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Transferability of laparoscopic skills using the virtual reality simulator

Overview of attention for article published in Surgical Endoscopy, March 2018
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Title
Transferability of laparoscopic skills using the virtual reality simulator
Published in
Surgical Endoscopy, March 2018
DOI 10.1007/s00464-018-6156-6
Pubmed ID
Authors

Cui Yang, Uljana Kalinitschenko, Jens R. Helmert, Juergen Weitz, Christoph Reissfelder, Soeren Torge Mees

Abstract

Skill transfer represents an important issue in surgical education, and is not well understood. The aim of this randomized study is to assess the transferability of surgical skills between two laparoscopic abdominal procedures using the virtual reality simulator in surgical novices. From September 2016 to July 2017, 44 surgical novices were randomized into two groups and underwent a proficiency-based basic training consisting of five selected simulated laparoscopic tasks. In group 1, participants performed an appendectomy training on the virtual reality simulator until they reached a defined proficiency. They moved on to the tutorial procedural tasks of laparoscopic cholecystectomy. Participants in group 2 started with the tutorial procedural tasks of laparoscopic cholecystectomy directly. Finishing the training, participants of both groups were required to perform a complete cholecystectomy on the simulator. Time, safety and economy parameters were analysed. Significant differences in the demographic characteristics and previous computer games experience between the two groups were not noted. Both groups took similar time to complete the proficiency-based basic training. Participants in group 1 needed significantly less movements (388.6 ± 98.6 vs. 446.4 ± 81.6; P < 0.05) as well as shorter path length (810.2 ± 159.5 vs. 945.5 ± 187.8 cm; P < 0.05) to complete the cholecystectomy compared to group 2. Time and safety parameters did not differ significantly between both groups. The data demonstrate a positive transfer of motor skills between laparoscopic appendectomy and cholecystectomy on the virtual reality simulator; however, the transfer of cognitive skills is limited. Separate training curricula seem to be necessary for each procedure for trainees to practise task-specific cognitive skills effectively. Mentoring could help trainees to get a deeper understanding of the procedures, thereby increasing the chance for the transfer of acquired skills.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 129 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 129 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 14 11%
Student > Doctoral Student 13 10%
Student > Bachelor 12 9%
Student > Master 10 8%
Researcher 7 5%
Other 22 17%
Unknown 51 40%
Readers by discipline Count As %
Medicine and Dentistry 32 25%
Computer Science 8 6%
Engineering 5 4%
Psychology 4 3%
Nursing and Health Professions 4 3%
Other 16 12%
Unknown 60 47%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 September 2018.
All research outputs
#17,939,682
of 23,035,022 outputs
Outputs from Surgical Endoscopy
#4,422
of 6,111 outputs
Outputs of similar age
#239,401
of 329,482 outputs
Outputs of similar age from Surgical Endoscopy
#64
of 84 outputs
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So far Altmetric has tracked 6,111 research outputs from this source. They receive a mean Attention Score of 4.1. This one is in the 21st percentile – i.e., 21% of its peers scored the same or lower than it.
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We're also able to compare this research output to 84 others from the same source and published within six weeks on either side of this one. This one is in the 19th percentile – i.e., 19% of its contemporaries scored the same or lower than it.