The Transferability of Generic Minimally Invasive Surgical Skills: Is There Crossover of Core Skills Between Laparoscopy and Arthroscopy?
Identifieur interne : 003F80 ( Ncbi/Merge ); précédent : 003F79; suivant : 003F81The Transferability of Generic Minimally Invasive Surgical Skills: Is There Crossover of Core Skills Between Laparoscopy and Arthroscopy?
Auteurs : Kash Akhtar [Royaume-Uni] ; Kapil Sugand [Royaume-Uni] ; Asanka Wijendra [Royaume-Uni] ; Muthuswamy Sarvesvaran [Royaume-Uni] ; Matthew Sperrin [Royaume-Uni] ; Nigel Standfield [Royaume-Uni] ; Justin Cobb [Royaume-Uni] ; Chinmay Gupte [Royaume-Uni]Source :
- Journal of surgical education [ 1878-7452 ]
Abstract
The primary objective was observing transferability of minimally invasive surgical skills between virtual reality simulators for laparoscopy and arthroscopy. Secondary objectives were to assess face validity and acceptability.
DOI: 10.1016/j.jsurg.2015.10.010
PubMed: 26868317
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pubmed:26868317Le document en format XML
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<front><div type="abstract" xml:lang="en">The primary objective was observing transferability of minimally invasive surgical skills between virtual reality simulators for laparoscopy and arthroscopy. Secondary objectives were to assess face validity and acceptability.</div>
</front>
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<pubmed><MedlineCitation Owner="NLM" Status="In-Data-Review"><PMID Version="1">26868317</PMID>
<DateCreated><Year>2016</Year>
<Month>02</Month>
<Day>12</Day>
</DateCreated>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1878-7452</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>73</Volume>
<Issue>2</Issue>
<PubDate><MedlineDate>2016 Mar-Apr</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Journal of surgical education</Title>
<ISOAbbreviation>J Surg Educ</ISOAbbreviation>
</Journal>
<ArticleTitle>The Transferability of Generic Minimally Invasive Surgical Skills: Is There Crossover of Core Skills Between Laparoscopy and Arthroscopy?</ArticleTitle>
<Pagination><MedlinePgn>329-38</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jsurg.2015.10.010</ELocationID>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The primary objective was observing transferability of minimally invasive surgical skills between virtual reality simulators for laparoscopy and arthroscopy. Secondary objectives were to assess face validity and acceptability.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Prospective single-blinded crossover randomized controlled trial.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">MSk Laboratory, Imperial College London.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Student doctors naïve to simulation and minimally invasive techniques.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A total of 72 medical students were randomized into 4 groups (2 control groups and 2 training groups), and tested on haptic virtual reality simulators. Group 1 (control; n = 16) performed a partial laparoscopic cholecystectomy and Group 2 (control; n = 16) performed a diagnostic knee arthroscopy. Both groups then repeated the same task a week later. Group 3 (training; n = 20) completed a partial laparoscopic cholecystectomy, followed by an arthroscopic training program, and repeated the laparoscopic cholecystectomy a week later. Group 4 (training; n = 20) performed a diagnostic knee arthroscopy, followed by a laparoscopic training program, and then repeated the initial arthroscopic test a week later. The time taken, instrument path length, and speed were recorded for each participant and analyzed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Time taken for task: All 4 cohorts were significantly quicker on their second attempt but the 2 training groups outperformed the 2 control groups, with the laparoscopy-trained group improving the most (p < 0.05). Economy of movement: All cohorts had a significant improvement in left hand path length (p < 0.01) but there was no difference for right hand path length. Left hand speed: Only the 2 training groups showed significant improvement with the laparoscopy-trained group improving the most (p < 0.05). Right hand speed: All cohorts improved significantly with the laparoscopy-trained group improving the most (p < 0.05). Face validity and acceptability were established for both simulators.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study showed that minimally invasive surgical skills learnt on a laparoscopy simulator are transferable to arthroscopy and vice versa, with greater effect after training on the laparoscopy simulator.</AbstractText>
<CopyrightInformation>Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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<ForeName>Kash</ForeName>
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<AffiliationInfo><Affiliation>Department of Trauma & Orthopaedics, Barts Health NHS Trust, QMUL, London, United Kingdom.</Affiliation>
</AffiliationInfo>
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<ForeName>Kapil</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>MSk Lab, Charing Cross Hospital, Imperial College London, London, United Kingdom. Electronic address: ks704@ic.ac.uk.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Wijendra</LastName>
<ForeName>Asanka</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>MSk Lab, Charing Cross Hospital, Imperial College London, London, United Kingdom.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Sarvesvaran</LastName>
<ForeName>Muthuswamy</ForeName>
<Initials>M</Initials>
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</AffiliationInfo>
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<AffiliationInfo><Affiliation>Centre for Health Informatics, University of Manchester, Manchester, United Kingdom.</Affiliation>
</AffiliationInfo>
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<AffiliationInfo><Affiliation>Postgraduate School of Surgery, London Deanery, London, United Kingdom.</Affiliation>
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<Author ValidYN="Y"><LastName>Cobb</LastName>
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<Initials>J</Initials>
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<CitationSubset>IM</CitationSubset>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Interpersonal and Communication Skills</Keyword>
<Keyword MajorTopicYN="N">Medical Knowledge</Keyword>
<Keyword MajorTopicYN="N">Patient Care</Keyword>
<Keyword MajorTopicYN="N">Practice-Based Learning and Improvement</Keyword>
<Keyword MajorTopicYN="N">Professionalism</Keyword>
<Keyword MajorTopicYN="N">Systems-Based Practice</Keyword>
<Keyword MajorTopicYN="N">arthroscopy</Keyword>
<Keyword MajorTopicYN="N">laparoscopy</Keyword>
<Keyword MajorTopicYN="N">skill transferability</Keyword>
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<Month>9</Month>
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<Month>10</Month>
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