Springer Nature
Surgical Endoscopy and Other Interventional Techniques
,  volume 38 ,  issue 5 ,  pages 2900-2910

The development of tissue handling skills is sufficient and comparable after training in virtual reality or on a surgical robotic system: a prospective randomized trial

Felix Von Bechtolsheim 1, 2
, 
Andreas Franz 1
, 
Sofia Schmidt 1
, 
Alfred Schneider 1
, 
Felicitas La Rosée 1
, 
Olga Radulova-Mauersberger 1
, 
Grit Krause-Jüttler 1, 2
, 
Anja Hümpel 3
, 
Sebastian Bodenstedt 4
, 
Stefanie Speidel 4
, 
Jürgen Weitz 1, 2, 3
, 
Marius Distler 1, 2
, 
Florian Oehme 1
1
 
2
 
3
 
National Center for Tumor Diseases (NCT/UCC), Dresden, Germany | 
4
 
Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC Dresden), Dresden, Germany | 
Publication type: Journal Article
Publication date: 2024-04-17
Springer Nature
scimago Q1
wos Q1
SJR: 1.023
CiteScore: 5.7
Impact factor: 2.7
ISSN: 09302794, 14322218
Abstract
Background

Virtual reality is a frequently chosen method for learning the basics of robotic surgery. However, it is unclear whether tissue handling is adequately trained in VR training compared to training on a real robotic system.

Methods

In this randomized controlled trial, participants were split into two groups for “Fundamentals of Robotic Surgery (FRS)” training on either a DaVinci VR simulator (VR group) or a DaVinci robotic system (Robot group). All participants completed four tasks on the DaVinci robotic system before training (Baseline test), after proficiency in three FRS tasks (Midterm test), and after proficiency in all FRS tasks (Final test). Primary endpoints were forces applied across tests.

Results

This trial included 87 robotic novices, of which 43 and 44 participants received FRS training in VR group and Robot group, respectively. The Baseline test showed no significant differences in force application between the groups indicating a sufficient randomization. In the Midterm and Final test, the force application was not different between groups. Both groups displayed sufficient learning curves with significant improvement of force application. However, the Robot group needed significantly less repetitions in the three FRS tasks Ring tower (Robot: 2.48 vs. VR: 5.45; p < 0.001), Knot Tying (Robot: 5.34 vs. VR: 8.13; p = 0.006), and Vessel Energy Dissection (Robot: 2 vs. VR: 2.38; p = 0.001) until reaching proficiency.

Conclusion

Robotic tissue handling skills improve significantly and comparably after both VR training and training on a real robotic system, but training on a VR simulator might be less efficient.

Found 
Found 

Top-30

Journals

1
2
3
Journal of Robotic Surgery
Journal of Robotic Surgery, 3, 60%
Journal of Robotic Surgery
3 publications, 60%
Biomimetics
Biomimetics, 1, 20%
Biomimetics
1 publication, 20%
AME Surgical Journal
AME Surgical Journal, 1, 20%
AME Surgical Journal
1 publication, 20%
1
2
3

Publishers

1
2
3
Springer Nature
Springer Nature, 3, 60%
Springer Nature
3 publications, 60%
MDPI
MDPI, 1, 20%
MDPI
1 publication, 20%
AME Publishing Company
AME Publishing Company, 1, 20%
AME Publishing Company
1 publication, 20%
1
2
3
  • We do not take into account publications without a DOI.
  • Statistics recalculated weekly.

Are you a researcher?

Create a profile to get free access to personal recommendations for colleagues and new articles.
Metrics
5
Share
Cite this
GOST |
Cite this
GOST Copy
Von Bechtolsheim F. et al. The development of tissue handling skills is sufficient and comparable after training in virtual reality or on a surgical robotic system: a prospective randomized trial // Surgical Endoscopy and Other Interventional Techniques. 2024. Vol. 38. No. 5. pp. 2900-2910.
GOST all authors (up to 50) Copy
Von Bechtolsheim F., Franz A., Schmidt S., Schneider A., La Rosée F., Radulova-Mauersberger O., Krause-Jüttler G., Hümpel A., Bodenstedt S., Speidel S., Weitz J., Distler M., Oehme F. The development of tissue handling skills is sufficient and comparable after training in virtual reality or on a surgical robotic system: a prospective randomized trial // Surgical Endoscopy and Other Interventional Techniques. 2024. Vol. 38. No. 5. pp. 2900-2910.
RIS |
Cite this
RIS Copy
TY - JOUR
DO - 10.1007/s00464-024-10842-7
UR - https://link.springer.com/10.1007/s00464-024-10842-7
TI - The development of tissue handling skills is sufficient and comparable after training in virtual reality or on a surgical robotic system: a prospective randomized trial
T2 - Surgical Endoscopy and Other Interventional Techniques
AU - Von Bechtolsheim, Felix
AU - Franz, Andreas
AU - Schmidt, Sofia
AU - Schneider, Alfred
AU - La Rosée, Felicitas
AU - Radulova-Mauersberger, Olga
AU - Krause-Jüttler, Grit
AU - Hümpel, Anja
AU - Bodenstedt, Sebastian
AU - Speidel, Stefanie
AU - Weitz, Jürgen
AU - Distler, Marius
AU - Oehme, Florian
PY - 2024
DA - 2024/04/17
PB - Springer Nature
SP - 2900-2910
IS - 5
VL - 38
PMID - 38632120
SN - 0930-2794
SN - 1432-2218
ER -
BibTex |
Cite this
BibTex (up to 50 authors) Copy
@article{2024_Von Bechtolsheim,
author = {Felix Von Bechtolsheim and Andreas Franz and Sofia Schmidt and Alfred Schneider and Felicitas La Rosée and Olga Radulova-Mauersberger and Grit Krause-Jüttler and Anja Hümpel and Sebastian Bodenstedt and Stefanie Speidel and Jürgen Weitz and Marius Distler and Florian Oehme},
title = {The development of tissue handling skills is sufficient and comparable after training in virtual reality or on a surgical robotic system: a prospective randomized trial},
journal = {Surgical Endoscopy and Other Interventional Techniques},
year = {2024},
volume = {38},
publisher = {Springer Nature},
month = {apr},
url = {https://link.springer.com/10.1007/s00464-024-10842-7},
number = {5},
pages = {2900--2910},
doi = {10.1007/s00464-024-10842-7}
}
MLA
Cite this
MLA Copy
Von Bechtolsheim, Felix, et al. “The development of tissue handling skills is sufficient and comparable after training in virtual reality or on a surgical robotic system: a prospective randomized trial.” Surgical Endoscopy and Other Interventional Techniques, vol. 38, no. 5, Apr. 2024, pp. 2900-2910. https://link.springer.com/10.1007/s00464-024-10842-7.