Development and Validation of a Homemade, Low-Cost Laparoscopic Simulator for Resident Surgeons (LABOT)

Autor: Maurizio Gallo, Lorenzo Epis, Luigi Conti, Davide Pertile, Veronica Penza, Andrea Massobrio, Domenico Soriero, Dario Gusmini, Stefano Scabini, Filippo Banchini, Patrizio Capelli, Fabio Barra, Giulia Atzori
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Environmental Research and Public Health
Volume 17
Issue 1
International Journal of Environmental Research and Public Health, Vol 17, Iss 1, p 323 (2020)
ISSN: 1660-4601
DOI: 10.3390/ijerph17010323
Popis: Several studies have demonstrated that training with a laparoscopic simulator improves laparoscopic technical skills. We describe how to build a homemade, low-cost laparoscopic training simulator (LABOT) and its validation as a training instrument. First, sixty surgeons filled out a survey characterized by 12 closed-answer questions about realism, ergonomics, and usefulness for surgical training (global scores ranged from 1&mdash
very insufficient to 5&mdash
very good). The results of the questionnaires showed a mean (±
SD) rating score of 4.18 ±
0.65 for all users. Then, 15 students (group S) and 15 residents (group R) completed 3 different tasks (T1, T2, T3), which were repeated twice to evaluate the execution time and the number of users&rsquo
procedural errors. For T1, the R group had a lower mean execution time and a lower rate of procedural errors than the S group
for T2, the R and S groups had a similar mean execution time, but the R group had a lower rate of errors
and for T3, the R and S groups had a similar mean execution time and rate of errors. On a second attempt, all the participants tended to improve their results in doing these surgical tasks
nevertheless, after subgroup analysis of the T1 results, the S group had a better improvement of both parameters. Our laparoscopic simulator is simple to build, low-cost, easy to use, and seems to be a suitable resource for improving laparoscopic skills. In the future, further studies should evaluate the potential of this laparoscopic box on long-term surgical training with more complex tasks and simulation attempts.
Databáze: OpenAIRE