A2 Review article, Literature review, Systematic review
Kirurgisten taitojen oppiminen leikkaussimulaattorin avulla : esimerkkinä laparoskooppinen sappirakon poisto (2011)
Training surgical skills with computer-based virtual reality simulators

Antikainen, T., Silvennoinen, M., Scheinin, T., Isojärvi, J., Mäkinen, E., & Ikonen, T. (2011). Kirurgisten taitojen oppiminen leikkaussimulaattorin avulla : esimerkkinä laparoskooppinen sappirakon poisto. Suomen lääkärilehti, 7(66), 553-559. https://www.laakarilehti.fi/tieteessa/katsausartikkeli/kirurgisten-taitojen-oppiminen-leikkaussimulaattorin-avulla/

JYU authors or editors

Publication details

All authors or editors: Antikainen, Teuvo; Silvennoinen, Minna; Scheinin, Tom; Isojärvi, Jaana; Mäkinen, Eeva; Ikonen, Tuija

Journal or series: Suomen lääkärilehti

ISSN: 0039-5560

eISSN: 2489-7434

Publication year: 2011

Volume: 7

Issue number: 66

Pages range: 553-559

Publisher: Suomen lääkäriliitto

Publication country: Finland

Publication language: Finnish

Persistent website address: https://www.laakarilehti.fi/tieteessa/katsausartikkeli/kirurgisten-taitojen-oppiminen-leikkaussimulaattorin-avulla/

Publication open access: Openly available

Publication channel open access: Delayed open access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/93178

Additional information: HALO-katsaus

Abstract

Background -- Simulators are widely used for educational purposes in many occupations where practice in authentic environments would involve high human or economic risks (e.g. aviation, nuclear power energy production). Several potentially harmful medical procedures can be simulated by increasingly complex and at the same time more expensive techniques and equipment. This review gives an update on computer-based virtual reality (VR) simulators and their use in training for laparoscopic cholecystectomies. Methods -- A systematic literature review involved gathering relevant publications from leading databases (Medline, Cochrane, Embase). We accepted randomized or controlled trials and the newest systematic reviews (ASERNIP-S 2007). Results -- Research on the use of simulators for training laparoscopic cholecystectomies is scant. In addition to three studies reported in the ASERNIP-S review, five randomized trials involving VR-stimulators were analysed. Furthermore, seven studies comparing black boxes and simulators were included. The results indicated simulator training to be beneficial to novice surgeons. Novices seemed to be able to perform their first real patient cholecystectomies with fewer errors. There are no publications that provide clinical follow-up data following the use of simulators. The computer-based simulators enabled data from training sessions to be stored for later evaluation or monitoring purposes. Even though more independent training with these simulators is possible, optimal learning requires skills training to be conducted as part of a systematic training program. No data on the cost-benefit of simulators exist. In Finland, the price of a VR-simulator begins at EUR 60 000. Conclusions -- The theoretical background to learning supports the use of simulators, while the limited research data available also support their use in the early phases of surgical training. The cost of buying and using simulators is justified if the risk of injuries and complications to patients can be reduced. Developing surgical skills requires repeated training, something made possible by simulators. In order to achieve optimal learning a validated training programme is needed.

Keywords: medical doctors; education and training; surgical treatment; endoscopic operations; simulation training; simulators; learning; learning results; systematic reviews

Contributing organizations

Ministry reporting: Yes

VIRTA submission year: 2011

Preliminary JUFO rating: Not rated