Are current laparoscopic common bile duct exploration simulators suitably designed to capture the complexity of the technique? A review of the literature and evaluation of those available.
Background: Whilst endoscopic retrograde cholangiopancreatography (ERCP) remains the main line of treatment for choledocholithiasis, laparoscopic common bile duct exploration (LCBDE) offers a single-stage procedure and reduced hospital stay, cost and pressure on ERCP. However, LCBDE is a demanding t...
| Published in: | Minimally Invasive Therapy & Allied Technologies Vol. 34; no. 5; pp. 365 - 378 |
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| Main Authors: | , , , , , , , |
| Format: | diagnostic images pictorial review tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Oct2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188315983&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188315983 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13645706 J4S jtl: Minimally Invasive Therapy & Allied Technologies issn: 13645706 maglogo: Y pubinfo: dt: Oct2025 vid: 34 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 188315983 185507473 188315983 188315983 10.1080/13645706.2025.2509220 188315983 ppf: 365 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Are current laparoscopic common bile duct exploration simulators suitably designed to capture the complexity of the technique? A review of the literature and evaluation of those available. aug: au: Aburrous, Mohamed Shao, Marine Bailey, Benjy Clark, Charlotte Clarke, Michael G. Finlay, Ian Cota, Allwyn Clark, James affil: Centre for Emerging Healthcare Technologies Research, The Royal Cornwall Hospitals NHS Trust, Truro, UK sug: subj: Bile Duct Diseases Surgery Cholelithiasis Surgery Laparoscopy Methods Laparoscopy Education Surgery, Digestive System Education Simulations Evaluation Surgery, Digestive System Methods Clinical Competence Skill Acquisition Cholangiopancreatography, Endoscopic Retrograde Virtual Reality ab: Background: Whilst endoscopic retrograde cholangiopancreatography (ERCP) remains the main line of treatment for choledocholithiasis, laparoscopic common bile duct exploration (LCBDE) offers a single-stage procedure and reduced hospital stay, cost and pressure on ERCP. However, LCBDE is a demanding technique that requires training in order to master, which could be achieved through simulation. The aim of this study was to highlight the suitability of currently available LCBDE simulators for surgical training and evaluate their practicality. Methods: Database search included Embase and Medline as well as grey literature for LCBDE simulation and training. Results: Nine dedicated simulators were identified to train on LCBDE. Five simulators were validated, of which only three are commercially available and only one model could train on laparoscopic ultrasound using augmented reality. Conclusions: Most identified LCBDE simulators are meeting basic criteria to train on the procedure steps. Synthetic models have been shown to improve training and operative performance in addition to shortening learning curves, many at low cost, especially when used within a constructed surgical curriculum program. However, more investment in development and implementation is required to meet the growing need, including training on laparoscopic ultrasound. Only one primitive virtual reality-based simulator was identified and did not meet the criteria for training. pubtype: Academic Journal doctype: diagnostic images pictorial review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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