Evidence map›Paper›PMID 34480323›Full record

ReviewJournal of robotic surgery2022

A review of simulation training and new 3D computer-generated synthetic organs for robotic surgery education.

Daniel M Costello, Isabel Huntington, Grace Burke, Brooke Farrugia, Andrea J O'Connor, Anthony J Costello, Benjamin C Thomas, Philip Dundee, Ahmed Ghazi, Niall Corcoran

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of robotic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  12. Application of Robotic Surgery in Hepatocellular Carcinoma.Journal of hepatocellular carcinoma · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Daniel M CostelloDepartment of Surgery, The University of Melbourne, Parkville, VIC, Australia. drdancostello@gmail.com.ORCID http://orcid.org/0000-0002-8641-1710
Isabel HuntingtonDepartment of Surgery, The University of Melbourne, Parkville, VIC, Australia.
Grace BurkeDepartment of Surgery, The University of Melbourne, Parkville, VIC, Australia.
Brooke FarrugiaThe Australian Medical Robotics Academy, Melbourne, VIC, Australia.
Andrea J O'ConnorThe Australian Medical Robotics Academy, Melbourne, VIC, Australia.
Anthony J CostelloDepartment of Surgery, The University of Melbourne, Parkville, VIC, Australia.
Benjamin C ThomasDepartment of Surgery, The University of Melbourne, Parkville, VIC, Australia.
Philip DundeeDepartment of Surgery, The University of Melbourne, Parkville, VIC, Australia.
Ahmed GhaziSimulation and Innovation Laboratory, University of Rochester Medical Center, Rochester, NY, USA.
Niall CorcoranDepartment of Surgery, The University of Melbourne, Parkville, VIC, Australia.
The University of Melbourne · AUUniversity of Rochester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We conducted a comprehensive review of surgical simulation models used in robotic surgery education. We present an assessment of the validity and cost-effectiveness of virtual and augmented reality simulation, animal, cadaver and synthetic organ models. Face, content, construct, concurrent and predictive validity criteria were applied to each simulation model. There are six major commercial simulation machines available for robot-assisted surgery. The validity of virtual reality (VR) simulation curricula for psychomotor assessment and skill acquisition for the early phase of robotic surgery training has been demonstrated. The widespread adoption of VR simulation has been limited by the high cost of these machines. Live animal and cadavers have been the accepted standard for robotic surgical simulation since it began in the early 2000s. Our review found that there is a lack of evidence in the literature to support the use of animal and cadaver for robotic surgery training. The effectiveness of these models as a training tool is limited by logistical, ethical, financial and infection control issues. The latest evolution in synthetic organ model training for robotic surgery has been driven by new 3D-printing technology. Validated and cost-effective high-fidelity procedural models exist for robotic surgery training in urology. The development of synthetic models for the other specialties is not as mature. Expansion into multiple surgical disciplines and the widespread adoption of synthetic organ models for robotic simulation training will require the ability to engineer scalability for mass production. This would enable a transition in robotic surgical education where digital and synthetic organ models could be used in place of live animals and cadaver training to achieve robotic surgery competency.

Indexed as

Robotic Surgical ProceduresSimulation TrainingAnimalsCadaverClinical CompetenceComputersComputer SimulationHumansCadaverPrintingRoboticsSimulationSurgeryThree dimensionalTrainingVirtual reality

Identifiers

PMID34480323
PMCPMC8415702
OpenAlexW3197205402

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.