Page 44 - WJOLS - Journal of Laparoscopic Surgery

WJOLS

Systematic Review of Laparoscopic Surgery and Simulation-based Training

Results from research studies Intervention group outperformed control group (p < 0.001) Proficiency-based simulator training results in durable improvement in operative skill of trainees even in the absence of practice for 5 months FLS scores: Scores increased and SD decreased in the trained group as compared with the nontrained group (p = 0.004). At baseline no participant had reached the required FLS scores. Posttraining 100% of the trained

Skills assessed posttraining Errors time FLS ratings and GOALS ratings: (1) Depth perception, (2) Bimanual dexterity, (3) Tissue handling, (4) Efficiency, (5) Autonomy Suturing operative errors Observer rated error assessments Global ratings of knot tying economy of movements Error assessments Operative performance by using a global rating using: (1) GOALS, (2) operating time, (3) proportion of procedure performed by the trainee, (4) need f

Source of final assessment ratings Observers Attending surgeon or external evaluator 2 surgeons (agreement > 0.80) Two expert laparoscopic surgeons Observers and medical records

Contextual setting for final assessment Porcine model (pre and post). A posttest was taken right after training was done, and then a retention test was taken after 5 months MISTELS and Box Trainer on patients in the OR Patients in OR (post only) Porcine model (post only) OR (pre and post)

(Cont’d…) Citation Stefanidis et al 22 Sroka et al 27 Van Sickle et al 24 Verdaasdonk et al 6 Zendejas et al 28

World Journal of Laparoscopic Surgery, September-December 2017;10(3):117-128 125