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The Transferability of Generic Minimally Invasive Surgical Skills: Is There Crossover of Core Skills Between Laparoscopy and Arthroscopy?

Identifieur interne : 000102 ( PubMed/Corpus ); précédent : 000101; suivant : 000103

The Transferability of Generic Minimally Invasive Surgical Skills: Is There Crossover of Core Skills Between Laparoscopy and Arthroscopy?

Auteurs : Kash Akhtar ; Kapil Sugand ; Asanka Wijendra ; Muthuswamy Sarvesvaran ; Matthew Sperrin ; Nigel Standfield ; Justin Cobb ; Chinmay Gupte

Source :

RBID : pubmed:26868317

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:26868317

Le document en format XML

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<title xml:lang="en">The Transferability of Generic Minimally Invasive Surgical Skills: Is There Crossover of Core Skills Between Laparoscopy and Arthroscopy?</title>
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<name sortKey="Akhtar, Kash" sort="Akhtar, Kash" uniqKey="Akhtar K" first="Kash" last="Akhtar">Kash Akhtar</name>
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<nlm:affiliation>Department of Trauma & Orthopaedics, Barts Health NHS Trust, QMUL, London, United Kingdom.</nlm:affiliation>
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<name sortKey="Sugand, Kapil" sort="Sugand, Kapil" uniqKey="Sugand K" first="Kapil" last="Sugand">Kapil Sugand</name>
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<nlm:affiliation>MSk Lab, Charing Cross Hospital, Imperial College London, London, United Kingdom. Electronic address: ks704@ic.ac.uk.</nlm:affiliation>
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<name sortKey="Wijendra, Asanka" sort="Wijendra, Asanka" uniqKey="Wijendra A" first="Asanka" last="Wijendra">Asanka Wijendra</name>
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<nlm:affiliation>MSk Lab, Charing Cross Hospital, Imperial College London, London, United Kingdom.</nlm:affiliation>
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<name sortKey="Sarvesvaran, Muthuswamy" sort="Sarvesvaran, Muthuswamy" uniqKey="Sarvesvaran M" first="Muthuswamy" last="Sarvesvaran">Muthuswamy Sarvesvaran</name>
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<nlm:affiliation>MSk Lab, Charing Cross Hospital, Imperial College London, London, United Kingdom.</nlm:affiliation>
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<name sortKey="Sperrin, Matthew" sort="Sperrin, Matthew" uniqKey="Sperrin M" first="Matthew" last="Sperrin">Matthew Sperrin</name>
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<nlm:affiliation>Centre for Health Informatics, University of Manchester, Manchester, United Kingdom.</nlm:affiliation>
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<name sortKey="Standfield, Nigel" sort="Standfield, Nigel" uniqKey="Standfield N" first="Nigel" last="Standfield">Nigel Standfield</name>
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<nlm:affiliation>Postgraduate School of Surgery, London Deanery, London, United Kingdom.</nlm:affiliation>
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<name sortKey="Cobb, Justin" sort="Cobb, Justin" uniqKey="Cobb J" first="Justin" last="Cobb">Justin Cobb</name>
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<title xml:lang="en">The Transferability of Generic Minimally Invasive Surgical Skills: Is There Crossover of Core Skills Between Laparoscopy and Arthroscopy?</title>
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<name sortKey="Akhtar, Kash" sort="Akhtar, Kash" uniqKey="Akhtar K" first="Kash" last="Akhtar">Kash Akhtar</name>
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<nlm:affiliation>Department of Trauma & Orthopaedics, Barts Health NHS Trust, QMUL, London, United Kingdom.</nlm:affiliation>
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<name sortKey="Sarvesvaran, Muthuswamy" sort="Sarvesvaran, Muthuswamy" uniqKey="Sarvesvaran M" first="Muthuswamy" last="Sarvesvaran">Muthuswamy Sarvesvaran</name>
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<nlm:affiliation>MSk Lab, Charing Cross Hospital, Imperial College London, London, United Kingdom.</nlm:affiliation>
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<name sortKey="Sperrin, Matthew" sort="Sperrin, Matthew" uniqKey="Sperrin M" first="Matthew" last="Sperrin">Matthew Sperrin</name>
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<nlm:affiliation>Centre for Health Informatics, University of Manchester, Manchester, United Kingdom.</nlm:affiliation>
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<name sortKey="Standfield, Nigel" sort="Standfield, Nigel" uniqKey="Standfield N" first="Nigel" last="Standfield">Nigel Standfield</name>
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<nlm:affiliation>Postgraduate School of Surgery, London Deanery, London, United Kingdom.</nlm:affiliation>
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<name sortKey="Cobb, Justin" sort="Cobb, Justin" uniqKey="Cobb J" first="Justin" last="Cobb">Justin Cobb</name>
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<nlm:affiliation>MSk Lab, Charing Cross Hospital, Imperial College London, London, United Kingdom.</nlm:affiliation>
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<name sortKey="Gupte, Chinmay" sort="Gupte, Chinmay" uniqKey="Gupte C" first="Chinmay" last="Gupte">Chinmay Gupte</name>
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<nlm:affiliation>MSk Lab, Charing Cross Hospital, Imperial College London, London, United Kingdom.</nlm:affiliation>
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<title level="j">Journal of surgical education</title>
<idno type="eISSN">1878-7452</idno>
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<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>
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<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>
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<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>
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<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>
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