Can Computerized Simulation be Used to Assess Surgical Proficiency in Laparoscopic Colorectal Surgeries? A Systematic Review.

IF 1.2 4区医学 Q3 SURGERY

Surgical Innovation Pub Date : 2024-04-01 Epub Date: 2024-02-19 DOI:10.1177/15533506241232791

Si Yuan Chang, Kai Siang Chan, Aung Myint Oo

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引用次数: 0

Abstract

Introduction: Computerized simulation (CS) of surgery in virtual reality (VR), augmented reality (AR) and mixed reality (MR) settings are used to teach foundational skills, but its applicability in advanced training is to be determined. This review aims to summarize the types of CS available for laparoscopic colorectal surgery (CRS) and its utility in assessment of proficiency.

Methods: A systematic review of CS in laparoscopic CRS was done on PubMed, Embase, Scopus and Cochrane Library databases.

Results: Eleven relevant observational studies were identified. The most common procedure simulated was laparoscopic colectomy. Assessment using performance metrics measured by the simulator such as path length moved by laparoscopic tools, procedure time and number of discrete movements had the most consistent differentiating ability between expert and non-expert cohorts. Surgeons fared similarly in proficiency scores in assessment with CS compared to assessment with traditional cadaveric or porcine models.

Conclusion: CS of laparoscopic CRS may be used in assessment of proficiency using performance metrics measuring economy of movement. CS may be a viable assessment tool in advanced surgical training, but further studies should assess utility of incorporating it as a formal assessment tool in training programs.

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计算机模拟能否用于评估腹腔镜结直肠手术的手术熟练程度？系统性综述。

导言：虚拟现实（VR）、增强现实（AR）和混合现实（MR）环境下的计算机化手术模拟（CS）用于教授基础技能，但其在高级培训中的适用性尚待确定。本综述旨在总结可用于腹腔镜结直肠手术（CRS）的CS类型及其在评估熟练程度方面的实用性：方法：在PubMed、Embase、Scopus和Cochrane图书馆数据库中对腹腔镜结直肠手术中的CS进行了系统回顾：结果：共发现了 11 项相关的观察性研究。最常见的模拟手术是腹腔镜结肠切除术。使用模拟器测量的性能指标进行评估，如腹腔镜工具移动的路径长度、手术时间和离散动作的数量，在专家和非专家组群之间具有最一致的区分能力。与使用传统的尸体或猪模型进行评估相比，外科医生在使用CS进行评估时的熟练程度得分相差无几：结论：腹腔镜 CRS 的 CS 可用于使用衡量动作经济性的性能指标来评估熟练程度。CS可能是高级外科培训中一种可行的评估工具，但进一步的研究应评估将其作为正式评估工具纳入培训计划的效用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Innovation 医学-外科

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).