Evidence map›Paper›PMID 34998376›Full record

ArticleBMC surgery2022

Validation of a novel virtual reality simulation system with the focus on training for surgical dissection during laparoscopic sigmoid colectomy.

Takashi Mori, Koji Ikeda, Nobuyoshi Takeshita, Koichi Teramura, Masaaki Ito

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

7 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. [Construction and Exploration of Simulative Virtual Curriculum of Laparoscopy for Standardized Surgical Residency Training].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023
    Article
  7. Article
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

5 authors at 1 institution in 1 country.

Takashi MoriDepartment of Colorectal Surgery, National Cancer Center Hospital East, Kashiwa, Chiba, Japan.
Koji IkedaDepartment of Colorectal Surgery, National Cancer Center Hospital East, Kashiwa, Chiba, Japan. kojikeda@east.ncc.go.jp.
Nobuyoshi TakeshitaDepartment of Colorectal Surgery, National Cancer Center Hospital East, Kashiwa, Chiba, Japan.
Koichi TeramuraDepartment of Colorectal Surgery, National Cancer Center Hospital East, Kashiwa, Chiba, Japan.
Masaaki ItoDepartment of Colorectal Surgery, National Cancer Center Hospital East, Kashiwa, Chiba, Japan. maito@east.ncc.go.jp.ORCID http://orcid.org/0000-0002-1101-2707
National Cancer Center Hospital East · JP

Funding

National Cancer Center (Japan) 28-A-10
6 · The paper itself

Abstract

backgroundMastery of technical skills is one of the fundamental goals of surgical training for novices. Meanwhile, performing laparoscopic procedures requires exceptional surgical skills compared to open surgery. However, it is often difficult for trainees to learn through observation and practice only. Virtual reality (VR)-based surgical simulation is expanding and rapidly advancing. A major obstacle for laparoscopic trainees is the difficulty of well-performed dissection. Therefore, we developed a new VR simulation system, Lap-PASS LP-100, which focuses on training to create proper tension on the tissue in laparoscopic sigmoid colectomy dissection. This study aimed to validate this new VR simulation system.

methodsA total of 50 participants were asked to perform medial dissection of the meso-sigmoid colon on the VR simulator. Forty-four surgeons and six non-medical professionals working in the National Cancer Center Hospital East, Japan, were enrolled in this study. The surgeons were: laparoscopic surgery experts with > 100 laparoscopic surgeries (LS), 21 were novices with experience < 100 LS, and five without previous experience in LS. The participants' surgical performance was evaluated by three blinded raters using Global Operative Assessment of Laparoscopic Skills (GOALS).

resultsThere were significant differences (P-values < 0.044) in all GOALS items between the non-medical professionals and surgeons. The experts were significantly superior to the novices in one item of GOALS: efficiency ([4(4-5) vs. 4(3-4)], with a 95% confidence interval, p = 0.042). However, both bimanual dexterity and total score in the experts were not statistically different but tended to be higher than in the novices.

conclusionsOur study demonstrated a full validation of our new system. This could detect the surgeons' ability to perform surgical dissection and suggest that this VR simulator could be an effective training tool. This surgical VR simulator might have tremendous potential to enhance training for surgeons.

Indexed as

LaparoscopySimulation TrainingVirtual RealityClinical CompetenceColectomyColon, SigmoidComputer SimulationDissectionHumansUser-Computer InterfaceHaptic feedbackInternship and residencyLaparoscopic colorectal surgeryPostoperative painSurgical trainingVirtual reality simulator

Identifiers

PMID34998376
PMCPMC8742568
OpenAlexW4206446423

What OpenQuestion holds

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Registered trials

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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.