Randomized controlled trial of virtual reality and hybrid simulation for robotic surgical training

摘要: Study Type – Therapy (outcomes research) Level of Evidence 2c OBJECTIVE •  To evaluate if two commonly used laparoscopic simulators could be adapted and successfully for the robotics platform in a roboticnaive medical student population. MATERIALS AND METHODS •  We identified widely validated simulation programs, LapSim® (Surgical Science Sweden AB), ProMIS® (Haptica, Ireland)for inclusion study. The McGill Inanimate System Training Evaluation Laparoscopic Skills® task set was ProMIS, DaVinci® console (Intuitive Surgical, Inc., Sunnyvale, CA, USA) robotic platform. •  We then randomized 20 naive students to receive training on either LapSimor both or neither, evaluated them beforeand aftertraining. RESULTS •  When groups were compared at baseline, there no statistical differences mean scores amongst univariate analysis (α= 0.05). •  Whencomparing within before after sessions, statistically significant performance enhancement all four tasks receiving dual training. CONCLUSION •  We have shownthat use ProMIS hybrid LapSimvirtual reality (VR) conjunction with each other can considerable improve novice VR alone.