Randomized Controlled Trials: A Systematic Review of Laparoscopic Surgery and Simulation-Based Training
Identifieur interne : 000F22 ( Main/Exploration ); précédent : 000F21; suivant : 000F23Randomized Controlled Trials: A Systematic Review of Laparoscopic Surgery and Simulation-Based Training
Auteurs : Allison A. Vanderbilt [États-Unis] ; Amelia C. Grover [États-Unis] ; Nicholas J. Pastis [États-Unis] ; Moshe Feldman [États-Unis] ; Deborah Diaz Granados [États-Unis] ; Lydia K. Murithi [États-Unis] ; Arch G. Mainous [États-Unis]Source :
- Global Journal of Health Science [ 1916-9736 ] ; 2014.
Abstract
This systematic review was conducted to analyze the impact and describe simulation-based training and the acquisition of laparoscopic surgery skills during medical school and residency programs.
This systematic review focused on the published literature that used randomized controlled trials to examine the effectiveness of simulation-based training to develop laparoscopic surgery skills. Searching PubMed from the inception of the databases to May 1, 2014 and specific hand journal searches identified the studies. This current review of the literature addresses the question of whether laparoscopic simulation translates the acquisition of surgical skills to the operating room (OR).
This systematic review of simulation-based training and laparoscopic surgery found that specific skills could be translatable to the OR. Twenty-one studies reported learning outcomes measured in five behavioral categories: economy of movement (8 studies); suturing (3 studies); performance time (13 studies); error rates (7 studies), and global rating (7 studies).
Simulation-based training can lead to demonstrable benefits of surgical skills in the OR environment. This review suggests that simulation-based training is an effective way to teach laparoscopic surgery skills, increase translation of laparoscopic surgery skills to the OR, and increase patient safety; however, more research should be conducted to determine if and how simulation can become apart of surgical curriculum.
Url:
DOI: 10.5539/gjhs.v7n2p310
PubMed: 25716408
PubMed Central: 4493882
Affiliations:
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Grover</name><affiliation wicri:level="2"><nlm:aff id="aff2">School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Medicine, Virginia Commonwealth University, Richmond, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Pastis, Nicholas J" sort="Pastis, Nicholas J" uniqKey="Pastis N" first="Nicholas J." last="Pastis">Nicholas J. Pastis</name><affiliation wicri:level="2"><nlm:aff id="aff3">Division of Pulmonary and Critical Care, Medical University of South Carolina, Charleston, South Carolina, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pulmonary and Critical Care, Medical University of South Carolina, Charleston, South Carolina</wicri:regionArea><placeName><region type="state">Caroline du Sud</region></placeName></affiliation></author><author><name sortKey="Feldman, Moshe" sort="Feldman, Moshe" uniqKey="Feldman M" first="Moshe" last="Feldman">Moshe Feldman</name><affiliation wicri:level="2"><nlm:aff id="aff4">Office of Assessment and Evaluation Studies, School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Office of Assessment and Evaluation Studies, School of Medicine, Virginia Commonwealth University, Richmond, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Granados, Deborah Diaz" sort="Granados, Deborah Diaz" uniqKey="Granados D" first="Deborah Diaz" last="Granados">Deborah Diaz Granados</name><affiliation wicri:level="2"><nlm:aff id="aff4">Office of Assessment and Evaluation Studies, School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Office of Assessment and Evaluation Studies, School of Medicine, Virginia Commonwealth University, Richmond, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Murithi, Lydia K" sort="Murithi, Lydia K" uniqKey="Murithi L" first="Lydia K." last="Murithi">Lydia K. Murithi</name><affiliation wicri:level="2"><nlm:aff id="aff1">Center on Health Disparities, School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center on Health Disparities, School of Medicine, Virginia Commonwealth University, Richmond, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Mainous, Arch G" sort="Mainous, Arch G" uniqKey="Mainous A" first="Arch G." last="Mainous">Arch G. Mainous</name><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Health Services Research, Management & Policy and Professor in the Department of Community Health and Family Medicine at the University of Florida, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Services Research, Management & Policy and Professor in the Department of Community Health and Family Medicine at the University of Florida</wicri:regionArea><wicri:noRegion>Management & Policy and Professor in the Department of Community Health and Family Medicine at the University of Florida</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25716408</idno><idno type="pmc">4493882</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4493882</idno><idno type="RBID">PMC:4493882</idno><idno type="doi">10.5539/gjhs.v7n2p310</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000500</idno><idno type="wicri:Area/Pmc/Curation">000500</idno><idno type="wicri:Area/Pmc/Checkpoint">000A15</idno><idno type="wicri:Area/Ncbi/Merge">003715</idno><idno type="wicri:Area/Ncbi/Curation">003715</idno><idno type="wicri:Area/Ncbi/Checkpoint">003715</idno><idno type="wicri:doubleKey">1916-9736:2014:Vanderbilt A:randomized:controlled:trials</idno><idno type="wicri:Area/Main/Merge">000F22</idno><idno type="wicri:Area/Main/Curation">000F22</idno><idno type="wicri:Area/Main/Exploration">000F22</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Randomized Controlled Trials: A Systematic Review of Laparoscopic Surgery and Simulation-Based Training</title><author><name sortKey="Vanderbilt, Allison A" sort="Vanderbilt, Allison A" uniqKey="Vanderbilt A" first="Allison A." last="Vanderbilt">Allison A. Vanderbilt</name><affiliation wicri:level="2"><nlm:aff id="aff1">Center on Health Disparities, School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center on Health Disparities, School of Medicine, Virginia Commonwealth University, Richmond, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Grover, Amelia C" sort="Grover, Amelia C" uniqKey="Grover A" first="Amelia C." last="Grover">Amelia C. Grover</name><affiliation wicri:level="2"><nlm:aff id="aff2">School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Medicine, Virginia Commonwealth University, Richmond, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Pastis, Nicholas J" sort="Pastis, Nicholas J" uniqKey="Pastis N" first="Nicholas J." last="Pastis">Nicholas J. Pastis</name><affiliation wicri:level="2"><nlm:aff id="aff3">Division of Pulmonary and Critical Care, Medical University of South Carolina, Charleston, South Carolina, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pulmonary and Critical Care, Medical University of South Carolina, Charleston, South Carolina</wicri:regionArea><placeName><region type="state">Caroline du Sud</region></placeName></affiliation></author><author><name sortKey="Feldman, Moshe" sort="Feldman, Moshe" uniqKey="Feldman M" first="Moshe" last="Feldman">Moshe Feldman</name><affiliation wicri:level="2"><nlm:aff id="aff4">Office of Assessment and Evaluation Studies, School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Office of Assessment and Evaluation Studies, School of Medicine, Virginia Commonwealth University, Richmond, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Granados, Deborah Diaz" sort="Granados, Deborah Diaz" uniqKey="Granados D" first="Deborah Diaz" last="Granados">Deborah Diaz Granados</name><affiliation wicri:level="2"><nlm:aff id="aff4">Office of Assessment and Evaluation Studies, School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Office of Assessment and Evaluation Studies, School of Medicine, Virginia Commonwealth University, Richmond, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Murithi, Lydia K" sort="Murithi, Lydia K" uniqKey="Murithi L" first="Lydia K." last="Murithi">Lydia K. Murithi</name><affiliation wicri:level="2"><nlm:aff id="aff1">Center on Health Disparities, School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center on Health Disparities, School of Medicine, Virginia Commonwealth University, Richmond, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Mainous, Arch G" sort="Mainous, Arch G" uniqKey="Mainous A" first="Arch G." last="Mainous">Arch G. Mainous</name><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Health Services Research, Management & Policy and Professor in the Department of Community Health and Family Medicine at the University of Florida, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Services Research, Management & Policy and Professor in the Department of Community Health and Family Medicine at the University of Florida</wicri:regionArea><wicri:noRegion>Management & Policy and Professor in the Department of Community Health and Family Medicine at the University of Florida</wicri:noRegion></affiliation></author></analytic><series><title level="j">Global Journal of Health Science</title><idno type="ISSN">1916-9736</idno><idno type="eISSN">1916-9744</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction:</title><p>This systematic review was conducted to analyze the impact and describe simulation-based training and the acquisition of laparoscopic surgery skills during medical school and residency programs.</p></sec><sec id="st2"><title>Methods:</title><p>This systematic review focused on the published literature that used randomized controlled trials to examine the effectiveness of simulation-based training to develop laparoscopic surgery skills. Searching PubMed from the inception of the databases to May 1, 2014 and specific hand journal searches identified the studies. This current review of the literature addresses the question of whether laparoscopic simulation translates the acquisition of surgical skills to the operating room (OR).</p></sec><sec id="st3"><title>Results:</title><p>This systematic review of simulation-based training and laparoscopic surgery found that specific skills could be translatable to the OR. Twenty-one studies reported learning outcomes measured in five behavioral categories: economy of movement (8 studies); suturing (3 studies); performance time (13 studies); error rates (7 studies), and global rating (7 studies).</p></sec><sec id="st4"><title>Conclusion:</title><p>Simulation-based training can lead to demonstrable benefits of surgical skills in the OR environment. This review suggests that simulation-based training is an effective way to teach laparoscopic surgery skills, increase translation of laparoscopic surgery skills to the OR, and increase patient safety; however, more research should be conducted to determine if and how simulation can become apart of surgical curriculum.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Aggarwal, R" uniqKey="Aggarwal R">R Aggarwal</name></author><author><name sortKey="Ward, J" uniqKey="Ward J">J Ward</name></author><author><name sortKey="Balasundaram, I" uniqKey="Balasundaram I">I Balasundaram</name></author><author><name sortKey="Sains, P" uniqKey="Sains P">P Sains</name></author><author><name sortKey="Athanasiou, T" uniqKey="Athanasiou T">T Athanasiou</name></author><author><name sortKey="Darzi, A" uniqKey="Darzi A">A Darzi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ahlberg, G" uniqKey="Ahlberg G">G Ahlberg</name></author><author><name sortKey="Enochsson, L" uniqKey="Enochsson L">L Enochsson</name></author><author><name sortKey="Gallagher, A G" uniqKey="Gallagher A">A. 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G Gallagher</name></author><author><name sortKey="Smith, C D" uniqKey="Smith C">C. D Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Verdaasdonk, E G G" uniqKey="Verdaasdonk E">E. G. G Verdaasdonk</name></author><author><name sortKey="Dankelman, J" uniqKey="Dankelman J">J Dankelman</name></author><author><name sortKey="Lange, J F" uniqKey="Lange J">J. F Lange</name></author><author><name sortKey="Stassen, L P S" uniqKey="Stassen L">L. P. S Stassen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Watterson, J D" uniqKey="Watterson J">J. D Watterson</name></author><author><name sortKey="Beiko, D T" uniqKey="Beiko D">D. T Beiko</name></author><author><name sortKey="Kuan, J K" uniqKey="Kuan J">J. K Kuan</name></author><author><name sortKey="Denstedt, J D" uniqKey="Denstedt J">J. D Denstedt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zendejas, B" uniqKey="Zendejas B">B Zendejas</name></author><author><name sortKey="Cook, D A" uniqKey="Cook D">D. A Cook</name></author><author><name sortKey="Bingener, J" uniqKey="Bingener J">J Bingener</name></author><author><name sortKey="Huebner, M" uniqKey="Huebner M">M Huebner</name></author><author><name sortKey="Dunn, W F" uniqKey="Dunn W">W. F Dunn</name></author><author><name sortKey="Sarr, M G" uniqKey="Sarr M">M. G Sarr</name></author><author><name sortKey="Farley, D R" uniqKey="Farley D">D. R Farley</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Caroline du Sud</li><li>Virginie</li></region></list><tree><country name="États-Unis"><region name="Virginie"><name sortKey="Vanderbilt, Allison A" sort="Vanderbilt, Allison A" uniqKey="Vanderbilt A" first="Allison A." last="Vanderbilt">Allison A. Vanderbilt</name></region><name sortKey="Feldman, Moshe" sort="Feldman, Moshe" uniqKey="Feldman M" first="Moshe" last="Feldman">Moshe Feldman</name><name sortKey="Granados, Deborah Diaz" sort="Granados, Deborah Diaz" uniqKey="Granados D" first="Deborah Diaz" last="Granados">Deborah Diaz Granados</name><name sortKey="Grover, Amelia C" sort="Grover, Amelia C" uniqKey="Grover A" first="Amelia C." last="Grover">Amelia C. Grover</name><name sortKey="Mainous, Arch G" sort="Mainous, Arch G" uniqKey="Mainous A" first="Arch G." last="Mainous">Arch G. Mainous</name><name sortKey="Murithi, Lydia K" sort="Murithi, Lydia K" uniqKey="Murithi L" first="Lydia K." last="Murithi">Lydia K. Murithi</name><name sortKey="Pastis, Nicholas J" sort="Pastis, Nicholas J" uniqKey="Pastis N" first="Nicholas J." last="Pastis">Nicholas J. Pastis</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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