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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Main Authors: Shin Saito, Kazuhiro Endo, Yasunaru Sakuma, Naohiro Sata, Alan Kawarai Lefor
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Journal of Clinical Medicine
Subjects:
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.
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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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AT naohirosata simulatorfidelitydoesnotaffecttrainingforrobotassistedminimallyinvasivesurgery
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