Skip to main content
Log in

The transfer of basic skills learned in a laparoscopic simulator to the operating room

  • Original Articles
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background

The aim of the study was to evaluate whether basic surgical skills achieved by training in LapSim, a computerbased laparoscopic simulator, could be transferred to the operating room.

Methods

For this study, 24 medical students undergoing courses in surgery were randomly assigned to train with LapSim or to serve as control subjects. After they had undergone simulator training 2 h per week for 5 weeks, their basic skills in laparoscopic surgery were assessed in a porcine model. The time to perform each task was measured, and four senior surgeons independently graded the overall performance on a 9-step differential rating scale.

Results

The participants randomized to train with LapSim showed significantly better results for all tasks in both parts of the study than the untrained participants, according to the expert evaluation. Time consumption was accordingly lower in the training group in the control group.

Conclusions

The results show that basic skills achieved by systematic training with a laparoscopic simulator such as LapSim can be transferred to the operating room.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Derossis AM, Bothwell J, Sigman HH, Fried GM (1998) The effect of practice on performance in a laparoscopic simulator. Surg Endosc 12: 1117–1120

    Article  PubMed  CAS  Google Scholar 

  2. Fried GM, Derossis AM, Bothwell J, Sigman HH (1999) Comparison of laparoscopic performance in vivo with performance measured in a laparoscopic simulator. Surg Endosc 13: 1077–1081

    Article  PubMed  CAS  Google Scholar 

  3. Gallagher AG, McClure N, McGuigan J, Crothers I, Browning J (1999) Virtual reality training in laparoscopic surgery: a preliminary assessment of Minimally Invasive Surgical Trainer Virtual Reality (MIST VR). Endoscopy 31: 310–313

    Article  PubMed  CAS  Google Scholar 

  4. Mori T, Hatano N, Maruyama, Atomi Y (1998) Significance of “hands-on training” in laparoscopic surgery. Surg Endosc 12: 256–260

    Article  PubMed  CAS  Google Scholar 

  5. O’Toole RVO, Playter RR, Krummel TM, Blank WC, Cornelius NH, Roberts WR, Bell WJ, Raibert M (1999) Measuring and developing suturing technique with a virtual reality surgical simulator. J Am Coll Surg 189: 114–127

    Article  PubMed  Google Scholar 

  6. Rogers DA, Elstein AS, Bordage G (2001) Improving continuing medical education for surgical techniques: applying the lessons learned in the first decade of minimal access surgery. Ann Surg 233: 159–166

    Article  PubMed  CAS  Google Scholar 

  7. Rose FD, Attree EA, Brooks BM, Parslow DM, Penn PR, Ambihaipahan N (2000) Training in virtual environments: transfer to real-world tasks and equivalence to real-task training. Ergonomics 43: 494–511

    Article  PubMed  CAS  Google Scholar 

  8. Wolfe BM, Szabo Z, Moran ME, Chan P, Hunter JG (1993) Surg Endosc 7: 93–95.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Online publication: 7 May 2002

Dr. Anders Hyltander is the President of Surgical Science, Ltd., which is affiliated with the University of Göteborg. Surgical Science, Ltd., developed LapSim.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hyltander, A., Liljegren, E., Rhodin, P.H. et al. The transfer of basic skills learned in a laparoscopic simulator to the operating room. Surg Endosc 16, 1324–1328 (2002). https://doi.org/10.1007/s00464-001-9184-5

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-001-9184-5

Key words

Navigation