Chieh Jack Chiu1, Kristel Lobo Prabhu1, Clara Chia-Hua Tan-Tam1, Ormond Neely M Panton1, Adam Meneghetti2. 1. Department of General Surgery, University of British Columbia, 950 West 10th Avenue, Vancouver, BC V5Z 4E3, Canada. 2. Department of General Surgery, University of British Columbia, 950 West 10th Avenue, Vancouver, BC V5Z 4E3, Canada. Electronic address: Adam.Meneghetti@vch.ca.
Abstract
BACKGROUND: Laparoscopic skills training is an essential component of general surgery training. This study proposes the use of three-dimensional (3D) laparoscopy as the initial training tool for beginners to shorten the learning curve. METHODS: This study evaluates the surgical performance and subjective experience of junior and senior trainees with 3D versus two-dimensional laparoscopy. Peg transfer task was used as the objective time measurement. A subjective evaluation of the 2 systems using a questionnaire was also used. RESULTS: The mean difference in the juniors was 16.33 seconds, while in the seniors it was only 3.46 seconds (P = .036). The time difference between groups was much smaller in the 3D than the two-dimensional (P = .14 vs .02) laparoscopy. In the subjective evaluation, the novice group also scored significantly higher for the 3D system in the bimanual dexterity category (P = .004, .007). CONCLUSION: Our study demonstrates the feasibility of using 3D laparoscopy for laparoscopic skills training in novices.
BACKGROUND: Laparoscopic skills training is an essential component of general surgery training. This study proposes the use of three-dimensional (3D) laparoscopy as the initial training tool for beginners to shorten the learning curve. METHODS: This study evaluates the surgical performance and subjective experience of junior and senior trainees with 3D versus two-dimensional laparoscopy. Peg transfer task was used as the objective time measurement. A subjective evaluation of the 2 systems using a questionnaire was also used. RESULTS: The mean difference in the juniors was 16.33 seconds, while in the seniors it was only 3.46 seconds (P = .036). The time difference between groups was much smaller in the 3D than the two-dimensional (P = .14 vs .02) laparoscopy. In the subjective evaluation, the novice group also scored significantly higher for the 3D system in the bimanual dexterity category (P = .004, .007). CONCLUSION: Our study demonstrates the feasibility of using 3D laparoscopy for laparoscopic skills training in novices.
Authors: Alberto Arezzo; Nereo Vettoretto; Nader K Francis; Marco Augusto Bonino; Nathan J Curtis; Daniele Amparore; Simone Arolfo; Manuel Barberio; Luigi Boni; Ronit Brodie; Nicole Bouvy; Elisa Cassinotti; Thomas Carus; Enrico Checcucci; Petra Custers; Michele Diana; Marilou Jansen; Joris Jaspers; Gadi Marom; Kota Momose; Beat P Müller-Stich; Kyokazu Nakajima; Felix Nickel; Silvana Perretta; Francesco Porpiglia; Francisco Sánchez-Margallo; Juan A Sánchez-Margallo; Marlies Schijven; Gianfranco Silecchia; Roberto Passera; Yoav Mintz Journal: Surg Endosc Date: 2018-12-04 Impact factor: 4.584