SIMPLE AND ECONOMIC SKILL MODULES IN LAPAROSCOPIC SURGERY

Abstract

Development of laparoscopic surgery is remarkable, recent years and an alternative to open surgery in all surgical areas. The rapid development and improve mentof laparoscopic surgery raises the question of education. It’s aim ed to develop a simple, economical and practical model instead of the high cost of virtiual simulators for laparoscopic basic traning. A cartboard box, webcam and seven study modules that will improve basic surgery skills are prepared. 5 junior and 4 senior assistants have been included to study. The participants we reasked to repeate very game ten times and the times were recorded. It’s found significant the statical analysis ofintra group and between groups that reduction of working time between the first at tempt with the last at tempt of the participants. There are many expensive Simulators for education except operation room. But by using this easy to install, simple and economical method an education box and skill modules can be created. This method will be contributeto develop the daily practical, especially centers with fewer opportunities.

Key Words:Llaparoscopic surgery, simple, economical and practical model

REFERENCES

Aggarwal R, Moorthy K, Darzi A (2004) Laparoscopic skills training and assessment. Br J Surg 91: 1549–1558.

Blacker AJR. How to build your own laparoscopic trainer. J Endourol. 2005; 6: 748–752.

Bridges M, Diamond D (1999) The financial impact of teaching surgical residents in the  operating room. Am J Surg 177: 28–32.

Bruynzeel H, Bruin A. F. J., Bonjer H. J., Lange J. F., Hop W. C. J., Desktop simulator: key to universal training? Surg Endosc (2007) 21: 1637–1640.

Chung JY, Sackier J (1998) A method of objectively evaluating improvements in  laparoscopic skills. Surg Endosc 12: 1111–1116.

Dauster B, Steinberg AP, Vassiliou MC, et al. Validity of the MISTELS simulator for   laparoscopy training in urology. J Endourol. 2005;5: 541–545.

Derossis AM, Freid GM, Abrahamowicz M (1998) Development of a model for training and evaluation of laparoscopic skills. Am J Surg 175: 482–487.

Gallagher A, Satava RM (2002) Virtual reality as a metric for the assessment of laparoscopic psychomotor skills: learning curves and reliability measures. Surg Endosc 16: 1746–1752.

Grantcharov TP, Bardram L, Funch-Jensen P, Rosenberg J (2003) Learning curves and impact of previous perative experience on performance on a virtual reality

simulator to test laparoscopic surgical skills. Am J Surg 185: 146–149.

Tanoue, S. Ieiri, K. Konishi, T. Yasunaga, K. Okazaki, S. Yamaguchi, Effectiveness of doscopic surgery training for medical students using a virtual reality simulator versus a box trainer: a randomized controlled trial Surg Endosc (2008) 22: 985–990.

Madan AK, Frantzides CT, Shervin N, Tebbit CL (2003) Assessment of individual hand performance in box trainers compared to virtual reality trainers. Am Surg 69:1112–1114.

Martinez AM, Espinoza DL. Novel laparoscopic home trainer. Surg Laparosc Endosc Percutan Tech. 2007 Aug;17(4):300-2.

Munz Y, Kumar BD, Moorthy K, Bann S, Darzi A. Laparoscopic virtual reality and box trainers: is one superior to the other? Surg Endosc 2004; 18: 485-494.

Scott DJ, Bergen P, Rege RV (2000) Laparoscopic training on bench models: better and  more cost effective than operating room experience? J Am Coll Surg 191: 272– 283. 

Smith CD, Farrell T, McNatt SS (2001) Assessing laparoscopicmanipulative skills. Am  J Surg 181: 547–550.