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Creating a Proficiency-Based Virtual Reality Simulation Training Programme for Laparoscopic Assisted Colectomy (LAC)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT00752817
Recruitment Status : Unknown
Verified October 2008 by Royal College of Surgeons, Ireland.
Recruitment status was:  Recruiting
First Posted : September 15, 2008
Last Update Posted : October 7, 2008
Health Service Executive
Information provided by:
Royal College of Surgeons, Ireland

Brief Summary:

Laparoscopic Colectomy is an advanced minimally invasive procedure that requires advanced laparoscopic skills.

Minimally invasive surgery offers many advantages to the patients but exposes the surgeon to new challenges, many of which are human factor in nature. This in turn prolongs the learning curve and has delayed the widespread adoption of minimally invasive surgical techniques in the management of patients with colorectal disease.

Virtual reality simulation offers an effective way of training whereby surgical trainees can train repeatedly and achieve proficiency in a shorter time and a safe environment.

Condition or disease Intervention/treatment
Colorectal Disease Other: Proficiency-based virtual reality simulation training Other: Training under the current surgical training programme

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 16 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Official Title: Creating and Implementing a Proficiency-Based Progression Virtual Reality Training Programme for Higher Surgical Trainees for Laparoscopic Assisted Sigmoid Colectomy.
Study Start Date : September 2008
Estimated Primary Completion Date : June 2009
Estimated Study Completion Date : September 2009

Arm Intervention/treatment
Experimental: SC
Subjects (surgical trainees) randomised to train under a proficiency-based progression virtual reality simulation curriculum
Other: Proficiency-based virtual reality simulation training
Subjects (surgical trainees) will be trained under a proficiency-based virtual reality simulation training programme before performing their first live case
Other Names:
  • Simulation Curriculum
  • SC
Active Comparator: CC
Subjects (surgical trainees) randomised to the current surgical training curriculum
Other: Training under the current surgical training programme
Subjects (surgical trainees) will continue to train under the current training methodology offered at their institution before they perform their first live case.
Other Names:
  • Current Curriculum
  • CC

Primary Outcome Measures :
  1. Subjects randomised to train under a proficiency-based simulation curriculum (SC) will perform laparoscopic assisted colectomy faster, complete more surgical steps and commit fewer operative errors compared to subjects randomised to the control group [ Time Frame: 6-12 months ]

Secondary Outcome Measures :
  1. We aim to set the institutional and national proficiency level for Laparoscopic Assisted Colectomy (LAC) using the ProMIS-LAC simulator from Haptica, Ireland. [ Time Frame: 30 days ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion criteria for subjects

  • Classified as year 3-5 post graduation registrars, specialist registrars or residents in surgery.
  • Completed their Basic Surgical Training programme.
  • Completed at least 12 months period on a Higher Surgical Training programme.
  • In an accredited surgical post at time of participation
  • In a colorectal surgery rotation at time of participation
  • Signed their own consent form

Exclusion criteria for subjects

  • Performed, as primary surgeon, > 10 advanced laparoscopic procedures (laparoscopic cholecystectomy, inguinal hernia, appendectomy, Nissen fundoplication, or ventral incisional hernia repair are not considered advanced laparoscopic procedures )
  • Performed, as primary surgeon, laparoscopic assisted colectomy procedures
  • Performed, as primary surgeon, any hand-assisted laparoscopic colectomy procedures
  • Did not sign their own consent form

Inclusion criteria for patients

  • Indicated for a laparoscopic assisted sigmoid colectomy or high anterior resection
  • At least 18 years old upon date of signing the informed consent document (ICD)
  • Sign their own ICD

Exclusion criteria for patients

  • History or current diagnosis of synchronous colon cancer
  • Indicated for urgent surgery
  • Indicated for diverting stoma
  • American Society of Anaesthesiologists (ASA) Classification of Physical Status IV-V
  • Tumour classified as T4
  • An obstructed colon
  • Planned early conversion based on findings at operative visualisation.
  • Pregnancy
  • < 18 years of age
  • Mental disability
  • Did not sign their own ICD

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00752817

Contact: Musallam A Al-Akash, MBBS, MRCSI +35314022703 malakash@rcsi.ie

Mercy University Hospital Recruiting
Cork, Ireland
Contact: Michael O'Riordain, MD, FRCS    +353 21 4935336      
Sub-Investigator: Michael O'Riordain, MD, FRCSI         
AMNCH Recruiting
Dublin, Ireland, 24
Contact: Dairmuid O'Riordain, MD, FRCSI    +353 1 414 2213      
Sub-Investigator: Dairmuid O'Riordain, MD, FRCSI         
St. Vincent's University Hospital Recruiting
Dublin, Ireland, 4
Contact: Desmond Winter, MD, FRCSI    +353 1 2214000      
Sub-Investigator: Desmond Winter, MD, FRCSI         
Beaumont Hospital Recruiting
Dublin, Ireland, 9
Contact: Deborah McNamara, MD, FRCSI    +353 1 8093000      
Sub-Investigator: Deborah McNamara, MD, FRCSI         
AMNCH Recruiting
Dublin, Ireland, Co. Dublin
Contact: Paul Neary, MD, FRCSI    +35314142000      
Principal Investigator: Paul Neary, MD, FRCSI         
Tullamore general hospital Recruiting
Tullamore, Ireland, Co Offaly
Contact: Dermot Hehir, FRCSI    +35357 93 22206      
Sub-Investigator: Dermot Hehir, FRCSI         
United Kingdom
Antrim Area Hospital Recruiting
Antrim, United Kingdom
Contact: Colman Byrnes, MD, FRCS    +44 028 9442 4000      
Sub-Investigator: Colman Byrnes, Md, FRCS         
Gartnavel General Hospital Recruiting
Glasgow, United Kingdom
Contact: Richard Molloy, MD, FRCS    +44 1412113483      
Sub-Investigator: Richard Molloy, MD, FRCS         
Leicester Royal Infirmary Hospital Recruiting
Leicester, United Kingdom
Contact: Andrew Miller, MD, FRCS    +44 116 2586853      
Sub-Investigator: Andrew Miller, MD, FRCS         
Freeman Hospital Recruiting
Newcastle, United Kingdom
Contact: Alan Horgan, MD, FRCS    +44 191 2137420      
Sub-Investigator: Alan Horgan, MD, FRCS         
Sponsors and Collaborators
Royal College of Surgeons, Ireland
Health Service Executive
Principal Investigator: Paul Neary, MD, FRCSI Royal College of Surgeons in Ireland


Responsible Party: Professor Anthony Gallagher, PhD, Royal College of Surgeons in Ireland (RCSI)
ClinicalTrials.gov Identifier: NCT00752817     History of Changes
Other Study ID Numbers: RCSI 3
First Posted: September 15, 2008    Key Record Dates
Last Update Posted: October 7, 2008
Last Verified: October 2008

Keywords provided by Royal College of Surgeons, Ireland:
Virtual Reality
Surgical Training