2012, Number 3
<< Back Next >>
Cir Cir 2012; 80 (3)
Low-cost laparoscopic training: necessary time for acquiring expertise
Montoya-Chinchilla R, Campillo-Soto Á, Pietricica B, Cano-García MC, Hidalgo-Agulló G, García-Marín JA
Language: Spanish
References: 16
Page: 253-260
PDF size: 723.35 Kb.
ABSTRACT
Background: Today laparoscopic approach is essential, but learning is usually expensive and very limited. Homemade and low equipment costs are required. We undertook this study to quantify how many hours of training are necessary for a surgeon without laparoscopic experience in order to acquire the abilities to carry out procedures as a staff member with laparoscopic experience.
Methods: A low-cost laparoscopic trainer was constructed. Four exercises of increasing difficulty have been developed. Five residents without laparoscopic experience and four experts developed the study. A satisfaction questionnaire was completed. Data were analyzed comparing the average times for the accomplishment of each exercise between groups.
Results: Data showed that the more difficult an exercise is, the more training is required. The average time needed to acquire similar skills as experts was almost 7 h of training spread over 4 months. The level of confidence for approaching a laparoscopic procedure for residents after completing the training was increased by 70%.
Conclusion: Laparoscopic training is essential in the formation of all surgeons and a reason why this low-cost and easily accessible method could become a basic tool for learning the first steps of the laparoscopic procedure.
REFERENCES
Compeau C, McLeod NT, Ternamian A. Laparoscopic entry: a review of Canadian general surgical practice. Can J Surg 2011;54:315-320.
Mughal M. A cheap laparoscopic surgery trainer. Ann R Coll Surg Engl 1992;74:256-257.
Chandrasekera SK, Donohue JF, Orley D, Barber NJ, Shah NJ, Shah N, et al. Basic laparoscopic surgical training: examination of a lowcost alternative. Eur Urol 2006;50:1285-1290.
Dennis R. A simple and cheap home built laparoscopic trainer. J Min Access Surg 2008;4:88.
Chung SY, Landsittel D, Chon CH, Ng CS, Fuchs GJ. Laparoscopic skills training using a webcam trainer. J Urol 2005;173:180-183.
Madan AK, Frantzides CT, Tebbit C, Quiros RM. Participants' opinions of laparoscopic training devices after a basic laparoscopic training course. Am J Surg 2005;189:758-761.
Van Bruwaene S, De Win G, Miserez M. How much do we need experts during laparoscopic suturing training? Surg Endosc 2009;23:2755-2761.
Bell AK, Zhou M, Schwaitzberg SD, Cao CG. Using a dynamic training environment to acquire laparoscopic surgery skill. Surg Endosc 2009;23:2356-2363.
Arora S, Aggarwal R, Sevdalis N, Moran A, Sirimanna P, Kneebone R, et al. Development and validation of mental practice as a training strategy for laparoscopic surgery. Surg Endosc 2010;24:179-187.
Andreatta PB, Hillard M, Krain LP. The impact of stress factors in simulation-based laparoscopic training. Surgery 2010;147:631-639.
Salkini MW, Doarn CR, Kiehl N, Broderick TJ, Donovan JF, Gaitonde K. The role of haptic feedback in laparoscopic training using the LapMentor II. J Endourol 2010;24:99-102.
Shane MD, Pettitt BJ, Morgenthal CB, Smith CD. Should surgical novices trade their retractors for joysticks? Videogame experience decreases the time needed to acquire surgical skills. Surg Endosc 2008;22:1294-1297.
Rosser JC Jr, Lynch PJ, Cuddihy L, Gentile DA, Klonsky J, Merrell R. The impact of video games on training surgeons in the 21st century. Arch Surg 2007;142:181-186.
Van Hove C, Perry KA, Spight DH, Wheeler-Mcinvaille K, Diggs BS, Sheppard BC, et al. Predictors of technical skill acquisition among resident trainees in a laparoscopic skills education program. World J Surg 2008;32:1917-1921.
Torkington J, Smith SGT, Rees B, Darzi A. The role of the Basic Surgical Skills course in the acquisition and retention of laparoscopic skill. Surg Endosc 2001;15:1071-1075.
Hiemstra E, Kolkman W, van de Put MA, Jansen FW. Retention of basic laparoscopic skills after a structured training program. Gynecol Surg 2009;6:229-235.