Hand-Assisted Laparoscopic Sigmoid Colectomy Skills Acquisition: Augmented Reality Simulator Versus Human Cadaver Training Models

Leblanc, F.; Senagore, Anthony J.; Ellis, C. Neal; Champagne, Bradley J.; Augestad, Knut Magne; Neary, Paul; Delaney, Conor P.

doi:10.1016/j.jsurg.2010.06.004

Cited by 46 publications

(28 citation statements)

References 15 publications

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“…[9] Different training models have been compared by general surgeons. Leblanc et al [10] compared the laparoscopic skills during a laparoscopic colectomy training session. They divided the participants in two groups, where one group was trained by augmented reality simulators and the other group was trained with cadavers.…”

Section: Fresh Frozen Cadaveric Model In Laparoscopic Training In Surmentioning

confidence: 99%

The novel laparoscopic training 3D model in urology with surgical anatomic remarks: Fresh-frozen cadaveric tissue

Hurі¹,

Ezer²,

Chan³

2016

Turkish Journal of Urology

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Laparoscopic surgery is routinely used to treat many urological conditions and it is the gold standard treatment option for many surgeries such as radical nephrectomy. Due to the difficulty of learning, laparoscopic training should start outside the operating room. Although it is a very different model of laparoscopic training; the aim of this review is to show the value of human cadaveric model for laparoscopic training and present our experience in this area. Fresh frozen cadaveric model in laparoscopic training, dry lab, cadaveric model, animal models and computer based simulators are the most commonly used models for laparoscopic training. Cadaveric models mimic the live setting better than animal models. Also, it is the best way in demonstrating important anatomic landmarks like prostate, bladder, and pelvic lymph nodes templates. However, cadaveric training is expensive, and should be used by multiple disciplines for higher efficiency. The laparosopic cadaveric training starts with didactic lectures with introduction of pelvic surgical anatomy. It is followed by hands-on dissection. A typical pelvic dissection part can be completed in 6 hours. Surgical robot and some laparoscopy platforms are equipped with 3-D vision. In recent years, we have use the stereoscopic laparoscopy system for training purposes to show exact anatomic landmarks. Cadavers are removed from their containers 3 to 5 days prior to training session to allow enough time for thawing. Intracorporeal suturing is an important part of laparoscopic training. We believe that suturing must be practiced in the dry lab, which is significantly cheaper than cadaveric models. Cadaveric training model should focus on the anatomic dissection instead. In conclusion, fresh-frozen cadaveric sample is one of the best 3D simulation models for laparoscopic training purposes. Major aim of cadaveric training is not only mimicking the surgical technique but also teaching true anatomy. Lack of availability and higher financial cost are the two setbacks for the use of cadavers. Surgeon should learn basic laparoscopic skills with box trainers prior to cadaveric skill training.

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Section: Fresh Frozen Cadaveric Model In Laparoscopic Training In Surmentioning

confidence: 99%

The novel laparoscopic training 3D model in urology with surgical anatomic remarks: Fresh-frozen cadaveric tissue

Hurі¹,

Ezer²,

Chan³

2016

Turkish Journal of Urology

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“…[7][8][9][10] However, despite their cost and lack of availability, human cadavers have been rated to be highly effective for procedural surgical training. [11][12][13] Although few studies have described their use in procedural training 11,14 and in trials of novel approaches, [15][16][17] a comprehensive and validated training program using human cadavers is lacking in urology.…”

Section: Introductionmentioning

confidence: 99%

A Novel Cadaveric Simulation Program in Urology

Ahmed

Aydın

Dasgupta

et al. 2015

Journal of Surgical Education

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“…Most of the analysed physical simulators use motion metrics as a means of technical evaluation (24,33,34,36), whereas the Surgical SIM LTS uses error scores (12). The possibility of inserting virtual support content during the training procedure by means of cutting-edge technologies such as augmented reality (13,37,57) gives hybrid simulators a significant added value. Surgeons consider hybrid simulators more realistic, with high didactic value, better haptic feedback, and usefulness than virtual reality simulators (57).…”

Section: Discussionmentioning

confidence: 99%

“…One of the most extended is the ProMIS augmented reality simulator (CAE Helthcare, Mainz, Germany) (13). This system uses motion analysis techniques to track artificial markers on the instrument, using a stereoscopic camera system placed inside the simulator.…”

Section: Hybrid Simulatorsmentioning

confidence: 99%

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Systems and technologies for objective evaluation of technical skills in laparoscopic surgery

Sánchez‐Margallo

García

et al. 2013

Minimally Invasive Therapy & Allied Technologies

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Minimally invasive surgery is a highly demanding surgical approach regarding technical requirements for the surgeon, who must be trained in order to perform a safe surgical intervention. Traditional surgical education in minimally invasive surgery is commonly based on subjective criteria to quantify and evaluate surgical abilities, which could be potentially unsafe for the patient. Authors, surgeons and associations are increasingly demanding the development of more objective assessment tools that can accredit surgeons as technically competent. This paper describes the state of the art in objective assessment methods of surgical skills. It gives an overview on assessment systems based on structured checklists and rating scales, surgical simulators, and instrument motion analysis. As a future work, an objective and automatic assessment method of surgical skills should be standardized as a means towards proficiency-based curricula for training in laparoscopic surgery and its certification.

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Hand-Assisted Laparoscopic Sigmoid Colectomy Skills Acquisition: Augmented Reality Simulator Versus Human Cadaver Training Models

Cited by 46 publications

References 15 publications

The novel laparoscopic training 3D model in urology with surgical anatomic remarks: Fresh-frozen cadaveric tissue

The novel laparoscopic training 3D model in urology with surgical anatomic remarks: Fresh-frozen cadaveric tissue

A Novel Cadaveric Simulation Program in Urology

Systems and technologies for objective evaluation of technical skills in laparoscopic surgery

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