State of the Evidence on Simulation-Based Training for Laparoscopic Surgery
Annals of SurgeryPublished 13 February 2013
Benjamin Zendejas, Ryan Brydges, Stanley J. Hamstra, David A. Cook
Citations354
SJR quartileQ1
SJR score2.59
SNIP2.41
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Simulation-based laparoscopic surgery training of health professionals has large benefits when compared with no intervention and is moderately more effective than nonsimulation instruction.
Abstract
Simulation-based laparoscopic surgery training of health professionals has large benefits when compared with no intervention and is moderately more effective than nonsimulation instruction.
Keywords
MedicineEngineering
Computers Environment and Urban SystemsStatistical power analysis for the behavioral sciences
65,645 Citations1990
BMJMeasuring inconsistency in meta-analyses
62,756 Citations2003Julian P. T. Higgins, Simon G. Thompson +2 more
A new quantity is developed, I 2, which the authors believe gives a better measure of the consistency between trials in a meta-analysis, which is susceptible to the number of trials included in the meta- analysis.
BMJBias in meta-analysis detected by a simple, graphical test
56,268 Citations1997Matthias Egger, George Davey Smith +2 more
Funnel plots, plots of the trials' effect estimates against sample size, are skewed and asymmetrical in the presence of publication bias and other biases Funnel plot asymmetry, measured by regression analysis, predicts discordance of results when meta-analyses are compared with single large trials.
PubMedPreferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
45,120 Citations2009David Moher, Alessandro Liberati +2 more
Annals of Internal MedicinePreferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
37,262 Citations2009David Moher, Alessandro Liberati +3 more
Psychological BulletinIntraclass correlations: Uses in assessing rater reliability.
23,020 Citations1979Patrick E. Shrout, Joseph L. Fleiss
National Academies Press eBooksTo Err Is Human
14,096 Citations2000Institute of Medicine
A process for the preparation of prostaglandins which are known pharmaceutically active compounds and then R alpha , R omega -cyclopentenoids is described.
Medical TeacherFeatures and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review
3,860 Citations2005S. Barry Issenberg, William C. McGaghie +3 more
While research in this field needs improvement in terms of rigor and quality, high-fidelity medical simulations are educationally effective and simulation-based education complements medical education in patient care settings.
JAMATechnology-Enhanced Simulation for Health Professions Education
2,026 Citations2011David A. Cook, Rose Hatala +6 more
In comparison with no intervention, technology-enhanced simulation training in health professions education is consistently associated with large effects for outcomes of knowledge, skills, and behaviors and moderate effects for patient-related outcomes.
BMJ Quality & SafetyThe future vision of simulation in health care
1,832 Citations2004David M. Gaba
Using simulation to improve safety will require full integration of its applications into the routine structures and practices of health care, including professional societies, liability insurers, health care payers, and ultimately the public.
Academic MedicineDoes Simulation-Based Medical Education With Deliberate Practice Yield Better Results Than Traditional Clinical Education? A Meta-Analytic Comparative Review of the Evidence
1,781 Citations2011William C. McGaghie, S. Barry Issenberg +3 more
Although the number of reports analyzed in this meta-analysis is small, these results show that SBME with DP is superior to traditional clinical medical education in achieving specific clinical skill acquisition goals.
Medical EducationA critical review of simulation‐based medical education research: 2003–2009
1,690 Citations2009William C. McGaghie, S. Barry Issenberg +2 more
This article reviews and critically evaluates historical and contemporary research on simulation‐based medical education (SBME) and presents and discusses 12 features and best practices that teachers should know in order to use medical simulation technology to maximum educational benefit.
JAMAInternet-Based Learning in the Health Professions
1,455 Citations2008David Cook, Anthony J Levinson +4 more
Internet-based learning is associated with large positive effects compared with no intervention and with non-Internet instructional methods, suggesting effectiveness similar to traditional methods.
JAMAAssociation Between Funding and Quality of Published Medical Education Research
905 Citations2007Darcy A. Reed, David A. Cook +4 more
The quality of published medical education research is associated with study funding, and the MERSQI instrument is an effective instrument for measuring the quality of education research studies.
The American Journal of SurgeryThe financial impact of teaching surgical residents in the operating room
801 Citations1999Matthew Bridges, Daniel L. Diamond
The annual cost of training surgical residents in the operating room is $53 million, which suggests the need for digital skills, selection criteria, the development of training curriculum and resource facilities, the pre-operating room need for suturing and stapling techniques, and perhaps the acquisition of virtual surgery training modules.
Medical TeacherComparative effectiveness of instructional design features in simulation-based education: Systematic review and meta-analysis
668 Citations2012David A. Cook, Stanley J. Hamstra +6 more
A systematic review of studies comparing different simulation-based interventions confirmed quantitatively the effectiveness of several instructional design features in simulation- based education.
Annals of SurgeryA Systematic Review of Skills Transfer After Surgical Simulation Training
614 Citations2008Lana Sturm, John A. Windsor +4 more
Skills acquired by simulation-based training seem to be transferable to the operative setting and more studies are required to strengthen the evidence base and to provide the evidence needed to determine the extent to which simulation should become a part of surgical training programs.
Annals of SurgeryComplications of Cholecystectomy: Risks of the Laparoscopic Approach and Protective Effects of Operative Cholangiography
537 Citations1999David Fletcher, Michael Hobbs +7 more
Operative cholangiography has a protective effect for complications of cholecystectomy, compared with OC, which carries a nearly twofold higher risk of major bile, vascular, and bowel complications.
Annals of SurgerySurgical Simulation
526 Citations2006Leanne M. Sutherland, Philippa Middleton +5 more
While there may be compelling reasons to reduce reliance on patients, cadavers, and animals for surgical training, none of the methods of simulated training has yet been shown to be better than other forms of surgical training.
Medical EducationDescription, justification and clarification: a framework for classifying the purposes of research in medical education
457 Citations2008David A. Cook, Georges Bordage +1 more
This review concludes that the quality of medical education research in the United States is under threat due to a combination of factors, including the high level of uncertainty about the sources of abuse, and the low level of awareness of abuse in the medical profession.
Simulation in Healthcare The Journal of the Society for Simulation in HealthcareThe Future Vision of Simulation in Healthcare
455 Citations2007David M. Gaba
Using simulation to improve safety will require full integration of its applications into the routine structures and practices of healthcare, and the commitment and ingenuity of the healthcare simulation community to see that improved patient safety using this tool becomes a reality.
British journal of surgerySystematic review of randomized controlled trials on the effectiveness of virtual reality training for laparoscopic surgery
424 Citations2008Kurinchi Selvan Gurusamy, Rajesh Aggarwal +2 more
The aim of this review was to determine whether virtual reality (VR) training can supplement and/or replace conventional laparoscopic training in surgical trainees with limited or no Laparoscopic experience.
SurgeryCost: The missing outcome in simulation-based medical education research: A systematic review
367 Citations2012Benjamin Zendejas, Amy T. Wang +3 more
The quantity and quality of studies that contain an economic analysis of simulation-based medical education for the training of health professions learners are summarized and a comprehensive model for accounting and reporting costs in SBME is proposed.
Surgical EndoscopyLaparoscopic virtual reality and box trainers: is one superior to the other?
352 Citations2004S Bann, Ara Darzi +3 more
LapSim is effective in teaching skills that are transferable to a real laparoscopic task, however, there appear to be no substantial advantages of one system over the other.
Simulation in Healthcare The Journal of the Society for Simulation in HealthcareComparative Effectiveness of Technology-Enhanced Simulation Versus Other Instructional Methods
333 Citations2012David A. Cook, Ryan Brydges +6 more
In comparison with other instruction, technology-enhanced simulation is associated with small to moderate positive effects, and for 5 studies reporting comparative costs, simulation was more expensive and more effective.
SurgeryTeaching suturing and knot-tying skills to medical students: A randomized controlled study comparing computer-based video instruction and (concurrent and summary) expert feedback
300 Citations2007George Xeroulis, Jason Park +4 more
It is shown that CBVI can be as effective as summary expert feedback in the instruction of basic technical skills to medical students and provides evidence supporting an increased role of summary feedback to effectively train novices in technical skills.
Academic MedicineThe Research We Still Are Not Doing: An Agenda for the Study of Computer-Based Learning
288 Citations2005David A. Cook
The author updates the agenda for research in CBL (including Web-based learning), saying that CBL is not a panacea, but holds great promise, and that media-comparative studies be replaced by rigorous, theory-guided comparisons of CBL interventions.
Annals of SurgeryMental Practice Enhances Surgical Technical Skills
252 Citations2011Sonal Arora, Rajesh Aggarwal +6 more
This is the first randomized controlled study to show that MP enhances the quality of performance based on VR laparoscopic cholecystectomy, and may be a time- and cost-effective strategy to augment traditional training in the OR thus potentially improving patient care.
The American Journal of SurgeryVerbal feedback from an expert is more effective than self-accessed feedback about motion efficiency in learning new surgical skills
241 Citations2006Mark Porte, George Xeroulis +2 more
Verbal feedback from an expert instructor led to lasting improvements in technical skills performance, and providing information about motion efficiency did not lead to similar improvements.
Journal of Surgical ResearchThe Role of Haptic Feedback in Laparoscopic Simulation Training
217 Citations2009Lucian Panait, Ehab Akkary +4 more
In the more advanced tasks, haptics allowed superior precision, resulting in faster completion of tasks and a trend toward fewer technical errors, and the additional expense of haptic-enhanced laparoscopic simulators may be justified for advanced skill development in surgical trainees as simulator technology continues to improve.
Surgical EndoscopyTelesimulation: an effective method for teaching the fundamentals of laparoscopic surgery in resource-restricted countries
215 Citations2009Allan Okrainec, Óscar Henao +1 more
Remote telesimulation is an effective method for teaching the Fundamentals of Laparoscopic Surgery in Africa, achieving a 100% FLS skills pass rate.
Human Factors The Journal of the Human Factors and Ergonomics SocietyContinuous Concurrent Feedback Degrades Skill Learning: Implications for Training and Simulation
214 Citations1997Richard A. Schmidt, Gabriele Wulf
Continuous feedback during acquisition degrades the learning of not only closed-loop processes in slower movements but also motor programs and their parameterization in more rapid tasks.
Annals of SurgeryImproving Continuing Medical Education for Surgical Techniques: Applying the Lessons Learned in the First Decade of Minimal Access Surgery
207 Citations2001David A. Rogers, Arthur S. Elstein +1 more
The educational effectiveness of the short-course type of continuing medical education currently offered for training in new surgical techniques should be established, or this type of training should be abandoned.
The American Journal of SurgeryA competency-based virtual reality training curriculum for the acquisition of laparoscopic psychomotor skill
207 Citations2006Rajesh Aggarwal, Teodor Grantcharov +3 more
This study aims to establish and validate a structured VR curriculum to provide an evidence-based approach for laparoscopic training programmes, and can aid the incorporation of VR simulation into established surgical training programmes.
Journal of the American College of SurgeonsProficiency Maintenance: Impact of Ongoing Simulator Training on Laparoscopic Skill Retention
198 Citations2006Dimitrios Stefanidis, James R. Korndorffer +3 more
Although proficiency-based training results in excellent skill retention, ongoing training substantially enhances performance and minimizes skill loss.
Continuous Concurrent Feedback Degrades Skill Learning: Implications for Training and Simulation
189 Citations2017Richard A. Schmidt, Gabriele Wulf
Surgical Laparoscopy Endoscopy & Percutaneous TechniquesThe Pitfalls of Laparoscopic Surgery: Challenges for Robotics and Telerobotic Surgery
174 Citations2002Garth H. Ballantyne
Medical EducationMethod and reporting quality in health professions education research: a systematic review
145 Citations2011David A. Cook, Anthony J Levinson +1 more
Annals of SurgeryMental Training in Surgical Education
145 Citations2007Marc Immenroth, Thomas B rger +4 more
Additional mental training is an effective way of optimizing the outcomes of further training for laparoscopic cholecystectomy and is associated with fewer costs and with better outcomes in some crucial assessment scales than additional practical training.
Journal of the American College of SurgeonsInitial Laparoscopic Basic Skills Training Shortens the Learning Curve of Laparoscopic Suturing and Is Cost-Effective
134 Citations2010Dimitrios Stefanidis, William W. Hope +3 more
Academic MedicineConcurrent Versus Terminal Feedback: It May Be Better to Wait
131 Citations2009Catharine M. Walsh, Simon C. Ling +2 more
The use of terminal feedback resulted in better learning as demonstrated by superior performance during transfer as well as execution time, checklist, and global rating scores.
Journal of the American College of SurgeonsClosing the Gap in Operative Performance Between Novices and Experts: Does Harder Mean Better for Laparoscopic Simulator Training?
126 Citations2007Dimitrios Stefanidis, James R. Korndorffer +4 more
Although increasing the level of training difficulty increased trainees' workload, the strategy used in this study did not enhance their operative performance and other methods for curriculum optimization are needed.
Surgical EndoscopyThe importance of haptic feedback in laparoscopic suturing training and the additive value of virtual reality simulation
117 Citations2007Sanne M. B. I. Botden, Fawaz Chikh Torab +2 more
It is concluded that VR simulation does not have a significant additional value in laparoscopic suturing training, over traditional box trainers and one should consider that the future development in VR simulation should focus on basic skills and component tasks of procedural training in Laparoscopic surgery, rather than laparosc sutured training.
Journal of the American College of SurgeonsA Comparison of Human Cadaver and Augmented Reality Simulator Models for Straight Laparoscopic Colorectal Skills Acquisition Training
111 Citations2010Fabien Leblanc, Bradley J. Champagne +5 more
The human cadaver model was more difficult but better appreciated than the simulator for laparoscopic sigmoid colectomy training, which can appropriately integrate simulators into the learning curve and maintain the benefits of both training methodologies.
SurgeryLimited feedback and video tutorials optimize learning and resource utilization during laparoscopic simulator training
109 Citations2007Dimitrios Stefanidis, James R. Korndorffer +2 more
Limited instructor feedback appears to be superior to intense feedback during proficiency-based laparoscopic simulator training, and this type of feedback may accelerate learning and improve resource utilization by minimizing the need for instructor involvement.
Surgical EndoscopyTransfer validity of laparoscopic knot-tying training on a VR simulator to a realistic environment: A randomized controlled trial
100 Citations2007E. G. G. Verdaasdonk, Jenny Dankelman +2 more
Surgical trainees who received knot-tying training on the VR simulator were faster and made fewer errors than the controls, and the VR module is a useful tool to train laparoscopic knot-TYing.
Surgical EndoscopyA simplified simulator for the training and evaluation of laparoscopic skills
98 Citations2000Eric J. Keyser, Anna M. Derossis +3 more
A mirrored-box simulator was shown to provide a reasonable reflection of relative performance of laparoscopic skills and can be accomplished without the need for cumbersome equipment.
Surgical EndoscopyForce feedback and basic laparoscopic skills
97 Citations2008Magdalena K. Chmarra, Jenny Dankelman +2 more
Force feedback influences basic laparoscopic skills during tasks in which pulling and pushing forces are applied, and the switch from the trainer without force feedback to the one with natural force feedback has a detrimental effect on performance.
The American Journal of SurgeryLaparoscopic simulation training with proficiency targets improves practice and performance of novice surgeons
96 Citations2009Paul G. Gauger, Linnea S. Hauge +8 more
Delineation of proficiency targets with reporting of progress improves interns' practice results, and appears to have a positive effect on their early operating room (OR) performance of laparoscopic cholecystectomy.
Surgical EndoscopyThe influence of different training schedules on the learning of psychomotor skills for endoscopic surgery
87 Citations2006E. G. G. Verdaasdonk, L. P. S. Stassen +2 more
The distributed group trained over several days was faster, with the same number of errors and the same instrument path length used, than the massed group trained on 1 day.
Surgical EndoscopyHow much feedback is necessary for learning to suture?
83 Citations2007Alec Fitzgerald O’Connor, Steven D. Schwaitzberg +1 more
Surgical training could be carried out effectively with only knowledge of results, and the overall workload of a trainee during training would decrease as skills improved, especially when KR and coaching were provided.
American Journal of Obstetrics and GynecologyA six-year study of surgical teaching and skills evaluation for obstetric/gynecologic residents in porcine and inanimate surgical models
78 Citations2005Gretchen M. Lentz, Lynn S. Mandel +1 more
Residents who completed the 4-year curriculum showed significantly better technical skills on bench tasks but not on OSATS compared with those with less training, but resident surgical skills evaluated by OSATS significantly improve over time both individually and as a cohort by resident year.
Surgical EndoscopyDo absorption and realistic distraction influence performance of component task surgical procedure?
77 Citations2009Jon R. Pluyter, Sonja N. Buzink +2 more
The results suggest careful evaluation of the social and technological sources of distraction in the operation room to reduce irritation for the surgeon and provision of proper preclinical laparoscope navigation training to increase security for the patient.
The American Journal of SurgeryVirtual-reality training improves angled telescope skills in novice laparoscopists
76 Citations2007Sabha Ganai, Joseph A. Donroe +3 more
VR training in angled laparoscope use improves operative performance of novices, and growing evidence that VR training is highly effective in improving surgical skills outside of the clinical setting is supported.
PubMedVirtual reality and computer-enhanced training devices equally improve laparoscopic surgical skill in novices.
72 Citations2009Prathima Kanumuri, Sabha Ganai +4 more
Training on virtual reality and computer-enhanced devices had equivalent effects on skills improvement in novices, despite the perception that haptic feedback is important in laparoscopic simulation training, its absence in the virtual reality device did not impede acquisition of skill.
Journal of Biomedical InformaticsCognitive simulators for medical education and training
67 Citations2009Kanav Kahol, Mithra Vankipuram +1 more
A controlled methodology, inspired by neuropsychological assessment tasks and embodied cognition, to develop cognitive simulators for laparoscopic surgery is described and the results of two pilot studies are presented that show the validity of the methodology in providing an effective evaluation and learning environments for surgeons.
European UrologyBasic Laparoscopic Surgical Training: Examination of a Low-Cost Alternative
64 Citations2006Srinath Chandrasekera, John F. Donohue +5 more
For basic laparoscopic training the cardboard box, costing nothing, is a simple and effective alternative, which can be used in conjunction with sophisticated video-laparoscopy equipment costing thousands of dollars.
Urologia InternationalisCadaveric versus Porcine Models in Urological Laparoscopic Training
63 Citations2003Ran Katz, András Hoznek +4 more
Cadaveric laparoscopy may offer an ideal surgical environment allowing dissection and performance of complete procedures, and may be added to the armamentarium of urological laparoscope training courses.
Journal of surgical educationProficiency-Based Laparoscopic and Endoscopic Training With Virtual Reality Simulators: A Comparison of Proctored and Independent Approaches
61 Citations2009Christopher W. Snyder, Marianne J. Vandromme +2 more
This study quantifies the cost, in instructor and trainee hours, of proficiency-based laparoscopic and endoscopic VR simulator training, and suggests that proctored instruction does not offer any advantages to trainees.
Current SurgeryThe effects of practice and instruction on speed and accuracy during resident acquisition of simulated laparoscopic skills
60 Citations2001Don Risucci, Jonathan Cohen +3 more
The addition of dynamic instruction to simulator-based practice improves the quality and consistency of resident acquisition of laparoscopic surgical skills.
Journal of surgical educationHand-Assisted Laparoscopic Sigmoid Colectomy Skills Acquisition: Augmented Reality Simulator Versus Human Cadaver Training Models
58 Citations2010Fabien Leblanc, Anthony J. Senagore +5 more
Although improvements likely will be required to incorporate the simulator more routinely into the colorectal training, it may be useful in its current form for more junior trainees or those early on their learning curve.
Surgical EndoscopyTelementoring versus on-site mentoring in virtual reality-based surgical training
57 Citations2005Lucian Panait, A. Rafiq +5 more
Integration of instructional media with telementoring can be as effective for the development of surgical skills as local mentoring for surgical skills training.
Surgical EndoscopyThe effect of escalating feedback on the acquisition of psychomotor skills for laparoscopy
57 Citations2007Kent R. Van Sickle, Anthony G. Gallagher +1 more
The type and quality of feedback during psychomotor skill acquisition for MIS have a large effect on the strength of skills generalization to a simple MIS task and should be given serious consideration in curriculum design for surgical training using simulation tasks.
PubMedImpact of cognitive imaging and sex differences on the development of laparoscopic suturing skills.
57 Citations2005Tyrone Donnon, Jean Descôteaux +1 more
Results indicate that females generally have lower visual-spatial abilities than males, which are in concordance with other research findings, and enhanced performance for both sexes increases rapidly with practice.
Journal of surgical educationA Time-Cost Analysis of Teaching a Laparoscopic Entero-Enterostomy
55 Citations2007David Harrington, G. Dean Roye +4 more
To estimate the cost of traditional training, the time and interventions necessary for 15 senior residents to do a laparoscopic entero-enterostomy would cost $45,061 a year, which is about $45.52 in faculty costs per anastomosis.
Surgical EndoscopyProspective randomized evaluation of surgical resident proficiency with laparoscopic suturing after course instruction
41 Citations2002Kristi L. Harold, Brent D. Matthews +3 more
Residents can improve suturing skill with a short didactic course and individual proctoring and a sutured assist device decreases time required by inexperienced surgeons to device perform an intracorporeal tie.
Gynecological SurgeryDefining a structured training program for acquiring basic and advanced laparoscopic psychomotor skills in a simulator
40 Citations2010Carlos Roger Molinas, Rudi Campo
It is confirmed that training improves laparoscopic skills and indicates that many repetitions are required for reaching proficiency, and mastering LICK is not sufficient for acquiring HEC skills, the clinical relevance of which still needs to be evaluated.
The American Journal of SurgeryA comparison of single- and multiple-stage approaches to teaching laparoscopic suturing
39 Citations2007Adam Dubrowski, Jason Park +3 more
Despite spending less time practicing actual suturing, the group of residents who progressed through the sequence of steps performed as well as those who practiced the entire task in its full complexity, a finding that has implications for minimizing teaching resources and training costs.
The American Journal of SurgeryDistractions and surgical proficiency: an educational perspective
34 Citations2009Craig Szafranski, Kanav Kahol +3 more
Noise and distractions can significantly impede performance of surgical residents, but this effect can be nullified by introduction of noise and distractions in the training environment.
Simulation in Healthcare The Journal of the Society for Simulation in HealthcareLapMentor Metrics Possess Limited Construct Validity
33 Citations2008Pamela Andreatta, Derek T. Woodrum +2 more
The majority of the LapMentor tasks’ metrics were unable to differentiate between laparoscopic experts and less skilled subjects, and performance on those tasks may not accurately reflect a subject's true level of ability.
Surgical EndoscopyDesktop simulator: key to universal training?
30 Citations2007Hanna Bruynzeel, Anton F. J. de Bruin +5 more
The Mirror Trainer and the pelvic trainer are equally effective in teaching laparoscopic suturing skills but training with the Mirror Trainer requires less time, can be done on any desktop, and is less costly.
Surgical EndoscopyValidation of a six-task simulation model in minimally invasive surgery
30 Citations2004Miroslav Uchal, Yannis Raftopoulos +2 more
The 6-TSM is a valid and reliable learning tool for surgical residents’ acquisition of laparoscopic motor skills, as compared with the 3-TTM residents at MIST-VR.
Surgical EndoscopyComparison of different training models for laparoscopic surgery in neonates and small infants
25 Citations2006Maria Heinrich, Nadine Tillo +2 more
Adequate training for an isolated mechanical task such as gut biopsy can be supplied using a pelvic trainer or animal model with similar effects, however in vivo performance of the same task requires secondary surgical skills, which are conveyed during live training with greater success.
Surgical InnovationNovel Hands-Free Pointer Improves Instruction Efficiency in Laparoscopic Surgery
24 Citations2008Shiva Jayaraman, Izabella Apriasz +4 more
The benefit of pointer instruction was greater in trainees with laparoscopic experience compared with those without experience and use of a hands-free pointer improved instruction efficiency in simulated laparoscopy.
European Journal of Pediatric SurgeryAdvanced Paediatric Laparoscopic Surgery: Repetitive Training in a Rabbit Model Provides Superior Skills for Live Operations
23 Citations2005Hans–Joachim Kirlum, Maria Heinrich +2 more
World Journal of SurgeryA New Surgical Trainer (BOPT) Improves Skill Transfer for Anastomotic Techniques in Gastrointestinal Surgery into the Operating Room: A Prospective Randomized Trial
22 Citations2010Johannes C. Lauscher, Jörg‐Peter Ritz +3 more
The training using the Berlin Operation Trainer (BOPT) with respect to training success and the potential to transfer to GI surgery the suture and anastomosis techniques learned seems to be significantly superior to standard surgery modules, independent of the surgeon’s training status.
Surgical EndoscopyUsefulness of a virtual reality simulator or training box for endoscopic surgery training
21 Citations2006Teiji Kimura, Akihiro Kawabe +2 more
It is demonstrated that a simulator is useful for acquiring psychomotor skills, but does not immediately enable clinical performance of an operation.
The American Journal of SurgeryThe validity of take-home surgical simulators to enhance resident technical skill proficiency
21 Citations2011Joe Uccelli, Kanav Kahol +3 more
Unstructured learning is equally effective in delivering quality skills training when compared with structured training and there was no significant difference between group differences in final skills scores.
Journal of the American College of SurgeonsPretraining on Southwestern Stations Decreases Training Time and Cost for Proficiency-Based Fundamentals of Laparoscopic Surgery Training
21 Citations2009Madelyn E. Rosenthal, Antonio O. Castellvi +4 more
Pretraining on SW stations decreases training time for FLS skill acquisition and maintains educational benefits, and decreases costs associated with using consumable materials for training.
Journal of EndourologyA Training Model for Laparoscopic Urethrovesical Anastomosis
21 Citations2008Chun Jiang, Tianxin Lin +8 more
This training model more accurately resembles the structure and characteristic of the human pelvis, urethral stump, and bladder (neobladder) and is an effective, convenient training model for laparoscopic urethrovesical anastomosis.
Surgical InnovationReverse Alignment “Mirror Image” Visualization as a Laparoscopic Training Tool Improves Task Performance
20 Citations2010Ward Dunnican, Taqdir Singh +5 more
Reverse alignment imaging for laparoscopic training improves task performance for both reverse alignment and forward alignment tasks, which may be translated into improved performance in the operating room when faced with reverse alignment situations.
The American Journal of SurgeryRandomized double-blinded trial investigating the impact of a curriculum focused on error recognition on laparoscopic suturing training
19 Citations2008Juliane Bingener, Tanner Boyd +8 more
PubMedThe use of a "hybrid" trainer in an established laparoscopic skills program.
19 Citations2006James C. Rosser, Brian J. Colsant +4 more
A new electronic proctor utilized during the Top Gun Course was introduced without modification of the core curriculum and experienced no device failures, suggesting that the EP could have internal guidance capabilities.
Journal of EndourologySynthetic Torso for Training in and Evaluation of Urologic Laparoscopic Skills
18 Citations2006Dumitru Mazilu, Alexandru Patriciu +8 more
A new synthetic torso for urologic laparoscopy training was developed and assessed and presented several advantages over the traditional training box, specifically with regard to internal and external views and the incorporation of a realistically shaped abdominal wall.
Surgical InnovationVerbal Communication Improves Laparoscopic Team Performance
16 Citations2008Shiliang Chang, Erin Waid +3 more
Impact of verbal feedback was more pronounced for tasks requiring team cooperation than tasks depending on individual skills (knotting), and improved team efficiency and performance.
European surgery. Supplement/European surgeryTraining of laparoscopic skills with virtual reality simulator: a critical reappraisal of the learning curve
16 Citations2007Katja Schlosser, M. Alkhawaga +4 more
The result suggests that steepness and plateau of a learning curve may be more dependent on the level of performance required by the particular training session rather than the number of repetitions during a session.
Cirugía EspañolaSimulador de bajo coste para el entrenamiento de habilidades laparoscópicas básicas
12 Citations2009Antonio Morandeira-Rivas, Arancha Cabrera Vilanova +3 more
The improvements in Laparoscopic skills on this simulator with a low-cost camera were not significantly different from those gained using the simulator with the conventional laparoscopic camera.
International Congress SeriesEffectiveness of training for endoscopic surgery using a simulator with virtual reality: Randomized study
12 Citations2005Kazuo Tanoue, Tomohide Yasunaga +7 more
The results show that the simulator for the training of endoscopic surgery is useful to improve the basic skill of the bilateral devices, and to performendoscopic surgery safely.
Lecture notes in computer scienceAugmented Virtual Reality for Laparoscopic Surgical Tool Training
11 Citations2007Kanav Kahol, Jamieson French +3 more
In a pilot study performed with 8 surgical residents, the effect of real time feedback on movement proficiency was tested and it was found that feedback significantly improves performance on the task at hand and leads to skill generalization and transfer.
Cirugía Española (English Edition)Low cost simulator for acquiring basic laparoscopic skills
10 Citations2010Antonio Morandeira-Rivas, Arancha Cabrera Vilanova +3 more
Evaluating the usefulness of a low-cost simulator and camera for the acquisition of basic laparoscopic skills found this simulator was able to differentiate between experienced and inexperienced subjects.
Cirugía Española (English Edition)Does the incorporation of a virtual simulator improve abilities in endoscopic surgery acquired with an inanimate simulator?
7 Citations2009José Ignacio Rodrı́guez, Estrella Turienzo Santos +1 more
Training in inanimate boxes was able to improve the skills of students, particularly for moving and suture/knots, particularly in cutting exercises after the incorporation of a virtual simulator.
Virtual reality based training to resolve visio-motor conflicts in surgical environments
6 Citations2008Mithra Vankipuram, Kanav Kahol +4 more
A simulator that specifically addresses the intermodal conflict between motor actuation and visual feedback is presented that suggests the construct validity of the training and that visio-motor training can accelerate learning.
Surgical EndoscopyAdaptation to a dynamic visual perspective in laparoscopy through training in the cutting task
4 Citations2009Arturo Minor Martínez, José Luis Limón Aguilar +3 more
…