Efficacy of Proficiency-based Versus Free Laparoscopic Training in Cholecystectomy on a Virtual Reality Simulator
Proficiency-based Versus Free Laparoscopic Training in Cholecystectomy Using the Simbionix LAP Mentor™. A Randomized Controlled Trial
2 other identifiers
interventional
64
1 country
2
Brief Summary
Virtual reality devices are widely accepted tools to familiarize surgical novices with the principles of laparoscopy. Free Virtual reality training will be tested against basic training and efficacy assessed in a randomized controlled trial of surgical novices.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Apr 2004
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2004
CompletedFirst Submitted
Initial submission to the registry
May 23, 2012
CompletedFirst Posted
Study publicly available on registry
June 8, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedAugust 23, 2013
August 1, 2013
10.7 years
May 23, 2012
August 22, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time to extract the gall bladder.
The time to extract the gall bladder on a virtual simulator is typically 10 minutes. However this varies according to the settings of the difficulty chosen on the virtual reality software. This is a continuous variable measuring the duration for a trainee surgeon to extract the gall bladder (measured in seconds). The start point is the beginning of the exercise and the finishing point is once the gall bladder is completely resected (gall bladder mobilized and the cystic duct and artery dissected and ligated).
10 minutes in average
Secondary Outcomes (3)
Serious intra-operative complications
10 minutes in average
Safe cautery
10 minutes in average
Total path length of right instrument
10 minutes in average
Study Arms (2)
Free training
ACTIVE COMPARATORProficiency-based training
EXPERIMENTALInterventions
Perform laparsocopic cholecystectomy on a virtual reality devise
Eligibility Criteria
You may qualify if:
- Surgical novices (trainees / residents)
- Performed less than five laparoscopic procedures
- No previous simulator experience
You may not qualify if:
- Specialist surgeons
- Performed more than five laparoscopic procedures
- Previous experience with a simulator
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Zurichlead
- University Hospital, Bonncollaborator
- University Hospital, Basel, Switzerlandcollaborator
- University of Lausanne Hospitalscollaborator
Study Sites (2)
University Hospital Zurich
Zurich, Canton of Zurich, 8091, Switzerland
University Hospital Zurich, Department of Surgery
Zurich, CH-8091, Switzerland
Related Publications (1)
von Websky MW, Raptis DA, Vitz M, Rosenthal R, Clavien PA, Hahnloser D. Access to a simulator is not enough: the benefits of virtual reality training based on peer-group-derived benchmarks--a randomized controlled trial. World J Surg. 2013 Nov;37(11):2534-41. doi: 10.1007/s00268-013-2175-6.
PMID: 23942532DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Martin W von Websky, MD
University Hospital Zurich, Department of Surgery
- PRINCIPAL INVESTIGATOR
Dimitri A Raptis, MD, MSc
University Hospital Zurich, Department of Surgery
- STUDY CHAIR
Pierre-Alain Clavien, MD, PhD
University Hospital, Zürich
- STUDY DIRECTOR
Dieter Hahnloser, MD
University Hospital Zurich, Department of Surgery
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 23, 2012
First Posted
June 8, 2012
Study Start
April 1, 2004
Primary Completion
December 1, 2014
Study Completion
December 1, 2014
Last Updated
August 23, 2013
Record last verified: 2013-08