title: [Interest of complex tasks on laparoscopic virtual reality simulator].
abstract: OBJECTIVE
  The purpose of this study was to assess the contribution of complex tasks on virtual reality simulator (VRS) for novice surgeons in laparoscopy learning.
  
  
  METHODS
  Fifty-five medical students were prospectively randomized in two groups (A: basic skills, n=28 and B: basic and complex skills, n=27) and then trained during two sessions on VRS. Evaluations took place before and after each training. These evaluations consisted of the achievement of an intracorporeal suture, recorded on video, with the left then with the right hand. Two independent experts evaluated those gestures blindly.
  
  
  RESULTS
  A significant progression in terms of times and technical scores was observed in both groups between the first and the last evaluations (P between 0.001 and 0.04). Students in group B improved slower and longer than those in group A. However, left and right hands results confused did not highlight significant differences between the two groups. At the third session, the first hand to train is significantly faster in group B than in group A (P=0.04).
  
  
  CONCLUSIONS
  This study found only a late and minimal impact of complex skills to reduce the execution time of intracorporeal suture. It also showed an slower and longer overall progression for those who use them compared to subjects using basic skills only.
authors.affiliation: NEURO-DOL-UMR1107 Inserm, Clermont université, université d'Auvergne, 28, place Henri-Dunant, BP10448, 63000 Clermont-Ferrand, France; Service de gynécologie-obstétrique et médecine de la reproduction, CHU de Caen, avenue Côte-de-Nacre, 14033 Caen cedex 9, France. Electronic address: lucvalentin2@gmail.com.
authors.forename: L
authors.initials: L
authors.lastname: Valentin
authors.affiliation: NEURO-DOL-UMR1107 Inserm, Clermont université, université d'Auvergne, 28, place Henri-Dunant, BP10448, 63000 Clermont-Ferrand, France; Service de chirurgie gynécologique, pôle gynécologie-obstétrique-reproduction humaine, CHU de Clermont-Ferrand, CHU Estaing, 1, place Lucie-et-Raymond-Aubrac, 63003 Clermont-Ferrand cedex 1, France.
authors.forename: B
authors.initials: B
authors.lastname: Rabischong
authors.affiliation: Service de chirurgie gynécologique, pôle gynécologie-obstétrique-reproduction humaine, CHU de Clermont-Ferrand, CHU Estaing, 1, place Lucie-et-Raymond-Aubrac, 63003 Clermont-Ferrand cedex 1, France.
authors.forename: C
authors.initials: C
authors.lastname: Compan
authors.affiliation: Service de chirurgie gynécologique, pôle gynécologie-obstétrique-reproduction humaine, CHU de Clermont-Ferrand, CHU Estaing, 1, place Lucie-et-Raymond-Aubrac, 63003 Clermont-Ferrand cedex 1, France.
authors.forename: R
authors.initials: R
authors.lastname: Botchorichvili
authors.affiliation: Département de biostatistique, CHU de Clermont-Ferrand, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France.
authors.forename: B
authors.initials: B
authors.lastname: Pereira
authors.affiliation: NEURO-DOL-UMR1107 Inserm, Clermont université, université d'Auvergne, 28, place Henri-Dunant, BP10448, 63000 Clermont-Ferrand, France.
authors.forename: P
authors.initials: P
authors.lastname: Avan
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003198:Computer Simulation; D004501:Education, Medical / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000193:education*; D007858:Learning; D008297:Male; D000066908:Simulation Training / Q000379:methods*; D013337:Students, Medical / Q000706:statistics & numerical data; D014584:User-Computer Interface; D055815:Young Adult
keywords: Apprentissage; Cœlioscopie; Laparoscopic suturing; Laparoscopy; Learning; Simulateur de réalité virtuelle; Suture cœlioscopique; Virtual reality simulator