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01-08-2017 | Original Article

Applied Research on Laparoscopic Simulator in the Resident Surgical Laparoscopic Operation Technical Training

Authors: Shangxi Fu, Xiao Liu, Li Zhou, Meisheng Zhou, Liming Wang

Published in: Indian Journal of Surgery | Issue 4/2017

Abstract

The purpose of this study was to estimate the effects of surgical laparoscopic operation course on laparoscopic operation skills after the simulated training for medical students with relatively objective results via data gained before and after the practice course of laparoscopic simulator of the resident standardized trainees. Experiment 1: 20 resident standardized trainees with no experience in laparoscopic surgery were included in the inexperienced group and finished simulated cholecystectomy according to simulator videos. Simulator data was collected (total operation time, path length, average speed of instrument movement, movement efficiency, number of perforations, the time cautery is applied without appropriate contact with adhesions, number of serious complications). Ten attending doctors were included in the experienced group and conducted the operation of simulated cholecystectomy directly. Data was collected with simulator. Data of two groups was compared. Experiment 2: Participants in inexperienced group were assigned to basic group (receiving 8 items of basic operation training) and special group (receiving 8 items of basic operation training and 4 items of specialized training), and 10 persons for each group. They received training course designed by us respectively. After training level had reached the expected target, simulated cholecystectomy was performed, and data was collected. Experimental data between basic group and special group was compared and then data between special group and experienced group was compared. Results of experiment 1 showed that there is significant difference between data in inexperienced group in which participants operated simulated cholecystectomy only according to instructors’ teaching and operation video and data in experienced group. Result of experiment 2 suggested that, total operation time, number of perforations, number of serious complications, number of non-cauterized bleeding and the time cautery is applied without appropriate contact with adhesions in special group were all superior to those in basic group. There was no statistical difference on other data between special group and basic group. Comparing special group with experienced group, data of total operation time and the time cautery is applied without appropriate contact with adhesions in experienced group was superior to that in special group. There was no statistical difference on other data between special group and experienced group. Laparoscopic simulators are effective for surgical skills training. Basic courses could mainly improve operator’s hand-eye coordination and perception of sense of the insertion depth for instruments. Specialized training courses could not only improve operator’s familiarity with surgeries, but also reduce operation time and risk, and improve safety.

Laguna MP, de Reijke TM, Wijkstra H, de la Rosette J (2006) Training in laparoscopic urology. Curr Opin Urol 16(2):65–70. doi:10.1097/01.mou.0000193377.14694.7f CrossRefPubMed

Scott-Conner CE, Hall TJ, Anglin BL, Muakkassa FF, Poole GV, Thompson AR, Wilton PB (1994) The integration of laparoscopy into a surgical residency and implications for the training environment. Surg Endosc 8(9):1054–1057CrossRefPubMed

Palter VN, Orzech N, Aggarwal R, Okrainec A, Grantcharov TP (2010) Resident perceptions of advanced laparoscopic skills training. Surg Endosc 24(11):2830–2834. doi:10.1007/s00464-010-1058-2 CrossRefPubMed

Rosenthal R, Gantert WA, Scheidegger D, Oertli D (2006) Can skills assessment on a virtual reality trainer predict a surgical trainee’s talent in laparoscopic surgery? Surg Endosc 20(8):1286–1290. doi:10.1007/s00464-005-0635-2 CrossRefPubMed

Wayne DB, Butter J, Siddall VJ, Fudala MJ, Linquist LA, Feinglass J, Wade LD, McGaghie WC (2005) Simulation-based training of internal medicine residents in advanced cardiac life support protocols: a randomized trial. Teach Learn Med 17(3):210–216. doi:10.1207/s15328015tlm1703_3 CrossRefPubMed

Jones DB (2007) Video trainers, simulation and virtual reality: a new paradigm for surgical training. Asian J Surg / Asian Surg Assoc 30(1):6–12. doi:10.1016/S1015-9584(09)60121-4 CrossRef

Paschold M, Huber T, Kauff DW, Buchheim K, Lang H, Kneist W (2014) Preconditioning in laparoscopic surgery—results of a virtual reality pilot study. Langenbeck’s Arch Surg / Deutsche Gesellschaft fur Chir 399(7):889–895. doi:10.1007/s00423-014-1224-4 CrossRef

Petrin P, Baggio E, Spisni R, Rulli F (2006) Use of virtual reality simulator in the training of postgraduated surgical residents. Ann Ital Chir 77(6):465–468PubMed

Laguna MP, de Reijke TM, de la Rosette JJ (2009) How far will simulators be involved into training? Curr Urol Rep 10(2):97–105CrossRefPubMed

10.

Fried GM, Feldman LS, Vassiliou MC, Fraser SA, Stanbridge D, Ghitulescu G, Andrew CG (2004) Proving the value of simulation in laparoscopic surgery. Ann Surg 240(3):518–525, discussion 525-518CrossRefPubMedPubMedCentral

11.

De Win G, Van Bruwaene S, Aggarwal R, Crea N, Zhang Z, De Ridder D, Miserez M (2013) Laparoscopy training in surgical education: the utility of incorporating a structured preclinical laparoscopy course into the traditional apprenticeship method. J Surg Educ 70(5):596–605. doi:10.1016/j.jsurg.2013.04.001 CrossRefPubMed

12.

Sharma M, Macafee D, Horgan AF (2013) Basic laparoscopic skills training using fresh frozen cadaver: a randomized controlled trial. Am J Surg 206(1):23–31. doi:10.1016/j.amjsurg.2012.10.037 CrossRefPubMed

13.

Strandbygaard J, Bjerrum F, Maagaard M, Winkel P, Larsen CR, Ringsted C, Gluud C, Grantcharov T, Ottesen B, Sorensen JL (2013) Instructor feedback versus no instructor feedback on performance in a laparoscopic virtual reality simulator: a randomized trial. Ann Surg 257(5):839–844. doi:10.1097/SLA.0b013e31827eee6e CrossRefPubMed

14.

Bjerrum F, Sorensen JL, Konge L, Lindschou J, Rosthoj S, Ottesen B, Strandbygaard J (2014) Procedural specificity in laparoscopic simulator training: protocol for a randomised educational superiority trial. BMC Med Educ 14:215. doi:10.1186/1472-6920-14-215 CrossRefPubMedPubMedCentral

15.

Vedel C, Bjerrum F, Mahmood B, Sorensen JL, Strandbygaard J (2015) Medical students as facilitators for laparoscopic simulator training. J Surg Educ 72(3):446–451. doi:10.1016/j.jsurg.2014.10.011 CrossRefPubMed

16.

Diesen DL, Erhunmwunsee L, Bennett KM, Ben-David K, Yurcisin B, Ceppa EP, Omotosho PA, Perez A, Pryor A (2011) Effectiveness of laparoscopic computer simulator versus usage of box trainer for endoscopic surgery training of novices. J Surg Educ 68(4):282–289. doi:10.1016/j.jsurg.2011.02.007 CrossRefPubMed

17.

Antiel RM, Reed DA, Van Arendonk KJ, Wightman SC, Hall DE, Porterfield JR, Horvath KD, Terhune KP, Tarpley JL, Farley DR (2013) Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. JAMA Surg 148(5):448–455. doi:10.1001/jamasurg.2013.1368 CrossRefPubMed

18.

Kory PD, Eisen LA, Adachi M, Ribaudo VA, Rosenthal ME, Mayo PH (2007) Initial airway management skills of senior residents: simulation training compared with traditional training. Chest 132(6):1927–1931. doi:10.1378/chest.07-1554 CrossRefPubMed

19.

Champion HR, Meglan DA, Shair EK (2008) Minimizing surgical error by incorporating objective assessment into surgical education. J Am Coll Surg 207(2):284–291. doi:10.1016/j.jamcollsurg.2008.02.038 CrossRefPubMed

20.

Tsouroufli M, Payne H (2008) Consultant medical trainers, modernising medical careers (MMC) and the European time directive (EWTD): tensions and challenges in a changing medical education context. BMC Med Educ 8:31. doi:10.1186/1472-6920-8-31 CrossRefPubMedPubMedCentral

21.

Verdaasdonk EG, Stassen LP, van der Elst M, Karsten TM, Dankelman J (2007) Problems with technical equipment during laparoscopic surgery. An observational study. Surg Endosc 21(2):275–279. doi:10.1007/s00464-006-0019-2 CrossRefPubMed

22.

Schreuder HW, van den Berg CB, Hazebroek EJ, Verheijen RH, Schijven MP (2011) Laparoscopic skills training using inexpensive box trainers: which exercises to choose when constructing a validated training course. BJOG : Int J Obstet Gynaecol 118(13):1576–1584. doi:10.1111/j.1471-0528.2011.03146.x CrossRef

23.

Schreuder HW, van Hove PD, Janse JA, Verheijen RR, Stassen LP, Dankelman J (2011) An “intermediate curriculum” for advanced laparoscopic skills training with virtual reality simulation. J Minim Invasive Gynecol 18(5):597–606. doi:10.1016/j.jmig.2011.05.017 CrossRefPubMed

24.

Palter VN, Graafland M, Schijven MP, Grantcharov TP (2012) Designing a proficiency-based, content validated virtual reality curriculum for laparoscopic colorectal surgery: a Delphi approach. Surgery 151(3):391–397. doi:10.1016/j.surg.2011.08.005 CrossRefPubMed

Title: Applied Research on Laparoscopic Simulator in the Resident Surgical Laparoscopic Operation Technical Training
Authors: Shangxi Fu
Xiao Liu
Li Zhou
Meisheng Zhou
Liming Wang
Publication date: 01-08-2017
Publisher: Springer India
Published in: Indian Journal of Surgery / Issue 4/2017
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-016-1468-z

At a glance: The STEP trials

Springer Medicine

Applied Research on Laparoscopic Simulator in the Resident Surgical Laparoscopic Operation Technical Training

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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