Trial reportSurgical endoscopy2023
Telestration with augmented reality improves the performance of the first ten ex vivo porcine laparoscopic cholecystectomies: a randomized controlled study.
Trial report in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Augmented Reality in Surgical Training: Systematic Review of Its Impact on Technical Performance in Surgical Trainees.JMIR medical education · 2026Pooled it
- Hands-on Distance Simulation of Technical Skills: A Systematic Review.Simulation in healthcare : journal of the Society for Simulation in Healthcare · 2026Pooled it
- The effectiveness of augmented reality/mixed reality in medical education: a meta-analysis.BMC medical education · 2025Pooled it
- Augmented reality for basic skills training in laparoscopic surgery: a systematic review and meta-analysis.Surgical endoscopy · 2025Pooled it
- Cognitive learning versus practical "hands-on" training for acquisition of laparoscopic surgical skills: an optimal combination study.Surgical endoscopy · 2025Trial
- [Application and utilization of virtual and augmented reality in surgical specialties-an expert Delphi consensus].Urologie (Heidelberg, Germany) · 2026Article
- Live surgical assessment of laparoscopic competence among senior surgical residents: a comparative observational study of simulation versus traditional training for laparoscopic cholecystectomy.Journal of robotic surgery · 2026Observational
- Dynamic Augmented Reality Cues for Telementoring in Laparoscopic Surgery: Usability Study.JMIR human factors · 2026Article
- Review
- Telestration with augmented reality in minimally invasive and robotic-assisted surgery: a scoping review.Surgical endoscopy · 2025Article
- Dynamic Augmented Reality Cues for Telementoring in Minimally Invasive Surgeries: Scoping Review.Journal of medical Internet research · 2025Article
- Use of Augmented Reality for Training Assistance in Laparoscopic Surgery: Scoping Literature Review.Journal of medical Internet research · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe learning curve in minimally invasive surgery (MIS) is steep compared to open surgery. One of the reasons is that training in the operating room in MIS is mainly limited to verbal instructions. The iSurgeon telestration device with augmented reality (AR) enables visual instructions, guidance, and feedback during MIS. This study aims to compare the effects of the iSurgeon on the training of novices performing repeated laparoscopic cholecystectomy (LC) on a porcine liver compared to traditional verbal instruction methods.
methodsForty medical students were randomized into the iSurgeon and the control group. The iSurgeon group performed 10 LCs receiving interactive visual guidance. The control group performed 10 LCs receiving conventional verbal guidance. The performance assessment using Objective Structured Assessments of Technical Skills (OSATS) and Global Operative Assessment of Laparoscopic Skills (GOALS) scores, the total operating time, and complications were compared between the two groups.
resultsThe iSurgeon group performed LCs significantly better (global GOALS 17.3 ± 2.6 vs. 16 ± 2.6, p ≤ 0.001, LC specific GOALS 7 ± 2 vs. 5.9 ± 2.1, p ≤ 0.001, global OSATS 25.3 ± 4.3 vs. 23.5 ± 3.9, p ≤ 0.001, LC specific OSATS scores 50.8 ± 11.1 vs. 41.2 ± 9.4, p ≤ 0.001) compared to the control group. The iSurgeon group had significantly fewer intraoperative complications in total (2.7 ± 2.0 vs. 3.6 ± 2.0, p ≤ 0.001) than the control group. There was no difference in operating time (79.6 ± 25.7 vs. 84.5 ± 33.2 min, p = 0.087).
conclusionVisual guidance using the telestration device with AR, iSurgeon, improves performance and lowers the complication rates in LCs in novices compared to conventional verbal expert guidance.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.