Lübecker Toolbox – ein standardisiertes Trainingscurriculum für die minimalinvasive Chirurgie

Esnaashari, Hamed; Laubert, Tilman; Höfer, Anna; Kujath, P; Strik, M; Roblick, UJ; Bruch, H.-P.

doi:10.1055/s-0031-1285190

Cited by 2 publications

(1 citation statement)

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“…In line with other studies [ 17 , 36 , 37 ], all participants showed a significant increase in performance throughout the course [ 17 , 38 ]. Although not examined in the present study, research has shown the likelihood of laparoscopic skill transfer from training to the clinical setting [ 16 , 39 , 40 ] in particular the LTB technique [ 31 , 41 ]. Here, a modified version integrating a mental exercise was developed and employed [ 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Optimizing laparoscopic training efficacy by ‘deconstruction into key steps’: a randomized controlled trial with novice medical students

et al. 2022

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Background Simulator training is an effective way of acquiring laparoscopic skills but there remains a need to optimize teaching methods to accelerate learning. We evaluated the effect of the mental exercise ‘deconstruction into key steps’ (DIKS) on the time required to acquire laparoscopic skills. Methods A randomized controlled trial with undergraduate medical students was implemented into a structured curricular laparoscopic training course. The intervention group (IG) was trained using the DIKS approach, while the control group (CG) underwent the standard course. Laparoscopic performance of all participants was video-recorded at baseline (t0), after the first session (t1) and after the second session (t2) nine days later. Two double-blinded raters assessed the videos. The Impact of potential covariates on performance (gender, age, prior laparoscopic experience, self-assessed motivation and self-assessed dexterity) was evaluated with a self-report questionnaire. Results Both the IG (n = 58) and the CG (n = 68) improved their performance after each training session (p < 0.001) but with notable differences between sessions. Whereas the CG significantly improved their performance from t0 –t1 (p < 0.05), DIKS shortened practical exercise time by 58% so that the IG outperformed the CG from t1 -t2, (p < 0.05). High self-assessed motivation and dexterity associated with significantly better performance (p < 0.05). Male participants demonstrated significantly higher overall performance (p < 0.05). Conclusion Mental exercises like DIKS can improve laparoscopic performance and shorten practice times. Given the limited exposure of surgical residents to simulator training, implementation of mental exercises like DIKS is highly recommended. Gender, self-assessed dexterity, and motivation all appreciably influence performance in laparoscopic training.

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