Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 9/2018

01-09-2018

Playing to your skills: a randomised controlled trial evaluating a dedicated video game for minimally invasive surgery

Authors: Cuan M. Harrington, Vishwa Chaitanya, Patrick Dicker, Oscar Traynor, Dara O. Kavanagh

Published in: Surgical Endoscopy | Issue 9/2018

Login to get access

Abstract

Background

Video gaming demands elements of visual attention, hand–eye coordination and depth perception which may be contiguous with laparoscopic skill development. General video gaming has demonstrated altered cortical plasticity and improved baseline/acquisition of minimally invasive skills. The present study aimed to evaluate for skill acquisition associated with a commercially available dedicated laparoscopic video game (Underground) and its unique (laparoscopic-like) controller for the Nintendo®Wii U™ console.

Methods

This single-blinded randomised controlled study was conducted with laparoscopically naive student volunteers of limited (< 3 h/week) video gaming backgrounds. Baseline laparoscopic skills were assessed using four basic tasks on the Virtual Reality (VR) simulator (LAP MentorTM, 3D systems, Colorado, USA). Twenty participants were randomised to two groups; Group A was requested to complete 5 h of video gaming (Underground) per week and Group B to avoid gaming beyond their normal frequency. After 4 weeks participants were reassessed using the same VR tasks. Changes in simulator performances were assessed for each group and for intergroup variances using mixed model regression.

Results

Significant inter- and intragroup performances were present for the video gaming and controls across four basic tasks. The video gaming group demonstrated significant improvements in thirty-one of the metrics examined including dominant (p ≤ 0.004) and non-dominant (p < 0.050) instrument movements, pathlengths (p ≤ 0.040), time taken (p ≤ 0.021) and end score [p ≤ 0.046, (task-dependent)]. The control group demonstrated improvements in fourteen measures. The video gaming group demonstrated significant (p < 0.05) improvements compared to the control in five metrics. Despite encouraged gameplay and the console in participants’ domiciles, voluntary engagement was lower than directed due to factors including: game enjoyment (33.3%), lack of available time (22.2%) and entertainment distractions (11.1%).

Conclusion

Our work revealed significant value in training using a dedicated laparoscopic video game for acquisition of virtual laparoscopic skills. This novel serious game may provide foundations for future surgical developments on game consoles in the home environment.
Literature
1.
Boxer P, Groves CL, Docherty M (2015) Video games do indeed influence children and adolescents’ aggression, prosocial behavior, and academic performance: a clearer reading of ferguson (2015). Perspect Psychol Sci 10(5):671–673CrossRefPubMed
2.
Harrison JO Jr (1964) Computer-aided information systems for gaming. Research Analysis Corporation, McLean, USA
3.
Bell RH Jr, Biester TW, Tabuenca A, Rhodes RS, Cofer JB, Britt LD, Lewis FR Jr (2009) Operative experience of Residents in US general surgery programs: a gap between expectation and experience. Ann Surg 249(5):719–724CrossRefPubMed
4.
Harrington CM, Kavanagh DO, Ryan D, Dicker P, Lonergan PE, Traynor O, Tierney S (2017) Objective scoring of an electronic surgical logbook: analysis of impact and observations within a surgical training body. Am J Surg 214(5):962-968CrossRefPubMed
5.
van Dongen KW, van der Wal WA, Rinkes IH, Schijven MP, Broeders IA (2008) Virtual reality training for endoscopic surgery: voluntary or obligatory? Surg Endosc 22(3):664–667CrossRefPubMed
6.
Chang L, Petros J, Hess DT, Rotondi C, Babineau TJ (2007) Integrating simulation into a surgical residency program: is voluntary participation effective? Surg Endosc 21(3):418–421CrossRefPubMed
7.
8.
Green CS, Bavelier D (2012) Learning, attentional control, and action video games. Curr Biol 22(6):197–206CrossRef
9.
Koepp MJ, Gunn RN, Lawrence AD, Cunningham VJ, Dagher A, Jones T, Brooks DJ, Bench CJ, Grasby PM (1998) Evidence for striatal dopamine release during a video game. Nature 393(6682):266–268CrossRefPubMed
10.
Kühn S, Romanowski A, Schilling C, Lorenz R, Mörsen C, Seiferth N, Banaschewski T, Barbot A, Barker GJ, Büchel C, Conrod PJ, Dalley JW, Flor H, Garavan H, Ittermann B, Mann K, Martinot JL, Paus T, Rietschel M, Smolka MN, Ströhle A, Walaszek B, Schumann G, Heinz A, Gallinat J (2011) The neural basis of video gaming. Transl Psychiatry 1(11):e53. https://​doi.​org/​10.​1038/​tp.​2011.​53 CrossRefPubMedPubMedCentral
11.
Knutson B, Greer SM (2008) Anticipatory affect: neural correlates and consequences for choice. Philos Trans R Soc Lond B Biol Sci 363(1511):3771–3786CrossRefPubMedPubMedCentral
12.
Green CS, Bavelier D (2003) Action video game modifies visual selective attention. Nature 423(6939):534–537CrossRefPubMed
13.
Granek JA, Gorbet DJ, Sergio LE (2010) Extensive video-game experience alters cortical networks for complex visuomotor transformations. Cortex 46(9):1165–1177CrossRefPubMed
14.
15.
Race EA, Shanker S, Wagner AD (2009) Neural priming in human frontal cortex: multiple forms of learning reduce demands on the prefrontal executive system. J Cogn Neurosci 21(9):1766–1781CrossRefPubMedPubMedCentral
16.
Pascual-Leone A, Amedi A, Fregni F, Merabet LB (2005) The plastic human brain cortex. Annu Rev Neurosci 28:377–401CrossRefPubMed
17.
Cooper SJ (2005) Donald O. Hebb’s synapse and learning rule: a history and commentary. Neurosci Biobehav Rev 28(8):851–874CrossRefPubMed
18.
Enochsson L, Isaksson B, Tour R, Kjellin A, Hedman L, Wredmark T, Tsai-Fellander L (2004) Visuospatial skills and computer game experience influence the performance of virtual endoscopy. J Gastrointest Surg 8(7):876–882CrossRefPubMed
19.
Grantcharov TP, Bardram L, Funch-Jensen P, Rosenberg J (2003) Impact of hand dominance, gender, and experience with computer games on performance in virtual reality laparoscopy. Surg Endosc 17(7):1082–1085CrossRefPubMed
20.
Rosser JC Jr, Lynch PJ, Cuddihy L, Gentile DA, Klonsky J, Merrell R (2007) The impact of video games on training surgeons in the 21st century. Arch Surg 142(2):181–186CrossRefPubMed
21.
Stefanidis D, Korndorffer JR Jr, Black FW, Dunne JB, Sierra R, Touchard CL, Rice DA, Markert RJ, Kastl PR, Scott DJ (2006) Psychomotor testing predicts rate of skill acquisition for proficiency-based laparoscopic skills training. Surgery 140(2):252–262CrossRefPubMed
22.
Shane MD, Pettitt BJ, Morgenthal CB, Smith CD (2008) Should surgical novices trade their retractors for joysticks? Videogame experience decreases the time needed to acquire surgical skills. Surg Endosc 22(5):1294–1297CrossRefPubMed
23.
Jalink MB, Goris J, Heineman E, Pierie JP, ten Cate Hodemaker HO (2014) Construct and concurrent validity of a Nintendo Wii video game made for training basic laparoscopic skills. Surg Endosc 28(2):537–542CrossRefPubMed
24.
Jalink MB, Goris J, Heineman E, Pierie JP, Ten Cate Hoedemaker HO (2015) Face validity of a Wii U video game for training basic laparoscopic skills. Am J Surg 209(6):1102–1106CrossRefPubMed
25.
Jalink MB, Heineman E, Pierie JP, ten Cate Hoedemaker HO (2015) The effect of a preoperative warm-up with a custom-made Nintendo video game on the performance of laparoscopic surgeons. Surg Endosc 29(8):2284–2290CrossRefPubMed
26.
Houston J, Harris P, McIntire S, Francis D (2002) Revising the competitiveness index using factor analysis. Psychol Rep 90(1):31–34CrossRefPubMed
27.
McDougall EM, Corica FA, Boker JR, Sala LG, Stoliar G, Borin JF, Chu FT, Clayman RV (2006) Construct validity testing of a laparoscopic surgical simulator. J Am Coll Surg 202(5):779–787CrossRefPubMed
28.
29.
30.
Boot WR, Kramer AF, Simons DJ, Fabiani M, Gratton G (2008) The effects of video game playing on attention, memory, and executive control. Acta Psychol 129(3):387–398CrossRef
31.
Paschold M, Schröder M, Kauff DW, Gorbauch T, Herzer M, Lang H, Kneist W (2011) Virtual reality laparoscopy: which potential trainee starts with a higher proficiency level? Int J CARS 6(5):653–662CrossRef
32.
Heinrichs WL, Lukoff B, Youngblood P, Dev P, Shavelson R, Hasson HM, Satava RM, McDougall EM, Wetter PA (2007) Criterion-based training with surgical simulators: proficiency of experienced surgeons. JSLS 11(3):273–302PubMed
33.
Sturm LP, Windsor JA, Cosman PH, Cregan P, Hewett PJ, Maddern GJ (2008) A systematic review of skills transfer after surgical simulation training. Ann Surg 248(2):166–179CrossRefPubMed
34.
Ou Y, McGlone ER, Camm CF, Khan OA (2013) Does playing video games improve laparoscopic skills? Int J Surg 11(5):365–369CrossRefPubMed
35.
Jalink MB, Goris J, Heineman E, Pierie JP, ten Cate Hoedemaker HO (2014) The effects of video games on laparoscopic simulator skills. Am J Surg 208(1):151–156CrossRefPubMed
36.
Bokhari R, Bollman-McGregor J, Kahoi K, Smith M, Feinstein A, Ferrara J (2010) Design, development, and validation of a take-home simulator for fundamental laparoscopic skills: using Nintendo Wii for surgical training. Am Surg 76(6):583–586PubMed
37.
Middleton KK, Hamilton T, Tsai PC, Middleton DB, Falcone JL, Hamad G (2013) Improved nondominant hand performance on a laparoscopic virtual reality simulator after playing the Nintendo Wii. Surg Endosc 27(11):4224–4231CrossRefPubMed
38.
Mentzoni RA, Brunborg GS, Molde H, Myrseth H, Skouverøe KJ, Hetland J, Pallesen S (2011) Problematic video game use: estimated prevalence and associations with mental and physical health. Cyberpsychol Behav Soc Netw 14(10):591–596CrossRefPubMed
39.
40.
Nicol LG, Walker KG, Cleland J, Partridge R, Moug SJ (2016) Incentivising practice with take-home laparoscopic simulators in two UK Core Surgical Training programmes. BMJ Simul Technol Enhanc Learn 2(4):112–117CrossRef
Metadata
Title
Playing to your skills: a randomised controlled trial evaluating a dedicated video game for minimally invasive surgery
Authors
Cuan M. Harrington
Vishwa Chaitanya
Patrick Dicker
Oscar Traynor
Dara O. Kavanagh
Publication date
01-09-2018
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 9/2018
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-018-6107-2

Other articles of this Issue 9/2018

Surgical Endoscopy 9/2018 Go to the issue

2018 SAGES Oral

S093: pneumatic balloon dilation for palliation of recurrent symptoms of achalasia after esophagomyotomy

OriginalPaper

Oncological and surgical result of hepatoma after robot surgery

Review

Single-incision laparoscopic cholecystectomy is responsible for increased adverse events: results of a meta-analysis of randomized controlled trials

OriginalPaper

Surgical management of gastroesophageal reflux disease in patients with systemic sclerosis

Review

Endoscopic pilonidal sinus treatment: a systematic review and meta-analysis

Correction

Correction to: Pheochromocytoma diagnosed during pregnancy: lessons learned from a series of ten patients