Unal Yunus Can, Adanas Cihan, Kaya Sehmuz, Ozkan Sezai, Ismailov Ulan
Department of Orthopedics and Traumatology, University of Health Sciences Van Training and Research Hospital, Van, Turkey.
Department of Orthopedics and Traumatology, Faculty of Medicine Van Yuzuncu Yil University, Van, Turkey.
Medicine (Baltimore). 2024 Nov 22;103(47):e40615. doi: 10.1097/MD.0000000000040615.
Is it possible for a low-volume surgeon to enhance their surgical skills without performing actual surgeries by utilizing virtual reality headsets and emerging technologies? It has been observed that the time spent by surgical assistants in the operating room decreased after the post-shift leave regulation. In the literature, the use of virtual reality simulations as a support tool in surgical training is recommended. Although the efficacy of virtual reality surgical simulations in surgeries such as arthroscopy and laparoscopy has been proven, there are limited studies on their effect in open surgeries. In this study, 20 orthopedic and traumatology residents with no experience in primary total knee arthroplasty were divided into 2 groups. One group was prepared for surgery using surgical simulation with virtual reality headsets, while the other group was prepared for surgery with traditional methods. The actual surgical performance of the participants was evaluated with the Objective Structured Scale of Technical Skills (OSATS) surgical skills scale. It was observed that the virtual reality group was more successful in the "Time and Motion" and "Surgical Functioning and Fluency" criteria. Virtual reality surgical simulations are useful tool in surgical training and can contribute to the development of surgeons' skills. However, more research is needed on how to integrate these simulations into training programs and in which areas they are most effective.
对于手术量较少的外科医生而言，是否有可能通过使用虚拟现实头显和新兴技术、在不进行实际手术的情况下提升其手术技能呢？据观察，在实施轮班后休假规定后，手术助手在手术室花费的时间减少了。文献中推荐将虚拟现实模拟用作手术培训的辅助工具。尽管虚拟现实手术模拟在诸如关节镜检查和腹腔镜检查等手术中的功效已得到证实，但关于其在开放手术中的效果的研究却很有限。在本研究中，将20名未曾有过初次全膝关节置换手术经验的骨科与创伤科住院医师分为两组。一组使用虚拟现实头显进行手术模拟来为手术做准备，而另一组则采用传统方法为手术做准备。运用客观结构化技术技能量表（OSATS）手术技能量表对参与者的实际手术表现进行评估。结果发现，虚拟现实组在“时间与动作”以及“手术操作与流畅性”标准方面更为成功。虚拟现实手术模拟是手术培训中的有用工具，能够有助于外科医生技能的发展。然而，关于如何将这些模拟融入培训项目以及它们在哪些领域最为有效，仍需要更多的研究。
