Virtual reality simulator versus box-trainer to teach minimally invasive procedures: A meta-analysis

INTERNATIONAL JOURNAL OF SURGERY

卷:61

Review

Guedes, Hugo Goncalo¹  Camara Costa Ferreira, Zemia Maria²  de Sousa Leao, Layra Ribeiro³  Souza Montero, Edna Frasson¹  Otoch, Jose Pinhata¹  de Almeida Artifon, Everson Luiz¹ 

[1] Univ Sao Paulo, Sch Med, Gen Surg Dept, Carvalho Aguiar St 255, BR-05422090 Sao Paulo, SP, Brazil

[2] Univ Potiguar, Senador Salgado Filho Ave 1610, BR-59056000 Natal, RN, Brazil

[3] Hosp Israelita Albert Einstein, Albert Einstein Ave 627-701, BR-05652900 Sao Paulo, SP, Brazil

关键词: Simulation training;    Laparoscopy;    Minimally invasive surgical procedures;    Training;    Box trainer;    Virtual reality;   

DOI  :  10.1016/j.ijsu.2018.12.001

来源: Elsevier

【 摘 要 】

Background: To evaluate the effectiveness of virtual reality simulator (VRS) training compared to box-trainer training (BT) for learning outcomes in minimally invasive surgery (MIS) techniques. Materials and Methods: A systematic review of the literature was performed using CENTRAL, MEDLINE, EMBASE, Scopus, CINAHL, LILACS. The primary outcomes were time to perform MIS and performance score in MIS. After being selected, the articles were evaluated for methodological quality and risk of bias. The results were evaluated for quality of evidence and meta-analysis was performed. Results: 20 randomized clinical trials were included in the qualitative analysis and 14 were used in the meta-analysis. VRS training was more efficient than BT training (P < 0.00001, 95% CI: 35.08 to -25.01) when evaluating participant time needed to complete the peg task. In descriptive analysis, VRS training was better than BT training in participant performance score to perform MIS. There was no statistical difference in the meta-analysis in the time needed to perform surgery, time to complete basic or advanced tasks and performance score for basic or advanced tasks. Conclusions: VRS training was better than BT training in participant performance scores when performing MIS and in the time needed to complete the basic task of peg transfer. In all other outcomes, regardless of the student's level of experience or type of activity, the two forms of training were equivalent.

【 授权许可】

Free