BACKGROUND AND STUDY AIMS: The aim of this study was to evaluate four training programmes intended to help laparoscopic surgeons automate to the "fulcrum effect". METHODS: A total of 32 participants (16 men, 16 women), were randomly assigned to one of four different image-viewing conditions: full binocular, y-axis inverted, normal laparoscopic and randomly alternating (between y-axis-inverted and normal laparoscopic). The subjects were requested to perform 10 trials of a simple laparoscopic cutting task, each lasting 2 minutes. Each then completed a 2-minute test under normal laparoscopic imaging conditions. RESULTS: In the final test trial, participants who trained under the randomly alternating imaging conditions (y-axis inverted and normal laparoscopic) performed significantly better than those from the other groups. CONCLUSION: Training under a randomly alternating viewing condition helps laparoscopic trainees automate to the "fulcrum effect" faster.
RCT Entities:
BACKGROUND AND STUDY AIMS: The aim of this study was to evaluate four training programmes intended to help laparoscopic surgeons automate to the "fulcrum effect". METHODS: A total of 32 participants (16 men, 16 women), were randomly assigned to one of four different image-viewing conditions: full binocular, y-axis inverted, normal laparoscopic and randomly alternating (between y-axis-inverted and normal laparoscopic). The subjects were requested to perform 10 trials of a simple laparoscopic cutting task, each lasting 2 minutes. Each then completed a 2-minute test under normal laparoscopic imaging conditions. RESULTS: In the final test trial, participants who trained under the randomly alternating imaging conditions (y-axis inverted and normal laparoscopic) performed significantly better than those from the other groups. CONCLUSION: Training under a randomly alternating viewing condition helps laparoscopic trainees automate to the "fulcrum effect" faster.
Authors: Bin Zheng; Erwin Rieder; Maria A Cassera; Danny V Martinec; Gyusung Lee; O Neely M Panton; Adrian Park; Lee L Swanström Journal: Surg Endosc Date: 2011-11-04 Impact factor: 4.584
Authors: Jin Hong Lim; Woo Jung Lee; Dong Won Park; Hye Jin Yea; Se Hoon Kim; Chang Moo Kang Journal: Surg Endosc Date: 2016-11-21 Impact factor: 4.584
Authors: Leanne M Sutherland; Philippa F Middleton; Adrian Anthony; Jeffrey Hamdorf; Patrick Cregan; David Scott; Guy J Maddern Journal: Ann Surg Date: 2006-03 Impact factor: 12.969