Journal
AMERICAN JOURNAL OF SURGERY
Volume 180, Issue 3, Pages 208-211Publisher
EXCERPTA MEDICA INC
DOI: 10.1016/S0002-9610(00)00469-4
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OBJECTIVES: TO evaluate virtual reality as a laparoscopic training device in helping surgeons to automate to the fulcrum effect by comparing it to time-matched training programs using randomly alternating images (ie, y-axis inverted and normal laparoscopic) and normal laparoscopic viewing conditions. METHODS: Twenty-four participants (16 females and 8 males), were randomly assigned to minimally invasive surgery virtual reality (MIST VR), randomly alternating (between y-axis inverted and normal laparoscopic images), and normal laparoscopic imaging condition. Participants were requested to perform a 2-minute laparoscopic cutting task before and after training. RESULTS: In the test trial participants who trained on the MIST VR performed significantly better than those in the normal laparoscopic and randomly alternating imaging conditions. CONCLUSION: The results show that virtual reality training may provide faster skill acquisition with particular reference to automation of the fulcrum effect. MIST VR provides a new way of training laparoscopic psychomotor surgical skills, Am J Surg. 2000;180:208-211. (C) 2000 by Excerpta Medica, Inc.
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