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The development of laparoscopic skills using virtual reality simulations: A systematic review

Author

Listed:
  • João Victor Taba
  • Vitor Santos Cortez
  • Walter Augusto Moraes
  • Leandro Ryuchi Iuamoto
  • Wu Tu Hsing
  • Milena Oliveira Suzuki
  • Fernanda Sayuri do Nascimento
  • Leonardo Zumerkorn Pipek
  • Vitoria Carneiro de Mattos
  • Eugênia Carneiro D’Albuquerque
  • Luiz Augusto Carneiro-D’Albuquerque
  • Alberto Meyer
  • Wellington Andraus

Abstract

Background: Teaching based on virtual reality simulators in medicine has expanded in recent years due to the limitations of more traditional methods, especially for surgical procedures such as laparoscopy. Purpose of review: To analyze the effects of using virtual reality simulations on the development of laparoscopic skills in medical students and physicians. Data sources: The literature screening was done in April 2020 through Medline (PubMed), EMBASE and Database of the National Institute of Health. Eligibility criteria: Randomized clinical trials that subjected medical students and physicians to training in laparoscopic skills in virtual reality simulators. Study appraisal: Paired reviewers independently identified 1529 articles and included 7 trials that met the eligibility criteria. Findings: In all studies, participants that trained in virtual simulators showed improvements in laparoscopic skills, although the articles that also had a physical model training group did not show better performance of one model compared to the other. Limitations: No article beyond 2015 met the eligibility criteria, and the analyzed simulators have different versions and models, which might impact the results. Conclusion: Virtual reality simulators are useful educational tools, but do not show proven significant advantages over traditional models. The lack of standardization and a scarcity of articles makes comparative analysis between simulators difficult, requiring more research in the area, according to the model suggested in this review. Systematic review registration number: Registered by the Prospective Register of Systematic Reviews (PROSPERO), identification code CRD42020176479.

Suggested Citation

  • João Victor Taba & Vitor Santos Cortez & Walter Augusto Moraes & Leandro Ryuchi Iuamoto & Wu Tu Hsing & Milena Oliveira Suzuki & Fernanda Sayuri do Nascimento & Leonardo Zumerkorn Pipek & Vitoria Carn, 2021. "The development of laparoscopic skills using virtual reality simulations: A systematic review," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-21, June.
    • Handle: RePEc:plo:pone00:0252609
    DOI: 10.1371/journal.pone.0252609
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    1. Benjamin Speich & Nadine Schur & Dmitry Gryaznov & Belinda von Niederhäusern & Lars G Hemkens & Stefan Schandelmaier & Alain Amstutz & Benjamin Kasenda & Christiane Pauli-Magnus & Elena Ojeda-Ruiz & Y, 2019. "Resource use, costs, and approval times for planning and preparing a randomized clinical trial before and after the implementation of the new Swiss human research legislation," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-16, January.
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