Can computerized simulation be used to assess surgical proficiency in laparoscopic colorectal surgeries? A systematic review
Introduction: Computerized simulation (CS) of surgery in virtual reality (VR), augmented reality (AR) and mixed reality (MR) settings are used to teach foundational skills, but its applicability in advanced training is to be determined. This review aims to summarize the types of CS available for lap...
| Main Authors: | , , |
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| Other Authors: | |
| Format: | Journal Article |
| Language: | English |
| Published: |
2024
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| Online Access: | https://hdl.handle.net/10356/180344 |
| _version_ | 1826118624780222464 |
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| author | Chang, Si Yuan Chan, Kai Siang Oo, Aung Myint |
| author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
| author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Chang, Si Yuan Chan, Kai Siang Oo, Aung Myint |
| author_sort | Chang, Si Yuan |
| collection | NTU |
| description | Introduction: Computerized simulation (CS) of surgery in virtual reality (VR), augmented reality (AR) and mixed reality (MR) settings are used to teach foundational skills, but its applicability in advanced training is to be determined. This review aims to summarize the types of CS available for laparoscopic colorectal surgery (CRS) and its utility in assessment of proficiency. Methods: A systematic review of CS in laparoscopic CRS was done on PubMed, Embase, Scopus and Cochrane Library databases. Results: Eleven relevant observational studies were identified. The most common procedure simulated was laparoscopic colectomy. Assessment using performance metrics measured by the simulator such as path length moved by laparoscopic tools, procedure time and number of discrete movements had the most consistent differentiating ability between expert and non-expert cohorts. Surgeons fared similarly in proficiency scores in assessment with CS compared to assessment with traditional cadaveric or porcine models. Conclusion: CS of laparoscopic CRS may be used in assessment of proficiency using performance metrics measuring economy of movement. CS may be a viable assessment tool in advanced surgical training, but further studies should assess utility of incorporating it as a formal assessment tool in training programs. |
| first_indexed | 2025-03-09T12:13:51Z |
| format | Journal Article |
| id | ntu-10356/180344 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2025-03-09T12:13:51Z |
| publishDate | 2024 |
| record_format | dspace |
| spelling | ntu-10356/1803442024-10-02T05:14:37Z Can computerized simulation be used to assess surgical proficiency in laparoscopic colorectal surgeries? A systematic review Chang, Si Yuan Chan, Kai Siang Oo, Aung Myint Lee Kong Chian School of Medicine (LKCMedicine) Tan Tock Seng Hospital Yong Loo Lin School of Medicine, NUS Medicine, Health and Life Sciences Colorectal surgery Simulation Introduction: Computerized simulation (CS) of surgery in virtual reality (VR), augmented reality (AR) and mixed reality (MR) settings are used to teach foundational skills, but its applicability in advanced training is to be determined. This review aims to summarize the types of CS available for laparoscopic colorectal surgery (CRS) and its utility in assessment of proficiency. Methods: A systematic review of CS in laparoscopic CRS was done on PubMed, Embase, Scopus and Cochrane Library databases. Results: Eleven relevant observational studies were identified. The most common procedure simulated was laparoscopic colectomy. Assessment using performance metrics measured by the simulator such as path length moved by laparoscopic tools, procedure time and number of discrete movements had the most consistent differentiating ability between expert and non-expert cohorts. Surgeons fared similarly in proficiency scores in assessment with CS compared to assessment with traditional cadaveric or porcine models. Conclusion: CS of laparoscopic CRS may be used in assessment of proficiency using performance metrics measuring economy of movement. CS may be a viable assessment tool in advanced surgical training, but further studies should assess utility of incorporating it as a formal assessment tool in training programs. 2024-10-02T05:14:36Z 2024-10-02T05:14:36Z 2024 Journal Article Chang, S. Y., Chan, K. S. & Oo, A. M. (2024). Can computerized simulation be used to assess surgical proficiency in laparoscopic colorectal surgeries? A systematic review. Surgical Innovation, 31(2), 195-211. https://dx.doi.org/10.1177/15533506241232791 1553-3506 https://hdl.handle.net/10356/180344 10.1177/15533506241232791 38373603 2-s2.0-85186194078 2 31 195 211 en Surgical Innovation © 2024 The Author(s). All rights reserved. |
| spellingShingle | Medicine, Health and Life Sciences Colorectal surgery Simulation Chang, Si Yuan Chan, Kai Siang Oo, Aung Myint Can computerized simulation be used to assess surgical proficiency in laparoscopic colorectal surgeries? A systematic review |
| title | Can computerized simulation be used to assess surgical proficiency in laparoscopic colorectal surgeries? A systematic review |
| title_full | Can computerized simulation be used to assess surgical proficiency in laparoscopic colorectal surgeries? A systematic review |
| title_fullStr | Can computerized simulation be used to assess surgical proficiency in laparoscopic colorectal surgeries? A systematic review |
| title_full_unstemmed | Can computerized simulation be used to assess surgical proficiency in laparoscopic colorectal surgeries? A systematic review |
| title_short | Can computerized simulation be used to assess surgical proficiency in laparoscopic colorectal surgeries? A systematic review |
| title_sort | can computerized simulation be used to assess surgical proficiency in laparoscopic colorectal surgeries a systematic review |
| topic | Medicine, Health and Life Sciences Colorectal surgery Simulation |
| url | https://hdl.handle.net/10356/180344 |
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