Sosa-Durán EE, Aboharp-Hasan Z, Jiménez-Villanueva X, Bazán-Soto A, Jiménez-Gómez F, Villegas-Ortiz M

Language: Spanish
References: 28
Page: 245-249
PDF size: 181.47 Kb.

ABSTRACT

Simulation in minimally thoraco-laparoscopic access surgery is a useful tool to acquire psychomotor skills, needed in handling and dissecting of anatomical structures, captured in pictures in a bidimentional field; this modifies, visual and tactile perception, the depth, navigation, eye-hand coordination and bimanual movements, as well as the speed, efficiency, and economy of movements, by generating a lever effect and semi paradoxical movements, with exaggerated tremor. The mastering of these skills has been shown to decreased morbidity and mortality in the early stages of the earning curve on a specific surgical procedure. A skill not covered in programs of different surgical specialties and has changed the Halsted´s paradigm: see one, do one and teach one, by that: see one, practice in a simulator, do one. Today, surgical simulation laparoscopic is a mandatory requirement in some countries, should be included in academic surgery programs, in the first years of residence. The current discussion is not centered in its utility; it is focused on how to make this effective training reproducible in the operating room, there are standardized training models that follow a methodology in teaching-training laparoscopic process.

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