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Surgical Endoscopy
Published in: Surgical Endoscopy 2/2011

01-02-2011 | Review

The LapSim virtual reality simulator: promising but not yet proven

Authors: Katherine Fairhurst, Andrew Strickland, Guy Maddern

Published in: Surgical Endoscopy | Issue 2/2011

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Abstract

Background

The acquisition of technical skills using surgical simulators is an area of active research and rapidly evolving technology. The LapSim is a virtual reality simulator that currently allows practice of basic laparoscopic skills and some procedures. To date, no reviews have been published with reference to a single virtual reality simulator.

Methods

A PubMed search was performed using the keyword “LapSim,” with further papers identified from the citations of original search articles.

Results

Use of the LapSim to develop surgical skills has yielded overall results, although inconsistencies exist. Data regarding the transferability of learned skills to the operative environment are encouraging as is the validation work, particularly the use of a combination of measured parameters to produce an overall comparative performance score.

Conclusion

Although the LapSim currently does not have any proven significant advantages over video trainers in terms of basic skills instruction and although the results of validation studies are variable, the potential for such technology to have a huge impact on surgical training is apparent. Work to determine standardized learning curves and proficiency criteria for different levels of trainees is incomplete. Moreover, defining which performance parameters measured by the LapSim accurately determine laparoscopic skill is complex. Further technological advances will undoubtedly improve the efficacy of the LapSim, and the results of large multicenter trials are anticipated.
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Metadata
Title
The LapSim virtual reality simulator: promising but not yet proven
Authors
Katherine Fairhurst
Andrew Strickland
Guy Maddern
Publication date
01-02-2011
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 2/2011
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-010-1181-0

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