Virtual reality simulations in robotic surgery training: a systematic review and meta-analysis.

IF 2.2 3区医学 Q2 SURGERY

Journal of Robotic Surgery Pub Date : 2024-12-17 DOI:10.1007/s11701-024-02187-z

Kazuho Kawashima, Francis Nader, Justin W Collins, Ali Esmaeili

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引用次数: 0

Abstract

Objective: To compare VR simulations with other training methods regarding improvements in objective assessment scores and task completion times.

Method: A database search was conducted on 20 May 2024 across Central, MEDLINE, EMBASE, Web of Science, and Scopus. Included were randomised controlled trials comparing VR simulations to other training methods, assessing objective scores and task times. The Risk of Bias-2 tool was used for bias assessment.

Results: Eighteen studies were included. VR significantly improved objective scores (n = 339, SMD 1.04, 95% CI 0.40-1.69, P = 0.002) and reduced task completion times (n = 357, SMD of -1.08, 95% CI of as - 2.05 to - 0.12, P = 0.03) compared to no additional training. VR was as effective as dry lab training for improving scores (n = 213, SMD -0.47, 95% CI - 1.34 to 0.41, P = 0.30) and task times (n = 98, SMD - 0.37, 95% CI - 1.51 to 0.78, P = 0.53). However, one study found wet lab training significantly reduced task times compared to VR (n = 20, SMD of 1.7, 95% CI of 0.65-2.76, P = 0.002). No significant differences were found when VR alone was compared to VR with expert advice.

Conclusion: VR is more effective than no additional training and is as effective as dry lab training in robotic skill acquisitions. Therefore, VR is effective in enhancing robotic surgery skills and warrants an expanded role in surgical training programmes.

查看原文本刊更多论文

机器人手术训练中的虚拟现实模拟：系统回顾和荟萃分析。

目的比较 VR 模拟与其他培训方法对客观评估分数和任务完成时间的改善效果：于 2024 年 5 月 20 日在 Central、MEDLINE、EMBASE、Web of Science 和 Scopus 等数据库中进行了检索。纳入的随机对照试验将 VR 模拟与其他培训方法进行了比较，并对客观评分和任务完成时间进行了评估。采用 Risk of Bias-2 工具进行偏倚评估：结果：共纳入 18 项研究。与无额外培训相比，VR 能明显提高客观评分（n = 339，SMD 1.04，95% CI 0.40-1.69，P = 0.002），缩短任务完成时间（n = 357，SMD -1.08，95% CI 为 - 2.05 至 - 0.12，P = 0.03）。在提高得分（n = 213，SMD -0.47，95% CI - 1.34 至 0.41，P = 0.30）和任务时间（n = 98，SMD -0.37，95% CI - 1.51 至 0.78，P = 0.53）方面，虚拟现实与干式实验室培训同样有效。不过，一项研究发现，与 VR 相比，湿实验室训练能显著缩短任务时间（n = 20，SMD 为 1.7，95% CI 为 0.65-2.76，P = 0.002）。结论：VR 比不进行额外培训更有效：结论：在机器人技能学习方面，VR 比不进行额外培训更有效，而且与干燥实验室培训一样有效。因此，VR 能有效提高机器人手术技能，值得在外科培训计划中进一步推广。

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

Journal of Robotic Surgery SURGERY-

CiteScore

4.20

自引率

8.70%

发文量

145

期刊介绍： The aim of the Journal of Robotic Surgery is to become the leading worldwide journal for publication of articles related to robotic surgery, encompassing surgical simulation and integrated imaging techniques. The journal provides a centralized, focused resource for physicians wishing to publish their experience or those wishing to avail themselves of the most up-to-date findings.The journal reports on advance in a wide range of surgical specialties including adult and pediatric urology, general surgery, cardiac surgery, gynecology, ENT, orthopedics and neurosurgery.The use of robotics in surgery is broad-based and will undoubtedly expand over the next decade as new technical innovations and techniques increase the applicability of its use. The journal intends to capture this trend as it develops.