Impact of laparoscopy simulator training on the technical skills of future surgeons in the operating room: a prospective study

被引:68
作者
Beyer, Laura [1 ]
De Troyer, Jeremie [1 ]
Mancini, Julien [2 ]
Bladou, Franck [1 ]
Berdah, Stephane V. [1 ]
Karsenty, Gilles [1 ]
机构
[1] Univ Mediterranee, Fac Med Marseille Secteur Nord, CERC, F-13916 Marseille, France
[2] Hop Enfants La Timone, AP HP, Dept Sante Publ, Marseille, France
关键词
Simulator; Training; Laparoscopy; MISTELS; LAP Mentor; BENCH MODEL FIDELITY; SURGICAL SIMULATION; PERFORMANCE; VALIDITY;
D O I
10.1016/j.amjsurg.2010.11.008
中图分类号
R61 [外科手术学];
学科分类号
摘要
BACKGROUND: The efficacy of laparoscopy simulators remains controversial. METHODS: This was a comparative prospective study that evaluated the impact of simulator training on technical competence during a real surgical procedure. Residents were divided into 3 groups: the Mcgill Inanimate System for Training and Evaluation of Laparoscopic Skills (MISTELS) group, training on a simple simulator; LAP Mentor group, training on a virtual simulator; and control group. An initial evaluation was made by a validated score during a laparoscopic cholecystectomy. Each resident was then trained for 1 month. A second evaluation was then performed. RESULTS: Before/after scores were significantly improved in the MISTELS (P = .042) and LAP Mentor (P = .026) groups. It was not the case in the control group. There was a better progression in the MISTELS (P = .026) and LAP Mentor (P = .007) groups than in the control group. There was no significant difference between the MISTELS and LAP Mentor groups. CONCLUSIONS: Simulator training provides a more rapid acquisition of competence in surgical technique. (C) 2011 Elsevier Inc. All rights reserved.
引用
收藏
页码:265 / 272
页数:8
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