Tomulescu V, Popescu I
Centrul de Chirurgie Generală şi Transplant Hepatic, Institutul Clinic Fundeni, Bucureşti.
Chirurgia (Bucur). 2004 Nov-Dec;99(6):523-7.
The aim of this study is to establish if the results obtained in the evaluation of the candidates for the laparoscopic surgery competence using the LapSim virtual reality simulator are comparable with intraoperative evaluation. For this study has been evaluated in front of the LapSim and in the operating room a number of 12 surgeons who have achieved the criteria for laparoscopic surgery competence evaluation. The results of any one of the candidates have been evaluated, on Lapsim and by the exam committee in the operation room relating to four criteria: (1) utilization of 300 camera; (2) manipulation and coordination of laparoscopic instruments, suturing; (3) grasping and cutting; (4) clip applying. The evaluation has been made relating to the time need for every candidate to perform the asked task, and the subjective evaluation of the examining committee with marks from 1 to 10. The LapSim evaluation, in concordance with intraoperative evaluation managed to establish 2 candidates with deficiency in manipulation and coordination of laparoscopic instruments, and difficulty in the laparoscopic bidimensional field orientation. We consider this experiment only the beginning in the evaluation of the utility of virtual reality simulator in the training and examination of the results in laparoscopic surgery. We consider that large series of subjects with different levels of knowledge in laparoscopic surgery have to be evaluated to conclude if the benefit of laparoscopic surgery virtual reality simulator is the same as in airplane pilots.
本研究的目的是确定使用LapSim虚拟现实模拟器对腹腔镜手术能力候选人进行评估所获得的结果是否与术中评估结果具有可比性。在本研究中，对12名达到腹腔镜手术能力评估标准的外科医生在LapSim前和手术室进行了评估。对任何一名候选人的结果，在LapSim上以及由手术室的考试委员会根据以下四个标准进行了评估：（1）300摄像头的使用；（2）腹腔镜器械的操作与协调、缝合；（3）抓取与切割；（4）夹闭应用。评估涉及每位候选人完成所要求任务所需的时间，以及考试委员会从1到10分的主观评价。与术中评估一致，LapSim评估确定了2名在腹腔镜器械操作与协调方面存在不足以及在腹腔镜二维视野定向方面存在困难的候选人。我们认为这个实验仅仅是评估虚拟现实模拟器在腹腔镜手术培训和结果检查中的效用的开端。我们认为必须对大量具有不同腹腔镜手术知识水平的受试者进行评估，以确定腹腔镜手术虚拟现实模拟器的益处是否与飞机飞行员的相同。
