Structuralized box-trainer laparoscopic training significantly improves performance in complex virtual reality laparoscopic tasks
Identifieur interne : 002939 ( Main/Exploration ); précédent : 002938; suivant : 002940Structuralized box-trainer laparoscopic training significantly improves performance in complex virtual reality laparoscopic tasks
Auteurs : Dariusz Łaski [Pologne] ; Tomasz J. Stefaniak [Pologne] ; Wojciech Makarewicz [Pologne] ; Monika Proczko [Pologne] ; Zbigniew Gruca [Pologne] ; Zbigniew Ledzi Ski [Pologne]Source :
- Videosurgery and other Miniinvasive Techniques [ 1895-4588 ] ; 2011.
Abstract
In the era of flowering minimally invasive surgical techniques there is a need for new methods of teaching surgery and supervision of progress in skills and expertise. Virtual and physical box-trainers seem especially fit for this purpose, and allow for improvement of proficiency required in laparoscopic surgery.
The study included 34 students who completed the authors‘ laparoscopic training on physical train-boxes. Progress was monitored by accomplishment of 3 exercises: moving pellets from one place to another, excising and clipping. Analysed parameters included time needed to complete the exercise and right and left hand movement tracks. Students were asked to do assigned tasks prior to, in the middle and after the training.
The duration of the course was 28 h in total. Significant shortening of the time to perform each exercise and reduction of the left hand track were achieved. The right hand track was shortened only in exercise number 1.
Exercises in the laboratory setting should be regarded as an important element of the process of skills acquisition by a young surgeon. Virtual reality laparoscopic training seems to be a new, interesting educational tool, and at the same time allows for reliable control and assessment of progress.
Url:
DOI: 10.5114/wiitm.2011.25666
PubMed: 23255997
PubMed Central: 3516962
Affiliations:
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Stefaniak</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk</wicri:regionArea><wicri:noRegion>Medical University of Gdansk</wicri:noRegion></affiliation></author><author><name sortKey="Makarewicz, Wojciech" sort="Makarewicz, Wojciech" uniqKey="Makarewicz W" first="Wojciech" last="Makarewicz">Wojciech Makarewicz</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Oncological Surgery, Medical University of Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Oncological Surgery, Medical University of Gdansk</wicri:regionArea><wicri:noRegion>Medical University of Gdansk</wicri:noRegion></affiliation></author><author><name sortKey="Proczko, Monika" sort="Proczko, Monika" uniqKey="Proczko M" first="Monika" last="Proczko">Monika Proczko</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk</wicri:regionArea><wicri:noRegion>Medical University of Gdansk</wicri:noRegion></affiliation></author><author><name sortKey="Gruca, Zbigniew" sort="Gruca, Zbigniew" uniqKey="Gruca Z" first="Zbigniew" last="Gruca">Zbigniew Gruca</name><affiliation wicri:level="1"><nlm:aff id="AF0003">Pomeranian Fundation for Surgery Development, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Pomeranian Fundation for Surgery Development</wicri:regionArea></affiliation></author><author><name sortKey=" Ledzi Ski, Zbigniew" sort=" Ledzi Ski, Zbigniew" uniqKey=" Ledzi Ski Z" first="Zbigniew" last=" Ledzi Ski">Zbigniew Ledzi Ski</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk</wicri:regionArea><wicri:noRegion>Medical University of Gdansk</wicri:noRegion></affiliation></author></analytic><series><title level="j">Videosurgery and other Miniinvasive Techniques</title><idno type="ISSN">1895-4588</idno><idno type="eISSN">2299-0054</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction</title><p>In the era of flowering minimally invasive surgical techniques there is a need for new methods of teaching surgery and supervision of progress in skills and expertise. Virtual and physical box-trainers seem especially fit for this purpose, and allow for improvement of proficiency required in laparoscopic surgery.</p></sec><sec id="st2"><title>Material and methods</title><p>The study included 34 students who completed the authors‘ laparoscopic training on physical train-boxes. Progress was monitored by accomplishment of 3 exercises: moving pellets from one place to another, excising and clipping. Analysed parameters included time needed to complete the exercise and right and left hand movement tracks. Students were asked to do assigned tasks prior to, in the middle and after the training.</p></sec><sec id="st3"><title>Results</title><p>The duration of the course was 28 h in total. Significant shortening of the time to perform each exercise and reduction of the left hand track were achieved. The right hand track was shortened only in exercise number 1.</p></sec><sec id="st4"><title>Conclusions</title><p>Exercises in the laboratory setting should be regarded as an important element of the process of skills acquisition by a young surgeon. Virtual reality laparoscopic training seems to be a new, interesting educational tool, and at the same time allows for reliable control and assessment of progress.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Halsted, W" uniqKey="Halsted W">W Halsted</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Panait, L" uniqKey="Panait L">L Panait</name></author><author><name sortKey="Bell, Rl" uniqKey="Bell R">RL Bell</name></author><author><name sortKey="Roberts, Ke" uniqKey="Roberts K">KE Roberts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gawande, Aa" uniqKey="Gawande A">AA Gawande</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ahlberg, G" uniqKey="Ahlberg G">G Ahlberg</name></author><author><name sortKey="Enochsson, L" uniqKey="Enochsson L">L Enochsson</name></author><author><name sortKey="Gallagher, Ag" 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Heniford</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="Laski, Dariusz" sort="Laski, Dariusz" uniqKey="Laski D" first="Dariusz" last="Łaski">Dariusz Łaski</name></noRegion><name sortKey=" Ledzi Ski, Zbigniew" sort=" Ledzi Ski, Zbigniew" uniqKey=" Ledzi Ski Z" first="Zbigniew" last=" Ledzi Ski">Zbigniew Ledzi Ski</name><name sortKey="Gruca, Zbigniew" sort="Gruca, Zbigniew" uniqKey="Gruca Z" first="Zbigniew" last="Gruca">Zbigniew Gruca</name><name sortKey="Makarewicz, Wojciech" sort="Makarewicz, Wojciech" uniqKey="Makarewicz W" first="Wojciech" last="Makarewicz">Wojciech Makarewicz</name><name sortKey="Proczko, Monika" sort="Proczko, Monika" uniqKey="Proczko M" first="Monika" last="Proczko">Monika Proczko</name><name sortKey="Stefaniak, Tomasz J" sort="Stefaniak, Tomasz J" uniqKey="Stefaniak T" first="Tomasz J." last="Stefaniak">Tomasz J. 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