Hart Roger, Karthigasu Krishnan
UWA School of Women's and Infants' Health, University of Western Australia, King Edward Memorial Hospital, Subiaco, Perth, Western Australia, Australia.
Curr Opin Obstet Gynecol. 2007 Aug;19(4):297-302. doi: 10.1097/GCO.0b013e328216f5b7.
Virtual reality is a computer-generated system that provides a representation of an environment. This review will analyse the literature with regard to any benefit to be derived from training with virtual reality equipment and to describe the current equipment available.
Virtual reality systems are not currently realistic of the live operating environment because they lack tactile sensation, and do not represent a complete operation. The literature suggests that virtual reality training is a valuable learning tool for gynaecologists in training, particularly those in the early stages of their careers. Furthermore, it may be of benefit for the ongoing audit of surgical skills and for the early identification of a surgeon's deficiencies before operative incidents occur. It is only a matter of time before realistic virtual reality models of most complete gynaecological operations are available, with improved haptics as a result of improved computer technology.
It is inevitable that in the modern climate of litigation virtual reality training will become an essential part of clinical training, as evidence for its effectiveness as a training tool exists, and in many countries training by operating on live animals is not possible.
虚拟现实是一种计算机生成的系统,可提供对环境的模拟。本综述将分析有关使用虚拟现实设备进行训练所带来的益处的文献,并描述当前可用的设备。
目前虚拟现实系统无法真实模拟实际手术环境,因为它们缺乏触觉感受,且不能呈现完整的手术过程。文献表明,虚拟现实训练对于妇科住院医师而言是一种有价值的学习工具,尤其是处于职业生涯早期的医师。此外,它可能有助于持续评估手术技能,并在手术事故发生前尽早发现外科医生的不足之处。随着计算机技术的改进,具备更完善触觉的、模拟大多数完整妇科手术的逼真虚拟现实模型出现只是时间问题。
在现代诉讼环境下,虚拟现实训练必然会成为临床培训的重要组成部分,因为有证据表明其作为训练工具是有效的,而且在许多国家,对活体动物进行手术训练是不可能的。