Laparoscopic Skills Are Improved With LapMentor™ Training
Identifieur interne : 000974 ( Pmc/Curation ); précédent : 000973; suivant : 000975Laparoscopic Skills Are Improved With LapMentor™ Training
Auteurs : Pamela B. Andreatta ; Derek T. Woodrum ; John D. Birkmeyer ; Rajani K. Yellamanchilli ; Gerard M. Doherty ; Paul G. Gauger ; Rebecca M. MinterSource :
- Annals of Surgery [ 0003-4932 ] ; 2006.
Abstract
To determine if prior training on the LapMentor™ laparoscopic simulator leads to improved performance of basic laparoscopic skills in the animate operating room environment.
Numerous influences have led to the development of computer-aided laparoscopic simulators: a need for greater efficiency in training, the unique and complex nature of laparoscopic surgery, and the increasing demand that surgeons demonstrate competence before proceeding to the operating room. The LapMentor™ simulator is expensive, however, and its use must be validated and justified prior to implementation into surgical training programs.
Nineteen surgical interns were randomized to training on the LapMentor™ laparoscopic simulator (n = 10) or to a control group (no simulator training, n = 9). Subjects randomized to the LapMentor™ trained to expert criterion levels 2 consecutive times on 6 designated basic skills modules. All subjects then completed a series of laparoscopic exercises in a live porcine model, and performance was assessed independently by 2 blinded reviewers. Time, accuracy rates, and global assessments of performance were recorded with an interrater reliability between reviewers of 0.99.
LapMentor™ trained interns completed the 30° camera navigation exercise in significantly less time than control interns (166 ± 52 vs. 220 ± 39 seconds,
This study demonstrates that prior training on the LapMentor™ laparoscopic simulator leads to improved resident performance of basic skills in the animate operating room environment. This work marks the first prospective, randomized evaluation of the LapMentor™ simulator, and provides evidence that LapMentor™ training may lead to improved operating room performance.
Url:
DOI: 10.1097/01.sla.0000219641.79092.e5
PubMed: 16772789
PubMed Central: 1570578
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Laparoscopic Skills Are Improved With LapMentor™ Training</title><author><name sortKey="Andreatta, Pamela B" sort="Andreatta, Pamela B" uniqKey="Andreatta P" first="Pamela B." last="Andreatta">Pamela B. Andreatta</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author><author><name sortKey="Woodrum, Derek T" sort="Woodrum, Derek T" uniqKey="Woodrum D" first="Derek T." last="Woodrum">Derek T. Woodrum</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author><author><name sortKey="Birkmeyer, John D" sort="Birkmeyer, John D" uniqKey="Birkmeyer J" first="John D." last="Birkmeyer">John D. Birkmeyer</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author><author><name sortKey="Yellamanchilli, Rajani K" sort="Yellamanchilli, Rajani K" uniqKey="Yellamanchilli R" first="Rajani K." last="Yellamanchilli">Rajani K. Yellamanchilli</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author><author><name sortKey="Doherty, Gerard M" sort="Doherty, Gerard M" uniqKey="Doherty G" first="Gerard M." last="Doherty">Gerard M. Doherty</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author><author><name sortKey="Gauger, Paul G" sort="Gauger, Paul G" uniqKey="Gauger P" first="Paul G." last="Gauger">Paul G. Gauger</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author><author><name sortKey="Minter, Rebecca M" sort="Minter, Rebecca M" uniqKey="Minter R" first="Rebecca M." last="Minter">Rebecca M. Minter</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">16772789</idno><idno type="pmc">1570578</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1570578</idno><idno type="RBID">PMC:1570578</idno><idno type="doi">10.1097/01.sla.0000219641.79092.e5</idno><date when="2006">2006</date><idno type="wicri:Area/Pmc/Corpus">000974</idno><idno type="wicri:Area/Pmc/Curation">000974</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Laparoscopic Skills Are Improved With LapMentor™ Training</title><author><name sortKey="Andreatta, Pamela B" sort="Andreatta, Pamela B" uniqKey="Andreatta P" first="Pamela B." last="Andreatta">Pamela B. Andreatta</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author><author><name sortKey="Woodrum, Derek T" sort="Woodrum, Derek T" uniqKey="Woodrum D" first="Derek T." last="Woodrum">Derek T. Woodrum</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author><author><name sortKey="Birkmeyer, John D" sort="Birkmeyer, John D" uniqKey="Birkmeyer J" first="John D." last="Birkmeyer">John D. Birkmeyer</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author><author><name sortKey="Yellamanchilli, Rajani K" sort="Yellamanchilli, Rajani K" uniqKey="Yellamanchilli R" first="Rajani K." last="Yellamanchilli">Rajani K. Yellamanchilli</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author><author><name sortKey="Doherty, Gerard M" sort="Doherty, Gerard M" uniqKey="Doherty G" first="Gerard M." last="Doherty">Gerard M. Doherty</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author><author><name sortKey="Gauger, Paul G" sort="Gauger, Paul G" uniqKey="Gauger P" first="Paul G." last="Gauger">Paul G. Gauger</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author><author><name sortKey="Minter, Rebecca M" sort="Minter, Rebecca M" uniqKey="Minter R" first="Rebecca M." last="Minter">Rebecca M. Minter</name><affiliation><nlm:aff id="N0x995e9f8N0x921d660"></nlm:aff></affiliation></author></analytic><series><title level="j">Annals of Surgery</title><idno type="ISSN">0003-4932</idno><idno type="eISSN">1528-1140</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective:</title><p>To determine if prior training on the LapMentor™ laparoscopic simulator leads to improved performance of basic laparoscopic skills in the animate operating room environment.</p></sec><sec><title>Summary Background Data:</title><p>Numerous influences have led to the development of computer-aided laparoscopic simulators: a need for greater efficiency in training, the unique and complex nature of laparoscopic surgery, and the increasing demand that surgeons demonstrate competence before proceeding to the operating room. The LapMentor™ simulator is expensive, however, and its use must be validated and justified prior to implementation into surgical training programs.</p></sec><sec><title>Methods:</title><p>Nineteen surgical interns were randomized to training on the LapMentor™ laparoscopic simulator (n = 10) or to a control group (no simulator training, n = 9). Subjects randomized to the LapMentor™ trained to expert criterion levels 2 consecutive times on 6 designated basic skills modules. All subjects then completed a series of laparoscopic exercises in a live porcine model, and performance was assessed independently by 2 blinded reviewers. Time, accuracy rates, and global assessments of performance were recorded with an interrater reliability between reviewers of 0.99.</p></sec><sec><title>Results:</title><p>LapMentor™ trained interns completed the 30° camera navigation exercise in significantly less time than control interns (166 ± 52 vs. 220 ± 39 seconds, <italic>P</italic> < 0.05); they also achieved higher accuracy rates in identifying the required objects with the laparoscope (96% ± 8% vs. 82% ± 15%, <italic>P</italic> < 0.05). Similarly, on the two-handed object transfer exercise, task completion time for LapMentor™ trained versus control interns was 130 ± 23 versus 184 ± 43 seconds (<italic>P</italic> < 0.01) with an accuracy rate of 98% ± 5% versus 80% ± 13% (<italic>P</italic> < 0.001). Additionally, LapMentor™ trained interns outperformed control subjects with regard to camera navigation skills, efficiency of motion, optimal instrument handling, perceptual ability, and performance of safe electrocautery.</p></sec><sec><title>Conclusions:</title><p>This study demonstrates that prior training on the LapMentor™ laparoscopic simulator leads to improved resident performance of basic skills in the animate operating room environment. This work marks the first prospective, randomized evaluation of the LapMentor™ simulator, and provides evidence that LapMentor™ training may lead to improved operating room performance.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Surg</journal-id><journal-id journal-id-type="publisher-id">Annals of Surgery</journal-id><journal-title>Annals of Surgery</journal-title><issn pub-type="ppub">0003-4932</issn><issn pub-type="epub">1528-1140</issn></journal-meta><article-meta><article-id pub-id-type="pmid">16772789</article-id><article-id pub-id-type="pmc">1570578</article-id><article-id pub-id-type="publisher-id">0000658-200606000-00016</article-id><article-id pub-id-type="doi">10.1097/01.sla.0000219641.79092.e5</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject></subj-group></article-categories><title-group><article-title>Laparoscopic Skills Are Improved With LapMentor™ Training</article-title><subtitle>Results of a Randomized, Double-Blinded Study</subtitle></title-group><contrib-group><contrib contrib-type="author"><name><surname>Andreatta</surname><given-names>Pamela B.</given-names></name><degrees>EdD</degrees><xref ref-type="aff" rid="N0x995e9f8N0x921d660">*</xref></contrib><contrib contrib-type="author"><name><surname>Woodrum</surname><given-names>Derek T.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="N0x995e9f8N0x921d660">†</xref></contrib><contrib contrib-type="author"><name><surname>Birkmeyer</surname><given-names>John D.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="N0x995e9f8N0x921d660">†</xref></contrib><contrib contrib-type="author"><name><surname>Yellamanchilli</surname><given-names>Rajani K.</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="N0x995e9f8N0x921d660">*</xref></contrib><contrib contrib-type="author"><name><surname>Doherty</surname><given-names>Gerard M.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="N0x995e9f8N0x921d660">†</xref></contrib><contrib contrib-type="author"><name><surname>Gauger</surname><given-names>Paul G.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="N0x995e9f8N0x921d660">†</xref></contrib><contrib contrib-type="author"><name><surname>Minter</surname><given-names>Rebecca M.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="N0x995e9f8N0x921d660">*†</xref></contrib></contrib-group><aff id="N0x995e9f8N0x921d660">From the Departments of *Medical Education and †Surgery, University of Michigan, Ann Arbor, MI.<break></break></aff><pub-date pub-type="ppub"><month>6</month><year>2006</year></pub-date><volume>243</volume><issue>6</issue><fpage>854</fpage><lpage>863</lpage><copyright-statement>© 2006 Lippincott Williams & Wilkins, Inc.</copyright-statement><abstract><sec><title>Objective:</title><p>To determine if prior training on the LapMentor™ laparoscopic simulator leads to improved performance of basic laparoscopic skills in the animate operating room environment.</p></sec><sec><title>Summary Background Data:</title><p>Numerous influences have led to the development of computer-aided laparoscopic simulators: a need for greater efficiency in training, the unique and complex nature of laparoscopic surgery, and the increasing demand that surgeons demonstrate competence before proceeding to the operating room. The LapMentor™ simulator is expensive, however, and its use must be validated and justified prior to implementation into surgical training programs.</p></sec><sec><title>Methods:</title><p>Nineteen surgical interns were randomized to training on the LapMentor™ laparoscopic simulator (n = 10) or to a control group (no simulator training, n = 9). Subjects randomized to the LapMentor™ trained to expert criterion levels 2 consecutive times on 6 designated basic skills modules. All subjects then completed a series of laparoscopic exercises in a live porcine model, and performance was assessed independently by 2 blinded reviewers. Time, accuracy rates, and global assessments of performance were recorded with an interrater reliability between reviewers of 0.99.</p></sec><sec><title>Results:</title><p>LapMentor™ trained interns completed the 30° camera navigation exercise in significantly less time than control interns (166 ± 52 vs. 220 ± 39 seconds, <italic>P</italic> < 0.05); they also achieved higher accuracy rates in identifying the required objects with the laparoscope (96% ± 8% vs. 82% ± 15%, <italic>P</italic> < 0.05). Similarly, on the two-handed object transfer exercise, task completion time for LapMentor™ trained versus control interns was 130 ± 23 versus 184 ± 43 seconds (<italic>P</italic> < 0.01) with an accuracy rate of 98% ± 5% versus 80% ± 13% (<italic>P</italic> < 0.001). Additionally, LapMentor™ trained interns outperformed control subjects with regard to camera navigation skills, efficiency of motion, optimal instrument handling, perceptual ability, and performance of safe electrocautery.</p></sec><sec><title>Conclusions:</title><p>This study demonstrates that prior training on the LapMentor™ laparoscopic simulator leads to improved resident performance of basic skills in the animate operating room environment. This work marks the first prospective, randomized evaluation of the LapMentor™ simulator, and provides evidence that LapMentor™ training may lead to improved operating room performance.</p></sec></abstract><abstract abstract-type="toc"><p>A randomized, double-blinded study was undertaken to determine if surgical interns undergoing prior training on the LapMentor™ laparoscopic simulator would demonstrate superior intraoperative performance as compared with a control group of their peers that did not receive simulator training. The simulator-trained interns were able to complete the animate intraoperative exercises in less time with a higher degree of accuracy, and outperformed the control group with regard to camera navigation skills, efficiency of motion, optimal use of instrumentation, and perceptual ability.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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