A narrative review on databases such as EMBASE, MEDLINE, PsycINFO, and Cochrane was conducted using OVID. This resulted in 15 randomized controlled trials and 5 cohort studies on procedural VR training. Their team found in 10 studies, procedural VR training groups had a significantly better outcome compared a control group (3 in VR, 2 in porcine models, 4 with live patients in the OR, 1 with a model in the OR).
When comparing procedural VR to other types of simulation training, there was one study that showed a better outcome for procedural VR when compared to Box training. Six studies showed there was no difference between procedural VR and another type of simulation (Box, model, and basic VR training). Four studies showed better outcomes for other types of simulation training (Box, Basic VR, and Cadaver training).
Basic versus procedural VR was compared in only three studies. One study showed there was no difference between the two VR trainings. Another study found basic VR training had better outcomes than procedural VR training. Lastly, one study found that residents performed better on a procedural VR module if they preformed basic VR tasks prior to the procedural training.
In conclusion, Mr. Harrison and his team determined procedural VR training may be more effective for those who have already acquired basic surgical skills from either basic VR, benchtop models, or another type of simulation training. He proposed a future direction for this study could be to investigate both basic and procedural VR simulation to determine when a trainee surgeon will gain the most from procedural VR training.
Presented by: Patrick Harrison
Authors: Patrick Harrison, Nicholas Raison, Kamran Ahmed, MBBS, MRCS, PhD, FRCS Urol, Takashige Abe, MD/PhD
Affiliation: MRC Centre for Transplatation, Kings College London, London, England, UK, Department of Urology, Guy’s and St. Thomas’ NHS Foundation Trust, King’s Health Partners, London, UK, Hokkaido University Hospital, Sapporo, Japan
Written by Cyrus Lin, Department of Urology, University of California-Irvine at 35th World Congress of Endourology– September 12-16, 2017, Vancouver, Canada.