Single-Session Baseline Virtual Reality Simulator Scores Predict Technical Performance for Laparoscopic Colectomy: A Study in the Swine Model

Imagem de Miniatura
Arquivos
art_ARAUJO_SingleSession_Baseline_Virtual_Reality_Simulator_Scores_Predict_Technical_2014.PDF (577.27 KB)
Citações na Scopus
7
Tipo de produção
article
Data de publicação
2014
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER SCIENCE INC
Autores
HORCEL, Lucas A.
Citação
JOURNAL OF SURGICAL EDUCATION, v.71, n.6, p.883-891, 2014
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
OBJECTIVE: Virtual reality (VR) simulation helps reducing the learning curve of laparoscopic colectomy. Moreover, it may be used to ascertain surgeons' pretraining skills. It was aimed to establish predictive validity of specific parameters gathered during VR simulation training on sigmoid colectomy- and whether simulator parameters correlate with technical performance during the same operation in a swine model. DESIGN: Surgeons novice to laparoscopic colectomy underwent a single VR simulation session on sigmoid colectomy. Next, all participants performed a laparoscopic sigmoidectomy in the swine. Operations were recorded. Performance evaluation was conducted by 2 board-certified colorectal surgeons blinded to surgeons' simulator scores using an instrument specific to laparoscopic colectomy. For each participant, a mean score of specific skills was calculated. Linear regression analysis was used to identify simulator parameters that were best related to the score. The stepwise method was used to select parameters. The magnitude of the regression model was measured by the coefficient of determination (R-2) value. SETTING: The University of Sao Paulo Medical Center is a high-volume, public practice, university-affiliated hospital. PARTICIPANTS: A total of 14 first-year residents in digestive tract surgery were included. RESULTS: Analysis of variance demonstrated that the regression model was significant (p = 0.0001), and an association between simulation scores and specific skills was confirmed. The R2 value was 99%. The VR simulator parameters that strongly correlated with specific skills during laparoscopic colectomy in the swine were safe use of electrosurgery/energy device and safety of medial-to-lateral dissection. CONCLUSIONS: A single VR simulation session for novice surgeons in the sigmoid colectomy module generates baseline scores that highly correlated with performance of specific skills during a laparoscopic colectomy in the swine. This information may be useful in an attempt to tailor VR simulator practice according to a surgeon's needs.
Palavras-chave
laparoscopy, colectomy, colonic neoplasms, education, credentialing, clinical skills
URI
https://observatorio.fm.usp.br/handle/OPI/8983
Referências
  1. Aggarwal R, 2006, AM J SURG, V191, P128, DOI 10.1016/j.amjsurg.2005.10.014
  2. Ahlberg G, 2007, AM J SURG, V193, P797, DOI 10.1016/j.amjsurg.2006.06.050
  3. Andreatta PB, 2006, ANN SURG, V243, P854, DOI 10.1097/01.sla.0000219641.79092.e5
  4. Ballantyne GH, 2002, SURG LAPARO ENDO PER, V12, P1
  5. Bardakcioglu O, 2013, ANN SURG, V258, P270, DOI 10.1097/SLA.0b013e31828faa66
  6. Gallagher AG, 2013, ANN SURG, V257, P1025, DOI 10.1097/SLA.0b013e318284f658
  7. Gettman MT, 2003, J AM COLL SURGEONS, V197, P489, DOI 10.1016/S1072-7515(03)00333-8
  8. Grantcharov TP, 2004, BRIT J SURG, V91, P146, DOI 10.1002/bjs.4407
  9. Heili M J, 1999, JSLS, V3, P27
  10. Keehner MM, 2004, AM J SURG, V188, P71, DOI 10.1016/j.amjsurg.2003.12.059
  11. Kemp JA, 2008, SURG ENDOSC, V22, P1181, DOI 10.1007/s00464-007-9732-8
  12. Larsen CR, 2012, ACTA OBSTET GYN SCAN, V91, P1015, DOI 10.1111/j.1600-0412.2012.01482.x
  13. Leblanc F, 2010, J AM COLL SURGEONS, V211, P250, DOI 10.1016/j.jamcollsurg.2010.04.002
  14. Liang JT, 2003, WORLD J SURG, V27, P190, DOI 10.1007/s00268-002-6437-y
  15. McDougall EM, 2006, J AM COLL SURGEONS, V202, P779, DOI 10.1016/j.jamcollsurg.2006.01-004
  16. Miskovic D, 2010, ANN SURG, V252, P943, DOI 10.1097/SLA.0b013e3181f662e5
  17. Risucci D, 2001, AM J SURG, V181, P289, DOI 10.1016/S0002-9610(01)00574-8
  18. Sarker SK, 2010, WORLD J SURG, V34, P1594, DOI 10.1007/s00268-010-0486-4
  19. Sarker SK, 2006, AM J SURG, V191, P238, DOI 10.1016/j.amjsurg.2005.07.031
  20. SATAVA RM, 1993, SURG ENDOSC-ULTRAS, V7, P203, DOI 10.1007/BF00594110
  21. SCHUENEMAN AL, 1984, SURGERY, V96, P288
  22. Seymour NE, 2002, ANN SURG, V236, P458, DOI 10.1097/01.SLA.0000028969.51489.B4
  23. Stefanidis D, 2006, SURGERY, V140, P252, DOI 10.1016/j.surg.2006.04.002
  24. Stefanidis D, 2005, SURGERY, V138, P165, DOI 10.1016/j.surg.2005.06.002
  25. Targarona Eduardo Ma, 2005, Surg Innov, V12, P339, DOI 10.1177/155335060501200409
  26. MEYERS WC, 1991, NEW ENGL J MED, V324, P1073
  27. Torkington J, 2001, SURG ENDOSC, V15, P1076, DOI 10.1007/s004640000233
  28. Veldkamp R, 2004, SURG ENDOSC, V18, P1163, DOI 10.1007/s00464-003-8253-3
  29. Zendejas B, 2013, ANN SURG, V257, P586, DOI 10.1097/SLA.0b013e318288c40b
  30. Zhang AM, 2008, SURG ENDOSC, V22, P1440, DOI 10.1007/s00464-007-9625-x

Coleções
Artigos e Materiais de Revistas Científicas - FM/MGT
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/35
Artigos e Materiais de Revistas Científicas - ODS/04