Virtual Reality Training Versus Blended Learning of Laparoscopic Cholecystectomy
Identifieur interne : 000405 ( Main/Exploration ); précédent : 000404; suivant : 000406Virtual Reality Training Versus Blended Learning of Laparoscopic Cholecystectomy
Auteurs : Felix Nickel ; Julia A. Brzoska ; Matthias Gondan ; Henriette M. Rangnick ; Jackson Chu ; Hannes G. Kenngott ; Georg R. Linke ; Martina Kadmon ; Lars Fischer ; Beat P. Müller-StichSource :
- Medicine [ 0025-7974 ] ; 2015.
Abstract
This study compared virtual reality (VR) training with low cost-blended learning (BL) in a structured training program.
Training of laparoscopic skills outside the operating room is mandatory to reduce operative times and risks.
Laparoscopy-naïve medical students were randomized in 2 groups stratified for sex. The BL group (n = 42) used E-learning for laparoscopic cholecystectomy (LC) and practiced basic skills with box trainers. The VR group (n = 42) trained basic skills and LC on the LAP Mentor II (Simbionix, Cleveland, OH). Each group trained 3 × 4 hours followed by a knowledge test concerning LC. Blinded raters assessed the operative performance of cadaveric porcine LC using the Objective Structured Assessment of Technical Skills (OSATS). The LC was discontinued when it was not completed within 80 min. Students evaluated their training modality with questionnaires.
The VR group completed the LC significantly faster and more often within 80 min than BL (45% v 21%,
VR and BL can both be applied for training the basics of LC. Multimodality training programs should be developed that combine the advantages of both approaches.
Url:
DOI: 10.1097/MD.0000000000000764
PubMed: 25997044
PubMed Central: 4602875
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Virtual Reality Training Versus Blended Learning of Laparoscopic Cholecystectomy</title><author><name sortKey="Nickel, Felix" sort="Nickel, Felix" uniqKey="Nickel F" first="Felix" last="Nickel">Felix Nickel</name></author><author><name sortKey="Brzoska, Julia A" sort="Brzoska, Julia A" uniqKey="Brzoska J" first="Julia A." last="Brzoska">Julia A. Brzoska</name></author><author><name sortKey="Gondan, Matthias" sort="Gondan, Matthias" uniqKey="Gondan M" first="Matthias" last="Gondan">Matthias Gondan</name></author><author><name sortKey="Rangnick, Henriette M" sort="Rangnick, Henriette M" uniqKey="Rangnick H" first="Henriette M." last="Rangnick">Henriette M. Rangnick</name></author><author><name sortKey="Chu, Jackson" sort="Chu, Jackson" uniqKey="Chu J" first="Jackson" last="Chu">Jackson Chu</name></author><author><name sortKey="Kenngott, Hannes G" sort="Kenngott, Hannes G" uniqKey="Kenngott H" first="Hannes G." last="Kenngott">Hannes G. Kenngott</name></author><author><name sortKey="Linke, Georg R" sort="Linke, Georg R" uniqKey="Linke G" first="Georg R." last="Linke">Georg R. Linke</name></author><author><name sortKey="Kadmon, Martina" sort="Kadmon, Martina" uniqKey="Kadmon M" first="Martina" last="Kadmon">Martina Kadmon</name></author><author><name sortKey="Fischer, Lars" sort="Fischer, Lars" uniqKey="Fischer L" first="Lars" last="Fischer">Lars Fischer</name></author><author><name sortKey="Muller Stich, Beat P" sort="Muller Stich, Beat P" uniqKey="Muller Stich B" first="Beat P." last="Müller-Stich">Beat P. Müller-Stich</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25997044</idno><idno type="pmc">4602875</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602875</idno><idno type="RBID">PMC:4602875</idno><idno type="doi">10.1097/MD.0000000000000764</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000253</idno><idno type="wicri:Area/Pmc/Curation">000253</idno><idno type="wicri:Area/Pmc/Checkpoint">000213</idno><idno type="wicri:Area/Ncbi/Merge">003955</idno><idno type="wicri:Area/Ncbi/Curation">003955</idno><idno type="wicri:Area/Ncbi/Checkpoint">003955</idno><idno type="wicri:doubleKey">0025-7974:2015:Nickel F:virtual:reality:training</idno><idno type="wicri:Area/Main/Merge">000404</idno><idno type="wicri:Area/Main/Curation">000405</idno><idno type="wicri:Area/Main/Exploration">000405</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Virtual Reality Training Versus Blended Learning of Laparoscopic Cholecystectomy</title><author><name sortKey="Nickel, Felix" sort="Nickel, Felix" uniqKey="Nickel F" first="Felix" last="Nickel">Felix Nickel</name></author><author><name sortKey="Brzoska, Julia A" sort="Brzoska, Julia A" uniqKey="Brzoska J" first="Julia A." last="Brzoska">Julia A. Brzoska</name></author><author><name sortKey="Gondan, Matthias" sort="Gondan, Matthias" uniqKey="Gondan M" first="Matthias" last="Gondan">Matthias Gondan</name></author><author><name sortKey="Rangnick, Henriette M" sort="Rangnick, Henriette M" uniqKey="Rangnick H" first="Henriette M." last="Rangnick">Henriette M. Rangnick</name></author><author><name sortKey="Chu, Jackson" sort="Chu, Jackson" uniqKey="Chu J" first="Jackson" last="Chu">Jackson Chu</name></author><author><name sortKey="Kenngott, Hannes G" sort="Kenngott, Hannes G" uniqKey="Kenngott H" first="Hannes G." last="Kenngott">Hannes G. Kenngott</name></author><author><name sortKey="Linke, Georg R" sort="Linke, Georg R" uniqKey="Linke G" first="Georg R." last="Linke">Georg R. Linke</name></author><author><name sortKey="Kadmon, Martina" sort="Kadmon, Martina" uniqKey="Kadmon M" first="Martina" last="Kadmon">Martina Kadmon</name></author><author><name sortKey="Fischer, Lars" sort="Fischer, Lars" uniqKey="Fischer L" first="Lars" last="Fischer">Lars Fischer</name></author><author><name sortKey="Muller Stich, Beat P" sort="Muller Stich, Beat P" uniqKey="Muller Stich B" first="Beat P." last="Müller-Stich">Beat P. Müller-Stich</name></author></analytic><series><title level="j">Medicine</title><idno type="ISSN">0025-7974</idno><idno type="eISSN">1536-5964</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p>This study compared virtual reality (VR) training with low cost-blended learning (BL) in a structured training program.</p><p>Training of laparoscopic skills outside the operating room is mandatory to reduce operative times and risks.</p><p>Laparoscopy-naïve medical students were randomized in 2 groups stratified for sex. The BL group (n = 42) used E-learning for laparoscopic cholecystectomy (LC) and practiced basic skills with box trainers. The VR group (n = 42) trained basic skills and LC on the LAP Mentor II (Simbionix, Cleveland, OH). Each group trained 3 × 4 hours followed by a knowledge test concerning LC. Blinded raters assessed the operative performance of cadaveric porcine LC using the Objective Structured Assessment of Technical Skills (OSATS). The LC was discontinued when it was not completed within 80 min. Students evaluated their training modality with questionnaires.</p><p>The VR group completed the LC significantly faster and more often within 80 min than BL (45% v 21%, <italic>P</italic> = .02). The BL group scored higher than the VR group in the knowledge test (13.3 ± 1.3 vs 11.0 ± 1.7, <italic>P</italic> < 0.001). Both groups showed equal operative performance of LC in the OSATS score (49.4 ± 10.5 vs 49.7 ± 12.0, <italic>P</italic> = 0.90). Students generally liked training and felt well prepared for assisting in laparoscopic surgery. The efficiency of the training was judged higher by the VR group than by the BL group.</p><p>VR and BL can both be applied for training the basics of LC. 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Brzoska</name><name sortKey="Chu, Jackson" sort="Chu, Jackson" uniqKey="Chu J" first="Jackson" last="Chu">Jackson Chu</name><name sortKey="Fischer, Lars" sort="Fischer, Lars" uniqKey="Fischer L" first="Lars" last="Fischer">Lars Fischer</name><name sortKey="Gondan, Matthias" sort="Gondan, Matthias" uniqKey="Gondan M" first="Matthias" last="Gondan">Matthias Gondan</name><name sortKey="Kadmon, Martina" sort="Kadmon, Martina" uniqKey="Kadmon M" first="Martina" last="Kadmon">Martina Kadmon</name><name sortKey="Kenngott, Hannes G" sort="Kenngott, Hannes G" uniqKey="Kenngott H" first="Hannes G." last="Kenngott">Hannes G. Kenngott</name><name sortKey="Linke, Georg R" sort="Linke, Georg R" uniqKey="Linke G" first="Georg R." last="Linke">Georg R. Linke</name><name sortKey="Muller Stich, Beat P" sort="Muller Stich, Beat P" uniqKey="Muller Stich B" first="Beat P." last="Müller-Stich">Beat P. Müller-Stich</name><name sortKey="Nickel, Felix" sort="Nickel, Felix" uniqKey="Nickel F" first="Felix" last="Nickel">Felix Nickel</name><name sortKey="Rangnick, Henriette M" sort="Rangnick, Henriette M" uniqKey="Rangnick H" first="Henriette M." last="Rangnick">Henriette M. Rangnick</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|area= HapticV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:4602875
|texte= Virtual Reality Training Versus Blended Learning of Laparoscopic Cholecystectomy
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:25997044" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a HapticV1
| This area was generated with Dilib version V0.6.23. |  |