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Virtually Competent: A Comparative Analysis of Virtual Reality and Dry-Lab Robotic Simulation Training

机译:几乎能力:虚拟现实和干燥实验机器人仿真训练的比较分析

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Background: Virtual reality (VR) and dry-lab simulation have been widely validated for robotic surgical training. Both modalities are used during the early stages of the learning curve, yet, no comparative analysis of the two modalities has been undertaken. This study compares the effectiveness of VR and dry-lab simulation for basic robotic surgical skill training.Methods: A comparative study of 43 robotic novices was undertaken at two centers in the United Kingdom and Italy. Participants were allocated to either VR or dry-lab simulation and completed a robotic simulation training program. On completion, all participants were assessed by performing a urethrovesical anastomosis on a synthetic model. Technical proficiency was measured by two trained raters using the Global Evaluative Assessment of Robotic Skills (GEARS) tool. All participants completed a qualitative posttraining assessment questionnaire.Results: Baseline characteristics were equal between the two groups. Both VR and dry-lab training led to a significant improvement in technical proficiency. Overall mean GEARS scores increased by 5.6 and 2.5 following dry-lab and VR simulation training, respectively (p?=?0.034). Dry-lab training showed significantly greater improvements than VR simulation, but only after the third training session. Both techniques were highly rated by participants.Conclusions: Both VR and dry-lab simulation were effective in improving robotic surgical skill but were not equal. For more advanced skill training, dry-lab training was found to be superior to VR simulation. Dry-lab training offers specific benefits to robotic surgical training and should remain a principal component of the simulation curriculum.
机译:背景:虚拟现实(VR)和干燥实验模拟已被广泛验证用于机器人外科训练。在学习曲线的早期阶段期间,两种方式都使用,但没有对两种方式进行的比较分析。该研究比较了VR和干燥实验室模拟对基础机器人外科技能培训的有效性。方法:在英国和意大利的两个中心进行了43个机器人新手的比较研究。参与者被分配给VR或Dist-Lab仿真,并完成了机器人仿真培训计划。完成后,通过对合成模型进行尿道吻合术来评估所有参与者。技术熟练程度由两个培训的评估者使用全球评估机器人技巧(齿轮)工具来衡量。所有参与者完成了定性的发布评估问卷。结果:两组之间的基线特征是平等的。 VR和Dist-Lab培训均导致技术熟练程度的显着提高。在干燥实验室和VR模拟训练中,总体平均齿轮分数分别增加5.6和2.5(P?= 0.034)。干燥实验室培训显着提高了比VR仿真更大,但只有在第三次培训课程之后。这两种技术都受到参与者的高度评价。链接:VR和DRED实验室模拟既有效改善机器人外科技能,但不等于。对于更先进的技能培训,发现干实验室培训优于VR模拟。干燥实验室培训为机器人外科培训提供了特定的好处,并应仍然是模拟课程的主要成分。

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