Feasibility of adapting the fundamentals of laparoscopic surgery trainer box to endoscopic skills training tool

Crespin, Oscar M.; Okrainec, Allan; Kwong, Andrea V.; Habaz, Ilay; Jimenez, Maria Carolina Sarti; Szasz, Peter; Weiss, Ethan J.; González, Cecilia; Mosko, Jeffrey D.; Liu, Louis W. C.; Swanstrom, Lee L.; Perretta, Silvana; Shlomovitz, Eran

doi:10.1007/s00464-018-6154-8

Cited by 13 publications

(3 citation statements)

References 18 publications

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“…Another feature of LOT is its low cost and easy accessibility, which are important in continuous training [ 21 , 22 ]. The initial setup cost of LOT was approximately $650.…”

Section: Discussionmentioning

confidence: 99%

Original Training for Laparoscopic Surgery by Making an Origami Paper Crane

Noda,

Hamamoto,

Shiraki

et al. 2024

Cureus

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Introduction:The training box is an effective tool used by surgical trainees. Suturing training is the common method of practicing laparoscopic surgery; however, the cost of needles and threads for long-term practice remains a problem. In this study, we incorporated the original Japanese training for laparoscopic surgery by making an origami paper crane (laparoscopic origami training (LOT)) and evaluated its effect on the clinical results as a long-term practice.Methods: LOT was performed using a single 7.5 × 7.5 cm origami paper in the training box of laparoscopic surgery. In the bench-top study, the total time required to make one paper crane was measured and evaluated, and a self-efficacy questionnaire was designed to analyze the efficacy of LOT. In clinical practice, we retrospectively compared two resident groups, one that had previously trained on LOT (trained group) and the other that did not (less-trained group), by analyzing the pneumoperitoneum time (PT) for 10 cases.Results: After making paper cranes in approximately 100 cases, the making time was reduced to approximately 10 min. Long-term results analyzing up to 1500 cases revealed that in addition to shortening the time required to make a paper crane, the shape of the crane also improved. Consequently, the median PT was significantly shorter in the trained group than in the less-trained group (129.0 (62-287) versus 208.5 (127-343) min; p<0.001).Conclusion: LOT contributed to introducing safe laparoscopic surgery to residents and improved their laparoscopic outcomes. We believe that this is a useful practice methodology that can be recommended to general physicians who wish to practice laparoscopic surgeries.

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“…Another feature of LOT is its low cost and easy accessibility, which are important in continuous training [ 21 , 22 ]. The initial setup cost of LOT was approximately $650.…”

Section: Discussionmentioning

confidence: 99%

Original Training for Laparoscopic Surgery by Making an Origami Paper Crane

Noda,

Hamamoto,

Shiraki

et al. 2024

Cureus

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“…Previous simulators were commonly running on mockups similar to real anatomy [9,12,15,18,19]. However, we implemented epiduroscopy simulation graphically in a computer.…”

Section: Discussionmentioning

confidence: 99%

“…It is less cumbersome than cadaver experiments and avoids the ethical problems of animal experiments. Simulator training has been actively used in various fields of medicine, especially in laparoscopic surgery [9,10]. However, there are a limited number of surgical simulators for spinal interventions [8,[11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of the Epiduroscopy Simulator as a Training Tool: A Pilot Study

Lee

Yun

et al. 2020

Pain Research and Management

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Epiduroscopy is a type of spinal intervention that visualizes the epidural space through the sacral hiatus using a fiberoptic scope. However, it is technically difficult to perform compared to conventional interventions and susceptible to complications. Surgery simulator has been shown to be a promising modality for medical education. To develop the epiduroscopy simulator and prove its usefulness for epiduroscopy training, we performed a case-control study including a total of 20 physicians. The participants were classified as the expert group with more than 30 epiduroscopy experiences and the beginner group with less experience. A virtual simulator (EpiduroSIM™, BioComputing Lab, KOREATECH, Cheonan, Republic of Korea) for epiduroscopy was developed by the authors. The performance of the participants was measured by three items: time to reach a virtual target, training score, and number of times the dura and nerve are violated. The training score was better in the expert group (75.00 vs. 67.50; P<0.01). The number of violations was lower in the expert group (3.50 vs. 4.0; P<0.01). The realism of the epidural simulator was evaluated to be acceptable in 40%. Participants improved their simulator skills through repeated attempts. The epiduroscopy simulator helped participants understand the anatomical structure and actual epiduroscopy.

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Using design thinking to create and implement a 3D digital library of anatomical specimens

Titmus,

de Oliveira,

Ellery

et al. 2024

Clinical Anatomy

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Design thinking (DT) is a five‐stage process (empathize, define, ideate, prototype, and test) that guides the creation of user‐centered solutions to complex problems. DT is in common use outside of science but has rarely been applied to anatomical education. The use of DT in this study identified the need for flexible access to anatomical specimens outside of the anatomy laboratory and guided the creation of a digital library of three‐dimensional (3D) anatomical specimens (3D Anatomy Viewer). To test whether the resource was fit for purpose, a mixed‐methods student evaluation was undertaken. Student surveys (n = 46) were employed using the system usability scale (SUS) and an unvalidated acceptability questionnaire. These verified that 3D Anatomy Viewer was usable (SUS of 72%) and acceptable (agreement range of 77%–93% on all Likert‐type survey statements, Cronbach's alpha = 0.929). Supplementary interviews (n = 5) were analyzed through content analysis and revealed three main themes: (1) a credible online supplementary learning resource; (2) learning anatomy with 3D realism and interactivity; (3) user recommendations for expanding the number of anatomical models, test questions, and gamification elements. These data demonstrate that a DT framework can be successfully applied to anatomical education for creation of a practical learning resource. Anatomy educators should consider employing a DT framework where student‐centered solutions to learner needs are required.

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Feasibility of adapting the fundamentals of laparoscopic surgery trainer box to endoscopic skills training tool

Cited by 13 publications

References 18 publications

Original Training for Laparoscopic Surgery by Making an Origami Paper Crane

Original Training for Laparoscopic Surgery by Making an Origami Paper Crane

Feasibility of the Epiduroscopy Simulator as a Training Tool: A Pilot Study

Using design thinking to create and implement a 3D digital library of anatomical specimens

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