Porcine cadaver organ or virtual-reality simulation training for laparoscopic cholecystectomy: a randomized, controlled trial.

作者: Siska Van Bruwaene , Marlies P. Schijven , Daniel Napolitano , Gunter De Win , Marc Miserez

DOI: 10.1016/J.JSURG.2014.11.015

关键词:

摘要: Objectives As conventional laparoscopic procedural training requires live animals or cadaver organs, virtual simulation seems an attractive alternative. Therefore, we compared the transfer of for cholecystectomy from porcine organs vs to surgery in a animal model prospective randomized trial. Design After completing intensive basic skills, 3 groups 10 participants proceeded with no additional (control group), 5 hours on (= organ training) proficiency-based LapMentor virtual-reality training). Participants were evaluated time and quality during anaesthetized pig at baseline, 1 week post) 4 months retention) after training. Setting All research was performed Center Surgical Technologies, Leuven, Belgium. In total, 30 volunteering medical students without prior experience laparoscopy minimally invasive University Leuven (Belgium). Results The group procedure significantly faster than trainer borderline control posttesting. Only expert raters suggested better performance both other posttesting (p Conclusions For trainees who are proficient long-term advantage training, especially but also model, remains be proven.

参考文章(44)
Emily Boyle, Dara A O'Keeffe, Peter A Naughton, Arnold DK Hill, Ciaran O McDonnell, Daragh Moneley, None, The importance of expert feedback during endovascular simulator training. Journal of Vascular Surgery. ,vol. 54, pp. 240- 248 ,(2011) , 10.1016/J.JVS.2011.01.058
Carlos Roger Molinas, Gunter De Win, Ortrun Ritter, Joerg Keckstein, Marc Miserez, Rudi Campo, Feasibility and construct validity of a novel laparoscopic skills testing and training model Gynecological Surgery. ,vol. 5, pp. 281- 290 ,(2008) , 10.1007/S10397-008-0391-0
E. Wierinck, V. Puttemans, S. Swinnen, D. Steenberghe, Effect of augmented visual feedback from a virtual reality simulation system on manual dexterity training. European Journal of Dental Education. ,vol. 9, pp. 10- 16 ,(2005) , 10.1111/J.1600-0579.2004.00351.X
I. D. Ayodeji, M. Schijven, J. Jakimowicz, J. W. Greve, Face validation of the Simbionix LAP Mentor virtual reality training module and its applicability in the surgical curriculum Surgical Endoscopy. ,vol. 21, pp. 1641- 1649 ,(2007) , 10.1007/S00464-007-9219-7
W. O. Kirwan, T. K. Kaar, R. Waldron, Starting laparoscopic cholecystectomy--the pig as a training model. Irish Journal of Medical Science. ,vol. 160, pp. 243- 246 ,(1991) , 10.1007/BF02973396
Katherine Fairhurst, Andrew Strickland, Guy Maddern, The LapSim virtual reality simulator: promising but not yet proven. Surgical Endoscopy and Other Interventional Techniques. ,vol. 25, pp. 343- 355 ,(2011) , 10.1007/S00464-010-1181-0
A. Olinger, G. Pistorius, W. Lindemann, B. Vollmar, U. Hildebrandt, M. D. Menger, Effectiveness of a hands-on training course for laparoscopic spine surgery in a porcine model Surgical Endoscopy and Other Interventional Techniques. ,vol. 13, pp. 118- 122 ,(1999) , 10.1007/S004649900918
Siska Van Bruwaene, Gunter De Win, Marc Miserez, How much do we need experts during laparoscopic suturing training Surgical Endoscopy and Other Interventional Techniques. ,vol. 23, pp. 2755- 2761 ,(2009) , 10.1007/S00464-009-0498-Z
Vanessa N. Palter, Neil Orzech, Rajesh Aggarwal, Allan Okrainec, Teodor P. Grantcharov, Resident perceptions of advanced laparoscopic skills training Surgical Endoscopy. ,vol. 24, pp. 2830- 2834 ,(2010) , 10.1007/S00464-010-1058-2
David A. Berg, Richard E. Milner, Carol A. Fisher, Amy J. Goldberg, Daniel T. Dempsey, Harsh Grewal, A cost-effective approach to establishing a surgical skills laboratory. Surgery. ,vol. 142, pp. 712- 721 ,(2007) , 10.1016/J.SURG.2007.05.011