2D Versus 3D Laparoscopic Training on a Virtual Reality Simulator

NCT ID: NCT02361463

Last Updated: 2018-10-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-28

Study Completion Date

2015-08-31

Brief Summary

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Laparoscopy training programs with virtual reality simulators are widely used before new surgeons are allowed to operate on patients. Laparoscopic surgery results in shorter time to recover, less surgical trauma and thereby a shorter stay at the hospital compared with open surgery. However, it is more difficult to learn laparoscopic surgery, than open surgery, in part because surgeons have to work in a 3-dimensional space, through a 2-dimensional interface on a screen. This results in loss of depth perception and therefore a higher visual and cognitive load. This trial examines if using 3D vision instead of 2D vision on the laparoscopic virtual reality simulator reduces the time to reach proficiency, by decreasing the cognitive and visual load during practice on a Virtual Reality Simulator.

Detailed Description

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Conditions

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Stereoscopic Vision

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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3D group

Will practice under 3D vision conditions on a laparoscopic virtual reality simulator

Group Type EXPERIMENTAL

3D vision

Intervention Type DEVICE

Laparoscopic simulator training to proficiency under 3D conditions

2D group

Will practice under 2D vision conditions on a laparoscopic virtual reality simulator

Group Type ACTIVE_COMPARATOR

2D vision

Intervention Type DEVICE

Laparoscopic simulator training to proficiency under 2D conditions

Interventions

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3D vision

Laparoscopic simulator training to proficiency under 3D conditions

Intervention Type DEVICE

2D vision

Laparoscopic simulator training to proficiency under 2D conditions

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Residents working in Denmark. Participants are required to have a medical license and provide informed consent before inclusion

Exclusion Criteria

1. Participation in prior studies involving laparoscopic training.
2. Experience with laparoscopy surgery (having performed minimum one laparoscopic procedure as primary surgeon, including supervised procedures).
3. Performing more than 3 supervised laparoscopy surgeries during the intervention.
4. Performing laparoscopy surgery between the intervention and the retention test 3-6 weeks after.
5. No informed consent.
6. Does not speak Danish on a conversational level.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Rigshospitalet, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Stine Maya Dreier Sørensen

Master student / B.M.Sc.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Stine Maya Dreier Sørensen, B.M.Sc.

Role: PRINCIPAL_INVESTIGATOR

Centre for Clinical Education

Locations

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Centre for Clinical Education

Copenhagen, , Denmark

Site Status

Countries

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Denmark

References

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Lusch A, Bucur PL, Menhadji AD, Okhunov Z, Liss MA, Perez-Lanzac A, McDougall EM, Landman J. Evaluation of the impact of three-dimensional vision on laparoscopic performance. J Endourol. 2014 Feb;28(2):261-6. doi: 10.1089/end.2013.0344. Epub 2014 Jan 10.

Reference Type BACKGROUND
PMID: 24059674 (View on PubMed)

Votanopoulos K, Brunicardi FC, Thornby J, Bellows CF. Impact of three-dimensional vision in laparoscopic training. World J Surg. 2008 Jan;32(1):110-8. doi: 10.1007/s00268-007-9253-6.

Reference Type BACKGROUND
PMID: 17992561 (View on PubMed)

Smith R, Schwab K, Day A, Rockall T, Ballard K, Bailey M, Jourdan I. Effect of passive polarizing three-dimensional displays on surgical performance for experienced laparoscopic surgeons. Br J Surg. 2014 Oct;101(11):1453-9. doi: 10.1002/bjs.9601. Epub 2014 Aug 18.

Reference Type BACKGROUND
PMID: 25131843 (View on PubMed)

Alaraimi B, El Bakbak W, Sarker S, Makkiyah S, Al-Marzouq A, Goriparthi R, Bouhelal A, Quan V, Patel B. A randomized prospective study comparing acquisition of laparoscopic skills in three-dimensional (3D) vs. two-dimensional (2D) laparoscopy. World J Surg. 2014 Nov;38(11):2746-52. doi: 10.1007/s00268-014-2674-0.

Reference Type BACKGROUND
PMID: 25002241 (View on PubMed)

Wilhelm D, Reiser S, Kohn N, Witte M, Leiner U, Muhlbach L, Ruschin D, Reiner W, Feussner H. Comparative evaluation of HD 2D/3D laparoscopic monitors and benchmarking to a theoretically ideal 3D pseudodisplay: even well-experienced laparoscopists perform better with 3D. Surg Endosc. 2014 Aug;28(8):2387-97. doi: 10.1007/s00464-014-3487-9. Epub 2014 Mar 21.

Reference Type BACKGROUND
PMID: 24651895 (View on PubMed)

Cicione A, Autorino R, Breda A, De Sio M, Damiano R, Fusco F, Greco F, Carvalho-Dias E, Mota P, Nogueira C, Pinho P, Mirone V, Correia-Pinto J, Rassweiler J, Lima E. Three-dimensional vs standard laparoscopy: comparative assessment using a validated program for laparoscopic urologic skills. Urology. 2013 Dec;82(6):1444-50. doi: 10.1016/j.urology.2013.07.047. Epub 2013 Oct 2.

Reference Type BACKGROUND
PMID: 24094658 (View on PubMed)

Mistry M, Roach VA, Wilson TD. Application of stereoscopic visualization on surgical skill acquisition in novices. J Surg Educ. 2013 Sep-Oct;70(5):563-70. doi: 10.1016/j.jsurg.2013.04.006. Epub 2013 May 20.

Reference Type BACKGROUND
PMID: 24016365 (View on PubMed)

Sorensen SMD, Konge L, Bjerrum F. 3D vision accelerates laparoscopic proficiency and skills are transferable to 2D conditions: A randomized trial. Am J Surg. 2017 Jul;214(1):63-68. doi: 10.1016/j.amjsurg.2017.03.001. Epub 2017 Mar 9.

Reference Type DERIVED
PMID: 28302275 (View on PubMed)

Other Identifiers

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2015-001

Identifier Type: -

Identifier Source: org_study_id

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