State of the Evidence on Simulation-Based Training for Laparoscopic Surgery: A Systematic Review

@article{Zendejas2013StateOT,
  title={State of the Evidence on Simulation-Based Training for Laparoscopic Surgery: A Systematic Review},
  author={Benjamin Zendejas and Ryan Brydges and Stanley J. Hamstra and David A. Cook},
  journal={Annals of Surgery},
  year={2013},
  volume={257},
  pages={586–593}
}
OBJECTIVE Summarize the outcomes and best practices of simulation training for laparoscopic surgery. [] Key Method We used random effects to pool effect sizes. RESULTS From 10,903 articles screened, we identified 219 eligible studies enrolling 7138 trainees, including 91 (42%) randomized trials.
Transferability of Simulation-Based Training in Laparoscopic Surgeries: A Systematic Review
TLDR
Simulation provides a safe, effective, and ethical way for residents to acquire surgical skills before entering the operating room, and simulation-trained participants showed superiority in surgical performance in comparison with untrained surgeons.
Development of an evidence-based training program for laparoscopic hysterectomy on a virtual reality simulator
TLDR
The VR program for LH accrued validity evidence and allowed the development of an evidence-based and stepwise training curriculum using a structured scientific methodology.
Off-site training of laparoscopic skills, a scoping review using a thematic analysis
TLDR
Directed self-regulated learning has the potential to improve off-site laparoscopic skills training; however, further studies are needed to demonstrate the effect of this type of instructional design.
Virtual reality simulation training in endoscopy: a Cochrane review and meta-analysis.
TLDR
Virtual reality simulation training is advantageous over no training and can supplement conventional endoscopy training and there is insufficient evidence that simulation training provides benefit over conventional training.
A Systematic Review of the Educational Effectiveness of Simulation Used in Open Surgery
TLDR
Overall, the use of the simulators was more educationally effective compared with standard teaching of the skill without a simulator (P < 0.05).
SIMULATION BASED TRAINING IMPROVES LAPAROSCOPIC SURGICAL SKILLS IN TRAINEE SURGEONS
TLDR
This study demonstrated significantly improved levels of performance for all skill sets for novicesurgical residents trained on LAP Sim for minimally invasive surgical procedures.
The Implementation Gap in Laparoscopic Simulation Training
TLDR
An implementation gap in laparoscopic simulation-based training still exists in Scandinavia, and research in medical education has moved from demonstrating transferability of simulation training to the operating room to how to best implement it.
Surgical skills simulation: a shift in the conversation.
TLDR
The skills laboratory is identified as the appropriate environment for laparoscopic skills acquisition and those who doubt the benefit of simulation-based laparoscope training are silenced.
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TLDR
Skills acquired by simulation-based training seem to be transferable to the operative setting and more studies are required to strengthen the evidence base and to provide the evidence needed to determine the extent to which simulation should become a part of surgical training programs.
Surgical Simulation: A Systematic Review
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While there may be compelling reasons to reduce reliance on patients, cadavers, and animals for surgical training, none of the methods of simulated training has yet been shown to be better than other forms of surgical training.
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Additional mental training is an effective way of optimizing the outcomes of further training for laparoscopic cholecystectomy and is associated with fewer costs and with better outcomes in some crucial assessment scales than additional practical training.
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It is demonstrated that a simulator is useful for acquiring psychomotor skills, but does not immediately enable clinical performance of an operation.
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