HFt5BE5rvUakDdMPSVHQhm2VVJvyK9zt7ToaY3TmlzLpVLnfUihuBZocosrufq8_I_QVlyc43z1hu7WRuv3mBLKSqBzbvvmXEfU71KgLVOH1bn7dm_NO6wjOOQp_gwDiqJLz8iT0aUant_dJ-Trxw-XZ-fdxZdPn8_eX3RegGqd5DBwPwi0QLlxC8MQ-r5nTOzQjsCVEYNyjmktR8ckeCG8QkNgHI0LEECckNeHuUvJP9ZQm51ixT8nN4e8Vst7o3vNhdijr-6h13ktM77Oct0rznRvDFL8QHk0q5Yw2qXEyZUby8Duo7KHqCxGZW-jshJFL-9Gr7spDH8lf7JBQByAiq35KpR_ux8Y-xuB_KB2</recordid><startdate>2023</startdate><enddate>2023</enddate><creator>Vamadevan, Anishan</creator><creator>Konge, Lars</creator><creator>Stadeager, Morten</creator><creator>Bjerrum, Flemming</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7498-5592</orcidid></search><sort><creationdate>2023</creationdate><title>Haptic simulators accelerate laparoscopic simulator training, but skills are not transferable to a non-haptic simulator: a randomized trial</title><author>Vamadevan, Anishan ; Konge, Lars ; Stadeager, Morten ; Bjerrum, Flemming</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-420d2cd30075af80dde666113b046e2593d5aa1774fa140c33c52210ff9ae0e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Clinical Competence</topic><topic>Computer Simulation</topic><topic>Endoscopy</topic><topic>Feedback</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Haptics</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - education</topic><topic>Learning</topic><topic>Medical education</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Proctology</topic><topic>Simulation</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Training</topic><topic>User-Computer Interface</topic><topic>Virtual Reality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vamadevan, Anishan</creatorcontrib><creatorcontrib>Konge, Lars</creatorcontrib><creatorcontrib>Stadeager, Morten</creatorcontrib><creatorcontrib>Bjerrum, Flemming</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vamadevan, Anishan</au><au>Konge, Lars</au><au>Stadeager, Morten</au><au>Bjerrum, Flemming</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Haptic simulators accelerate laparoscopic simulator training, but skills are not transferable to a non-haptic simulator: a randomized trial</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2023</date><risdate>2023</risdate><volume>37</volume><issue>1</issue><spage>200</spage><epage>208</epage><pages>200-208</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Laparoscopy requires specific psychomotor skills and can be challenging to learn. Most proficiency-based laparoscopic training programs have used non-haptic virtual reality simulators; however, haptic simulators can provide the tactile sensations that the surgeon would experience in the operating room. The objective was to investigate the effect of adding haptic simulators to a proficiency-based laparoscopy training program.
Methods
A randomized controlled trial was designed where residents (
n
= 36) were randomized to proficiency-based laparoscopic simulator training using haptic or non-haptic simulators. Subsequently, participants from the haptic group completed a follow-up test, where they had to reach proficiency again using the non-haptic simulator. Participants from the non-haptic group returned to train until reaching proficiency again using the non-haptic simulator.
Results
Mean completion times during the intervention were 120 min (SD 38.7 min) and 183 min (SD 66.3 min) for the haptic group and the non-haptic group, respectively (
p
= 0.001). The mean times to proficiency during the follow-up test were 107 min (SD 41.0 min) and 58 min (SD 23.7 min) for the haptic and the non-haptic group, respectively (
p
< 0.001). The haptic group was not faster to reach proficiency in the follow-up test than during the intervention (
p
= 0.22). In contrast, the non-haptic group reached the required proficiency level significantly faster in the follow-up test (
p
< 0.001).
Conclusion
Haptic virtual reality simulators reduce the time to reach proficiency compared to non-haptic simulators. However, the acquired skills are not transferable to the conventional non-haptic setting.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35918547</pmid><doi>10.1007/s00464-022-09422-4</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7498-5592</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2023, Vol.37 (1), p.200-208 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2697672330 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Abdominal Surgery Clinical Competence Computer Simulation Endoscopy Feedback Gastroenterology Gynecology Haptics Hepatology Hospitals Humans Laparoscopy Laparoscopy - education Learning Medical education Medicine Medicine & Public Health Original Article Proctology Simulation Surgeons Surgery Training User-Computer Interface Virtual Reality |
| title | Haptic simulators accelerate laparoscopic simulator training, but skills are not transferable to a non-haptic simulator: a randomized trial |
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