PD58-10 VIRTUALLY COMPETENT: A COMPARATIVE ANALYSIS OF VIRTUAL REALITY AND DRY-LAB ROBOTIC SIMULATION TRAINING

Abstract

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment II1 Apr 2018PD58-10 VIRTUALLY COMPETENT: A COMPARATIVE ANALYSIS OF VIRTUAL REALITY AND DRY-LAB ROBOTIC SIMULATION TRAINING Nicholas Raison, Andrea Gavazzi, Takashige Abe, Kamran Ahmed, and Prokar Dasgupta Nicholas RaisonNicholas Raison More articles by this author , Andrea GavazziAndrea Gavazzi More articles by this author , Takashige AbeTakashige Abe More articles by this author , Kamran AhmedKamran Ahmed More articles by this author , and Prokar DasguptaProkar Dasgupta More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2798AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES 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 compared VR and dry-lab simulation for basic and intermediate robotic surgical skill training. METHODS A comparative study of 43 robotic novices was undertaken at two centres in the UK and Italy. Participants were allocated to either VR or dry-lab simulation and all completed an equivalent three-session training programme. This consisted of basic robot skills training followed by intracorporeal suturing. On completion of the programme 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 post-training assessment questionnaire. RESULTS Baseline characteristics were equal between the two groups. As a result of the training, mean GEARS scores increased by 5.6 and 2.5 following dry-lab and VR simulation training respectively. This difference in training outcomes was confirmed by repeated measures ANOVA. An overall significant difference in training effects was found between the two training modalities across the three training sessions (p= 0.034). On individual analysis of session outcomes, a difference in training only reached significant after the third training session when a more complex task was attempted (Table 2). However, whilst dry-lab training shows a progressive rise in GEARS score across the session, this effect is far less pronounced with the VR training. CONCLUSIONS Both VR and dry-lab simulation were effective in improving robotic surgical skill but they were not equivalent. For more advanced skills training, dry-lab training was found to be superior to VR simulation. Dry-lab training offers significant benefits to robotic surgical training and should remain a core component of the robotic training curriculum. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1137 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Nicholas Raison More articles by this author Andrea Gavazzi More articles by this author Takashige Abe More articles by this author Kamran Ahmed More articles by this author Prokar Dasgupta More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...