Conception of the Lübeck Toolbox curriculum for basic minimally invasive surgery skills

Laubert, Tilman; Esnaashari, Hamed; Auerswald, Paul; Höfer, Anna; Thomaschewski, Michael; Bruch, Hans‐Peter; Keck, Tobias; Benecke, Claudia

doi:10.1007/s00423-017-1642-1

Cited by 19 publications

(23 citation statements)

References 32 publications

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“…Die Entwicklung der laparoskopischen Chirurgie mit einem zunehmenden Spektrum an operativen Eingriffen und die dafür erforderlichen laparoskopischen Fertigkeiten resultieren in einer wachsenden Anforderung an Anfänger der MIC. Diese Tatsache führte zu der Entwicklung von Simulations-und Übungsprogrammen zur MIC, um die MIC-Fertigkeiten sowohl des unerfahrenen als auch des erfahrenen MIC-Chirurgen zu trainieren und weiter zu verbessern, insbesondere in Zeiten zunehmend knapper zeitlicher und personeller Ressourcen [3,6]. Die alleinige Anwendung der traditionellen Lehrmethode, eine Ausbildung im Operationssaal am Patienten, ist zeitraubend, kostspielig und von unterschiedlicher Wirksamkeit [8].…”

Section: Diskussionunclassified

“…Standardisierte, zielorientierte, videobasierte Übungscurricula kombinieren viele Aspekte, von denen gezeigt wurde, dass sie die Motivation zum Üben fördern. Vor Kurzem wurde von uns ein umfassendes, genau definiertes zielgerichtetes Curriculum für den Erwerb minimalinvasiver Basisfertigkeiten entwickelt (http:// www.luebeck-toolbox.com) [3]. Das kommerziell erhältliche Lübecker Toolbox-Programm umfasst einen Box-Trainer, 6 iterativ entwickelte Übungen, definierte Experten-Level für jede Übung und Online-Video-Tutorials sowie Dokumentationsbögen für den Trainingsfortschritt.…”

Section: Diskussionunclassified

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Video Tutorials Increase Precision in Minimally Invasive Surgery Training – a Prospective Randomised Trial and Follow-up Study

et al. 2018

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Section: Diskussionunclassified

Video Tutorials Increase Precision in Minimally Invasive Surgery Training – a Prospective Randomised Trial and Follow-up Study

et al. 2018

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“…Simulation-based training in minimally invasive surgery has been validated for the "Luebecker Toolbox" (13). Transferability of the task content to a (sub)-realistic setting could be demonstrated (14). Nonetheless, besides training, individual talent also constitutes an important factor in mastering laparoscopic skills (33).…”

Section: Discussionmentioning

confidence: 99%

“…We chose three exercises for the purpose of our study: (a) "Pack Your Luggage" (PYL), (b) "Chinese Jump Rope" (CJR), and (c) "Weaving" (WEA). A detailed description of the exercises has already been published by Laupert et al (13,14). These three exercises offer speci c training in instrument handling, hand-eye coordination, and bimanual and crossing instrument use.…”

Section: Participants and Study Designmentioning

confidence: 99%

Evaluating the Influence of Music at Different Sound Pressure Levels on Medical Students’ Performance of Standardized Laparoscopic Box Training Exercises

Platzer

Grozinger

Orthmann

et al. 2021

Preprint

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BackgroundThe influence of music on the performance of surgical procedures such as laparoscopy is controversial and methodologically difficult to quantify. Here, outcome measurements using laparoscopic box training tools under standardized conditions might offer a feasible approach. To date, the effect of music exposure at different sound pressure levels (SPL) on outcome has not been evaluated systematically for laparoscopic novices. MethodsBetween May 2017 and October 2018, n=87 students (49 males, 38 females) from Heidelberg University Medical School performed three different laparoscopy exercises using the “Luebecker Toolbox” that were repeated twice under standardized conditions. Time was recorded for each run. All students were randomly assigned to four groups exposed to the same music compilation but at different SPLs (50-80 dB), an acoustically shielded (earplug) group, or a control group (no intervention). ResultsBest absolute performance was shown under exposure to 70 dB in all three exercises (a, b, c) with mean performance time of 121, 142, and 115 s (p<0.05 for a and c). For the control group mean performance times were 157, 144, and 150 s, respectively. In the earplug group, no significant difference in performance was found compared to the control group (p>0.05) except for exercise (a) (p=0.011).ConclusionMusic exposure seems to have beneficial effects on training performance. In comparison to the control group, significantly better results were reached at 70 dB SPL, while exposure to lower (50 or 60 dB) or higher (80 dB) SPL as well as under acoustic shielding did not influence performance.

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“…In a comparative study of simulators for laparoscopic surgery, Romero et al 45 highlight the importance of having study populations without any previous surgical experience to avoid the results being affected by the experience of trained surgeons or by surgical skills previously acquired. 46 The inclusion and exclusion criteria of this study were designed with this in mind.…”

Section: Discussionmentioning

confidence: 99%

Using mindfulness therapy in laparoscopic simulation training: a pilot study

Yusari¹,

Burgos²,

Cari³

et al. 2018

J Surg Simul

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Objective: Medical students and surgeons are living lives full of stress, which leads them to be in an accelerated state that can result in mistakes and frustration. Our constant desire to be better means that we can forget to be in the present. Mindfulness has been emerging as a new therapy that has been fruitful in different areas. The objective of this study is to explore whether mindfulness therapy could improve laparoscopic training in medical students. Design: A pilot study was performed with 10 first-year medical student volunteers. The students were randomly assigned to a control group or the mindfulness group. The control group received no intervention at all. The mindfulness group received mindfulness sessions for 15-20 min free of charge before the laparoscopic training. Five modified tests in laparoscopic simulation were included. The time for two pre-tests and three tests was measured after an assigned training time. Setting: The study was performed at the Center for Surgical Skills Training at the University of Chile, Santiago. Participants: The study included 10 first-year medical student volunteers from Universidad de Los Andes (50% male and 50% female). We chose to conduct the study with first-year students because they had not had any previous experience in surgery or laparoscopy. Results: All 10 participants finished the trial. There were no significant differences in the times for the pre-tests between the two groups. The best improvement between the pre-tests and tests was achieved by the mindfulness group for the colour matching task with an improvement of 72 AE 1.1 s. The mindfulness group showed a better performance in all final tests compared with the control group, which was statistically significant (P 5 0.05). Conclusion: In this study, the test times for the group who were exposed to mindfulness therapy were improved (reduced) compared with those of the control group. The development and implementation of mindfulness laparoscopic simulation training may be feasible. Further studies are justified to confirm that hypothesis.

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Conception of the Lübeck Toolbox curriculum for basic minimally invasive surgery skills

Cited by 19 publications

References 32 publications

Video Tutorials Increase Precision in Minimally Invasive Surgery Training – a Prospective Randomised Trial and Follow-up Study

Video Tutorials Increase Precision in Minimally Invasive Surgery Training – a Prospective Randomised Trial and Follow-up Study

Evaluating the Influence of Music at Different Sound Pressure Levels on Medical Students’ Performance of Standardized Laparoscopic Box Training Exercises

Using mindfulness therapy in laparoscopic simulation training: a pilot study

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