Page 31 - Journal of Laparoscopic Surgery - WALS Journal

WJOLS

Smartphone/Tablet-based Laparoscopy Simulation System
It can effectively impart training in most of the 2. Borahay MA, Jackson M, Tapisiz OL, Lyons E, Patel PR, Nassar R,
elementary laparoscopic skills, such as depth perception, Kılıç GS. Assessment of minimally invasive surgical skills
adjustment with fulcrum effect, hand–eye coordination, of pre-medical students: what can we learn from future
learners? J Turk Ger Gynecol Assoc 2014 Jun;15(2):69-73.
bimanual manipulation, and ambidexterity. Trainees can 3. Sharma PV, Knowles J, Patel B. Acquisition of fundamental
also practice handling of laparoscopic instruments if they laparoscopic skills: is a box really as good as a virtual reality
have access to them. Adaptability of the apparatus with trainer? Int J Surg 2011;9(8):659-661.
the conventional laparoscopy instruments is another 4. Grantcharov T, Kristiansen VB, Bendix J, Bardram L, Rosen-
berg J, Funch-Jensen P. Randomized clinical trial of virtual
salient feature that makes it useful for training of more reality simulation for laparoscopic skills training. Br J Surg
complex maneuvers such as intracorporeal suturing and 2004 Feb;91(2):146-150.
knot tying. 5. Lynch J, Aughwane P, Hammond TM. Video games and
The practice sessions are by default recorded in video surgical ability: a literature review. J Surg Educ 2010 May-Jun;
67(3):184-189.
format, and can therefore be subjected to critical analysis 6. ASGE Technology Committee. Endoscopic simulators.
by the experts. Recent studies have demonstrated that Gastrointest Endosc 2011;73(5):861-867.
feedback provided by these experts can go a long way in 7. Garibay AM, Young JP. Reducing general aviation accidents
improving the laparoscopic skills of trainees. 15 by utilizing airline operational strategies. Aviation Technol-
ogy Graduate Students Publications; MSc Thesis, Purdue
University, April 12, 2013: 1-21.
CONCLUSION 8. Driscoll PJ, Paisley AM, Paterson-Brown S. Video assessment
of basic surgical trainees’ operative skills. Am J Surg 2008
A simulator-based system is a widely recognized method Aug;196(2):265-272.
to train novices in minimally invasive surgical skills. 9. Gallagher AG, Richie K, McClure N, McGuigan J. Objective
They are proved to be beneficial for instructor, trainee, psychomotor skills assessment of experienced, junior, and
and patient alike. However, their utility is severely novice laparoscopists with virtual reality. World J Surg 2001
Nov;25(11):1478-1483.
compromised because of high cost, which is beyond the 10. Markman HD. A new system for teaching proctosigmoidos-
means of beginners in the discipline. The smartphone/ copic morphology. Am J Gastroenterol 1969 Jul;52(1):65-69.
tablet-based laparoscopy simulation system is a cheaper 11. Buckley CE, Kavanagh DO, Traynor O, Neary PC. Is the
and easy-to-assemble version of existing simulators. One skillset obtained in surgical simulation transferable to the
operating theatre? Am J Surg 2014 Jan;207(1):146-157.
can easily construct an apparatus at home and practice 12. Zheng B, Fu B, Al-Tayeb TA, Hao YF, Qayumi AK. Mastering
all the basic laparoscopic skills at negligible expenditure instruments before operating on a patient: the role of simu-
using his or her smartphone device. However, regular lation training in tool use skills. Surg Innov. 2014 Dec;21(6):
monitoring and instruction by experts is essential to 637-642.
acquire and sustain skills that are transferable to the 13. Kimura T, Kawabe A, Suzuki K, Wada H. Usefulness of
a virtual reality simulator or training box for endoscopic
operation theater. surgery training. Surg Endosc 2006 Apr;20(4):656-659.
14. Walczak DA, Piotrowski P, Jedrzejczyk A, Pawełczak D,
REFERENCES Pasieka Z. A laparoscopic simulator—maybe it is worth
making it yourself. Wideochir Inne Tech Maloinwazyjne
1. Larsen CR, Oestergaard J, Ottesen BS, Soerensen JL. The 2014 Sep;9(3):380-386.
efficacy of virtual reality simulation training in laparoscopy: 15. Paschold M, Huber T, Zeißig SR, Lang H, Kneist W. Tailored
a systematic review of randomized trials. Acta Obstet instructor feedback leads to more effective virtual-reality
Gynecol Scand 2012 Sep;91(9):1015-1028. laparoscopic training. Surg Endosc 2014 Mar;28(3):967-973.

World Journal of Laparoscopic Surgery, January-April 2016;9(1):26-29 29