The impact of simulated intra-abdominal movement on basic laparoscopic skills development: a feasibility study.
Background: Laparoscopic surgery requires a complex set of motor skills. Currently, basic laparoscopic skills training is performed in a static environment, while intraoperatively, abdominal tissue is often moving. The aim of this study was to develop a dynamic training platform and evaluate its imp...
| Publicado en: | Minimally Invasive Therapy & Allied Technologies Vol. 34; no. 4; pp. 324 - 334 |
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| Autores principales: | , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187004249&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187004249 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13645706 J4S jtl: Minimally Invasive Therapy & Allied Technologies issn: 13645706 maglogo: Y pubinfo: dt: Aug2025 vid: 34 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 187004249 183938493 187004249 187004249 10.1080/13645706.2025.2481394 187004249 ppf: 324 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The impact of simulated intra-abdominal movement on basic laparoscopic skills development: a feasibility study. aug: au: Klok, Jan-Willem Rahimi, Masie Hardon, Sem Postema, Roelf Bonjer, Jaap Daams, Freek Dankelman, Jenny Horeman, Tim affil: Department of Biomechanical Engineering, Delft University of Technology, Delft, The Netherlands sug: subj: Laparoscopy Education Teaching Methods Simulations Skill Acquisition Evaluation Clinical Competence Minimally Invasive Procedures Human Male Female Adult Pilot Studies Task Performance and Analysis Equipment Design Wilcoxon Signed Rank Test Data Analysis Software Descriptive Statistics Adult: 19-44 years Male Female ab: Background: Laparoscopic surgery requires a complex set of motor skills. Currently, basic laparoscopic skills training is performed in a static environment, while intraoperatively, abdominal tissue is often moving. The aim of this study was to develop a dynamic training platform and evaluate its impact on laparoscopic skills acquisition in a box trainer. Methods: The Dynamic Laparoscopic Platform (DyLaP) includes a moving base which has been intergrated with the Lapron box trainer and the ForceSense objective measurement system. Dynamic training was evaluated in a comparative study where novices were divided into a static and dynamic training group, performing six training trials of a peg transfer task with the DyLaP. Afterwards, both groups performed a dynamic exam task. Task manipulation (force) and instrument efficiency (path length and time) were measured. Results: Participants (n = 12) exhibited a significant difference (p < 0.05) in time, path length, and maximum force between the static and dynamic groups in the first trial. Learning curves were most prevalent in the dynamic group. Conclusions: The DyLaP can be used to provide a challenging and realistic training environment. From the comparative peg transfer study, it can be concluded that dynamic training significantly affects laparoscopic skill acquisition. More research is needed to evaluate dynamic training effects in force-based training tasks. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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