Simulator Fidelity Does Not Affect Training for Robot-Assisted Minimally Invasive Surgery
This study was undertaken to compare performance using a surgical robot after training with one of three simulators of varying fidelity. Methods: Eight novice operators and eight expert surgeons were randomly assigned to one of three simulators. Each participant performed two exercises using a simul...
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MDPI AG
2023-03-01
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Series: | Journal of Clinical Medicine |
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Online Access: | https://www.mdpi.com/2077-0383/12/7/2557 |
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author | Shin Saito Kazuhiro Endo Yasunaru Sakuma Naohiro Sata Alan Kawarai Lefor |
author_facet | Shin Saito Kazuhiro Endo Yasunaru Sakuma Naohiro Sata Alan Kawarai Lefor |
author_sort | Shin Saito |
collection | DOAJ |
description | This study was undertaken to compare performance using a surgical robot after training with one of three simulators of varying fidelity. Methods: Eight novice operators and eight expert surgeons were randomly assigned to one of three simulators. Each participant performed two exercises using a simulator and then using a surgical robot. The primary outcome of this study is performance assessed by time and GEARS score. Results: Participants were randomly assigned to one of three simulators. Time to perform the suturing exercise (novices vs. experts) was significantly different for all 3 simulators. Using the da Vinci robot, peg transfer showed no significant difference between novices and experts and all participants combined (mean time novice 2.00, expert 2.21, <i>p</i> = 0.920). The suture exercise had significant differences in each group and all participants combined (novice 3.54, expert 1.90, <i>p</i> = 0.001). ANOVA showed <i>p</i>-Values for suturing (novice 0.523, expert 0.123) and peg transfer (novice 0.742, expert 0.131) are not significantly different. GEARS scores were different (<i>p</i> < 0.05) for novices and experts. Conclusion: Training with simulators of varying fidelity result in similar performance using the da Vinci robot. A dry box simulator may be as effective as a virtual reality simulator for training. Further studies are needed to validate these results. |
first_indexed | 2024-03-11T05:33:08Z |
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issn | 2077-0383 |
language | English |
last_indexed | 2024-03-11T05:33:08Z |
publishDate | 2023-03-01 |
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series | Journal of Clinical Medicine |
spelling | doaj.art-b794d5f8f9b44499a7a7a5cd475c5db62023-11-17T16:58:45ZengMDPI AGJournal of Clinical Medicine2077-03832023-03-01127255710.3390/jcm12072557Simulator Fidelity Does Not Affect Training for Robot-Assisted Minimally Invasive SurgeryShin Saito0Kazuhiro Endo1Yasunaru Sakuma2Naohiro Sata3Alan Kawarai Lefor4Department of Surgery, Jichi Medical University, Tochigi 329-0498, JapanDepartment of Surgery, Jichi Medical University, Tochigi 329-0498, JapanDepartment of Surgery, Jichi Medical University, Tochigi 329-0498, JapanDepartment of Surgery, Jichi Medical University, Tochigi 329-0498, JapanDepartment of Surgery, Jichi Medical University, Tochigi 329-0498, JapanThis study was undertaken to compare performance using a surgical robot after training with one of three simulators of varying fidelity. Methods: Eight novice operators and eight expert surgeons were randomly assigned to one of three simulators. Each participant performed two exercises using a simulator and then using a surgical robot. The primary outcome of this study is performance assessed by time and GEARS score. Results: Participants were randomly assigned to one of three simulators. Time to perform the suturing exercise (novices vs. experts) was significantly different for all 3 simulators. Using the da Vinci robot, peg transfer showed no significant difference between novices and experts and all participants combined (mean time novice 2.00, expert 2.21, <i>p</i> = 0.920). The suture exercise had significant differences in each group and all participants combined (novice 3.54, expert 1.90, <i>p</i> = 0.001). ANOVA showed <i>p</i>-Values for suturing (novice 0.523, expert 0.123) and peg transfer (novice 0.742, expert 0.131) are not significantly different. GEARS scores were different (<i>p</i> < 0.05) for novices and experts. Conclusion: Training with simulators of varying fidelity result in similar performance using the da Vinci robot. A dry box simulator may be as effective as a virtual reality simulator for training. Further studies are needed to validate these results.https://www.mdpi.com/2077-0383/12/7/2557simulatorfidelitydry boxsurgical robotGEARS scorevirtual reality simulator |
spellingShingle | Shin Saito Kazuhiro Endo Yasunaru Sakuma Naohiro Sata Alan Kawarai Lefor Simulator Fidelity Does Not Affect Training for Robot-Assisted Minimally Invasive Surgery Journal of Clinical Medicine simulator fidelity dry box surgical robot GEARS score virtual reality simulator |
title | Simulator Fidelity Does Not Affect Training for Robot-Assisted Minimally Invasive Surgery |
title_full | Simulator Fidelity Does Not Affect Training for Robot-Assisted Minimally Invasive Surgery |
title_fullStr | Simulator Fidelity Does Not Affect Training for Robot-Assisted Minimally Invasive Surgery |
title_full_unstemmed | Simulator Fidelity Does Not Affect Training for Robot-Assisted Minimally Invasive Surgery |
title_short | Simulator Fidelity Does Not Affect Training for Robot-Assisted Minimally Invasive Surgery |
title_sort | simulator fidelity does not affect training for robot assisted minimally invasive surgery |
topic | simulator fidelity dry box surgical robot GEARS score virtual reality simulator |
url | https://www.mdpi.com/2077-0383/12/7/2557 |
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