• J Minim Invasive Gynecol · Mar 2015

    Randomized Controlled Trial

    Comparison of two simulation systems to support robotic-assisted surgical training: a pilot study (Swine model).

    • Sabrina V Whitehurst, Ernest G Lockrow, Thomas S Lendvay, Anthony M Propst, Susan G Dunlow, Christopher J Rosemeyer, Joseph M Gobern, Lee W White, Anna Skinner, and Jerome L Buller.
    • Department of Obstetrics and Gynecology, Walter Reed National Military Medical Center, Bethesda, Maryland.
    • J Minim Invasive Gynecol. 2015 Mar 1;22(3):483-8.

    ObjectiveTo compare the efficacy of simulation-based training between the Mimic dV- Trainer and traditional dry lab da Vinci robot training.DesignA prospective randomized study analyzing the performance of 20 robotics-naive participants. Participants were enrolled in an online da Vinci Intuitive Surgical didactic training module, followed by training in use of the da Vinci standard surgical robot. Spatial ability tests were performed as well. Participants were randomly assigned to 1 of 2 training conditions: performance of 3 Fundamentals of Laparoscopic Surgery dry lab tasks using the da Vinci or performance of 4 dV-Trainer tasks. Participants in both groups performed all tasks to empirically establish proficiency criterion. Participants then performed the transfer task, a cystotomy closure using the daVinci robot on a live animal (swine) model. The performance of robotic tasks was blindly assessed by a panel of experienced surgeons using objective tracking data and using the validated Global Evaluative Assessment of Robotic Surgery (GEARS), a structured assessment tool.ResultsNo statistically significant difference in surgeon performance was found between the 2 training conditions, dV-Trainer and da Vinci robot. Analysis of a 95% confidence interval for the difference in means (-0.803 to 0.543) indicated that the 2 methods are unlikely to differ to an extent that would be clinically meaningful.ConclusionBased on the results of this study, a curriculum on the dV- Trainer was shown to be comparable to traditional da Vinci robot training. Therefore, we have identified that training on a virtual reality system may be an alternative to live animal training for future robotic surgeons.Published by Elsevier Inc.

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