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Virtual Reality as an Affirmative Spin-Off to Laparoscopic Training: An Updated Review.
Ketan Kantamaneni1,2, Krishi Jalla3, Mahvish Renzu4
1General Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Cureus
|September 20, 2021
Summary
Virtual Reality (VR) training significantly enhances surgical skills acquisition and retention for laparoscopic procedures. Incorporating instructor feedback, deliberate practice, and haptics optimizes VR training outcomes for surgeons.
Area of Science:
- Medical Education
- Surgical Training
- Virtual Reality Applications
Background:
- Surgical techniques have advanced from open procedures to minimally invasive laparoscopic surgery.
- Laparoscopic surgery presents challenges such as lack of tactile feedback and the fulcrum effect.
- Current surgeon training methods for advanced laparoscopic skills remain largely conventional.
Purpose of the Study:
- To review strategies for effective Virtual Reality (VR) training in laparoscopic surgery.
- To identify factors influencing skill acquisition and retention in VR surgical simulations.
- To assess the efficacy of VR as a training modality compared to traditional methods.
Main Methods:
- A comprehensive literature search was conducted across PubMed, EMBASE, and Cochrane Library (CENTRAL) databases.
- Data from the past ten years, including various study types, were included.
- A rigorous filtering process, including manual exclusion of irrelevant studies, resulted in 35 included articles.
Main Results:
- Virtual Reality (VR) is an effective training modality for laparoscopic surgery, improving accuracy, speed, and surgeon confidence.
- Key factors for maximizing VR training effectiveness include instructor feedback, deliberate practice, and early integration of haptics.
- VR training also enhances multitasking abilities in the operating room (OR).
Conclusions:
- Virtual Reality (VR) offers promising outcomes for surgical training, enhancing surgeon performance and confidence.
- Specific training strategies like feedback, deliberate practice, and haptics are crucial for optimal VR training.
- Further research is needed to compare VR training with cheaper alternatives like box trainers.

