Page 36 - WJOLS - Journal of Laparoscopic Surgery

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WJOLS
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10.5005/jp-journals-10033-1319
Systematic Review of Laparoscopic Surgery and Simulation-based Training
revieW articLe

Systematic Review of Laparoscopic Surgery and

Simulation-based Training

1 Juan U González-Tova, Pallikonda S Madhulika
2

ABSTRACT with less surgical trauma, faster postoperative recovery,
2
Introduction: We performed a systematic review to analyze shorter hospital stays, and better cosmetic results. There
the effect and to describe all available simulation-based train- is a common agreement that simulation-based training
ing as well as the securing of laparoscopic surgery aptitudes enhances information and formation and that prepa-
3
during residency programs.
ration outside the working room (OR) diminishes the
Materials and methods: This systematic review aimed to danger of unfavorable surgical events. 4
examine the effectiveness of simulation-based training to
develop laparoscopic surgery skills using the published ran- As the surgeon community establishes and keeps up
domized controlled trials (RCTs) Searching in PubMed from new instructing strategies to prepare capable specialists,
2014 till now. This review of the literature tends to the subject of learning ways that exist outside the OR are turning into
whether laparoscopic recreation deciphers the gain of surgical a prescribed strategy for creating laparoscopic surgery
abilities to the operation room (OR).
5,6
abilities. Preparing outside the OR lessens the danger of
Results: According to this review, we found that specific unfavorable surgical events. 4,5,7 Simulation-based surgi-
learned skills could be reproduced in the OR. Reenactment-
based preparing and laparoscopic surgery found that particular cal aptitudes and methods enable unpracticed specialists
abilities could be translatable to the OR. Twenty one investi- to secure abilities through repetitive practice in a safe,
gations revealed learning results measured in five behavioral nonthreatening condition, preceding experiencing the
classifications: Economy of development (8 ponders); suturing 8
(3 examines); execution time (13 considers); mistake rates hazard and time pressures intrinsic in the OR. Those in
(7 thinks about); and worldwide rating (7 contemplates). charge of planning training centers work with restricted
Conclusion: Simulation-based training can help to obtain proof to determine complex inquiries identifying with
obvious advantages of surgical aptitudes in the OR. This training, interpretation of abilities learned, and safety
review proposes that simulation-based training is a successful concerns about learning laparoscopic surgery.
approach to instruct laparoscopic surgery abilities, increasing
reproduction of laparoscopic surgery aptitudes to the OR, and Supervision by an expert during laparoscopic
increment safety for patients. Nevertheless, more research colorectal surgery aims at similar results among learners,
9
ought to be directed to decide whether and how this training according to a systematic review in 2006. In an alternate
can become a part of surgical curriculum. review, investigators revealed that simulation training
Keywords: Laparoscopic training, Simulation, Surgical skills. may not be a superior strategy than patients, corpses,
9
How to cite this article: González-Tova JU, Madhulika PS. and creatures for instructing surgical abilities, yet the
Systematic Review of Laparoscopic Surgery and Simulation- aptitudes learned by simulation-based preparation gave
based Training. World J Lap Surg 2017;10(3):117-128.
off an impression of being transferable to the OR. This
Source of support: Nil review was restricted to 11 distributed investigations and
Conflict of interest: None was led in 2008. 10
One study found that virtual reality training can sup-
11
INTRODUCTION plement laparoscopic surgery training, yet fluctuation
crosswise over research outlines and clashing discoveries
Laparoscopic approach has turned into a “gold standard” in the published results kept the affirmation of clear best
for a lot of common surgical procedures, e.g., chole- procedures. Cook et al considered technology-enhanced
12
1
cystectomies and appendectomies, and is associated simulation training and reasoned that simulation train-
ing is related with vast impacts on clinician practices and
1 Professor, Assistant Professor mild consequences for patient care.
2
1 Department of Urology, Hospital Universitari de Vic, Barcelona This systematic review aims to analyze the topic of
Spain whether laparoscopic simulation deciphers the gain of
2 Department of General Surgery, Shri Sathya Sai Medical surgical aptitudes to the OR. The scope of this document
College and Research Institute, Chennai, Tamil Nadu, India is centered around the significance and pertinence identi-
Corresponding Author: Juan U González-Tova, Professor fied with the gaining of surgical aptitudes, the interpreta-
Department of Urology, Hospital Universitari de Vic, Barcelona tion of surgical abilities obtained outside of the OR, and
Spain, e-mail: Juan.uriagt@gmail.com enhancements concentrated on well-being for patients. A

World Journal of Laparoscopic Surgery, September-December 2017;10(3):117-128 117