Development and validation of a simulator for teaching minimally invasive thoracic surgery in Brazil

Neto, Francisco Martins; Júnior, Luiz Gonzaga de Moura; Rocha, Hermano Alexandre Lima; Neto, Josué Viana de Castro; Lima, Alexandre Marcelo Rodrigues; Siqueira, Rafael Pontes de; Castillo, Daniela Lima Chow; Moura, Régis Luiz Sabiá de; Valente, A

doi:10.1590/acb360508

Cited by 3 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This change in time is similar to a simulation study that reported a 29% reduction in time required for laparoscopic gallbladder dissection among residents who received simulation training [ 18 ]. Numerous other studies have also demonstrated reduced suturing time following practice on a simulator [ 19 – 21 ].…”

Section: Discussionmentioning

confidence: 99%

The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries

Gower

Kello

Kollmann³

et al. 2023

PLoS Negl Trop Dis

View full text Add to dashboard Cite

Background While surgical simulation is regularly used in surgical training in high-income country settings, it is uncommon in low- and middle-income countries, particularly for surgical training that primarily occurs in rural areas. We designed and evaluated a novel surgical simulator for improving trachomatous trichiasis (TT) surgery training, given that trichiasis is mostly found among the poorest individuals in rural areas. Methodology/Principal findings TT surgery programs were invited to incorporate surgical simulation with a new, high fidelity, low-cost simulator into their training. Trainees completed standard TT-surgery training following World Health Organization guidelines. A subset of trainees received three hours of supplemental training with the simulator between classroom and live-surgery training. We recorded the time required to complete each surgery and the number of times the trainer intervened to correct surgical steps. Participants completed questionnaires regarding their perceptions. We also assessed trainer and trainee perceptions of surgical simulation training as part of trichiasis surgery training. 22 surgeons completed standard training and 26 completed standard training plus simulation. We observed 1,394 live-training surgeries. Average time to first live-training surgery completion was nearly 20% shorter the simulation versus the standard group (vs 34.4 minutes; p = 0.02). Trainers intervened significantly fewer times during initial live-training surgeries in the simulation group (2.7 vs. 4.8; p = 0.005). All trainers indicated the simulator significantly improved training by allowing trainees to practice safely and to identify problem areas before performing live-training surgeries. Trainees reported that simulation practice improved their confidence and skills prior to performing live-training surgeries. Conclusions A single high-fidelity surgical simulation session can significantly improve critical aspects of initial TT surgeries.

show abstract

Section: Discussionmentioning

confidence: 99%

The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries

Gower

Kello

Kollmann³

et al. 2023

PLoS Negl Trop Dis

View full text Add to dashboard Cite

show abstract

Minimally Invasive Thoracic Surgery for Low- and Middle-Income Countries

Lin

Vervoort

Thapa

et al. 2022

Thoracic Surgery Clinics

View full text Add to dashboard Cite

Design and preliminary validation of a high-fidelity vascular simulator for robot-assisted manipulation

Gamberini,

Maglio,

Mariani

et al. 2024

Sci Rep

View full text Add to dashboard Cite

The number of robot-assisted minimally invasive surgeries is increasing annually, together with the need for dedicated and effective training. Surgeons need to learn how to address the novel control modalities of surgical instruments and the loss of haptic feedback, which is a common feature of most surgical robots. High-fidelity physical simulation has proved to be a valid training tool, and it might help in fulfilling these learning needs. In this regard, a high-fidelity sensorized simulator of vascular structures was designed, fabricated and preliminarily validated. The main objective of the simulator is to train novices in robotic surgery to correctly perform vascular resection procedures without applying excessive strain to tissues. The vessel simulator was integrated with soft strain sensors to quantify and objectively assess manipulation skills and to provide real-time feedback to the trainee during a training session. Additionally, a portable and user-friendly training task board was produced to replicate anatomical constraints. The simulator was characterized in terms of its mechanical properties, demonstrating its realism with respect to human tissues. Its face, content and construct validity, together with its usability, were assessed by implementing a training scenario with 13 clinicians, and the results were generally positive.

show abstract

Development and validation of a simulator for teaching minimally invasive thoracic surgery in Brazil

Cited by 3 publications

References 24 publications

The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries

The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries

Minimally Invasive Thoracic Surgery for Low- and Middle-Income Countries

Design and preliminary validation of a high-fidelity vascular simulator for robot-assisted manipulation

Contact Info

Product

Resources

About