A study of simulation training in laparoscopic bilioenteric anastomosis on a 3D-printed dry lab model

Shen, Jiliang; Chen, Mingyu; Jin, Renan; Wang, Zhifei; Jin, Yang

doi:10.1007/s00464-022-09465-7

Cited by 5 publications

(3 citation statements)

References 26 publications

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“…Unskilled operation may lead to serious postoperative complications 13 . At present, there are few reports on simulation training of laparoscopic bilioenteric anastomosis 14 – 16 , and there is a lack of mature and reliable training model. There have been no reports of training using 3D-printed models of choledochal cysts that can be reused for laparoscopic or robotic bilioenteric anastomosis.…”

Section: Introductionmentioning

confidence: 99%

Optimized reusable modular 3D-printed models of choledochal cyst to simulate laparoscopic and robotic bilioenteric anastomosis

Gu,

Cao,

Cao

et al. 2024

Sci Rep

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Laparoscopic and robotic surgery is a challenge to the surgeon's hand–eye coordination ability, which requires constant practice. Traditional mentor training is gradually shifting to simulation training based on various models. Laparoscopic and robotic bilioenteric anastomosis is an important and difficult operation in hepatobiliary surgery. We constructed and optimized the reusable modular 3D-printed models of choledochal cyst. The aim of this study was to verify the ability of this optimized model to distinguish between surgeons with different levels of proficiency and the benefits of repeated practice. A total of 12 surgeons with different levels participated in the study. Operation completion time and OSATS score were recorded. The model was validated by Likert scale. Surgeons were shown the steps and contents before performing laparoscopic or robotic bilioenteric anastomosis using the model. Surgeons with different levels of experience showed different levels when performing laparoscopic bilioenteric anastomosis on this model. Repeated training can significantly shorten the time of laparoscopic bilioenteric anastomosis and improve the operation scores of surgeons with different levels of experience. At the same time, preliminary results have shown that the performance of surgeons on the domestic robotic platform was basically consistent with their laparoscopic skills. This model may distinguish surgeons with different levels of experience and may improve surgical skills through repeated practice. It is worth noting that in order to draw more reliable conclusions, more subjects should be collected and more experiments should be done in the future.

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Section: Introductionmentioning

confidence: 99%

Optimized reusable modular 3D-printed models of choledochal cyst to simulate laparoscopic and robotic bilioenteric anastomosis

Gu,

Cao,

Cao

et al. 2024

Sci Rep

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“…To the best of our knowledge, a dependable simulation model for training in laparoscopic biliary-enteric anastomosis has not yet been developed. To fill this gap, we created a 3D-printed model for laparoscopic biliary-enteric anastomosis training 27 . In a previous study, the same model was used in a stepwise training program for laparoscopic pancreaticojejunostomy 28 .…”

Section: Introductionmentioning

confidence: 99%

Simulation training of laparoscopic biliary-enteric anastomosis with a three-dimensional-printed model leads to better skill transfer: a randomized controlled trial

Shen,

Zhang,

Zhang

et al. 2024

International Journal of Surgery

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Aim: A new simulation model and training curriculum for laparoscopic bilioenteric anastomosis has been developed. Currently, this concept lacks evidence for the transfer of skills from simulation to clinical settings. This study was conducted to determine whether training with a three-dimensional (3D) bilioenteric anastomosis model result in greater transfer of skills than traditional training methods involving video observation and a general suture model. Methods: Fifteen general surgeons with no prior experience in laparoscopic biliary-enteric anastomosis were included in this study and randomised into three training groups: video observation only, practice using a general suture model, and practice using a 3D-printed biliary-enteric anastomosis model. Following five training sessions, each surgeon was asked to perform a laparoscopic biliary-enteric anastomosis procedure on an isolated swine organ model. The operative time and performance scores of the procedure were recorded and compared among the three training groups. Results: The operation time in the 3D-printed model group was significantly shorter than the suture and video observation groups (P=0.040). Furthermore, the performance score of the 3D-printed model group was significantly higher than those of the suture and video observation groups (P=0.001). Finally, the goal score for laparoscopic biliary-enteric anastomosis in the isolated swine organ model was significantly higher in the 3D model group than in the suture and video observation groups (P=0.004). Conclusions: The utilisation of a novel 3D-printed model for simulation training in laparoscopic biliary-enteric anastomosis facilitates improved skill acquisition and transferability to an animal setting compared with traditional training techniques.

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“…The FLS program includes 5 tasks: peg transfer (PT), precision cutting (PC), ligating loop, suture with extracorporeal knot, and suture with intracorporeal knot (IK) [6]. As for the complex laparoscopic skills such as end-to-end anastomosis, training on laparoscopic anastomosis models is associated with greater e cacy in performing tissue anastomosis in the operative eld [14,15].…”

Section: Introductionmentioning

confidence: 99%

Impact of a University Laparoscopic Training Program on Dexterity and Vigilance Development.

Osman,

Gharios,

Kassis

et al. 2024

Preprint

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Background: The Fundamental of Laparoscopic Surgery (FLS) program, endorsed by the Society of American Gastrointestinal and Endoscopic Surgeons, has been instrumental in enhancing and assessing laparoscopic skills among trainees. However, whether a simulator-based training leads to trainees' awareness of their limitations remains unexplored. Participants and Methods: Twenty-one participants (10 novices and 11 experienced) were included, and categorized based on their participation in a laparoscopic training program held at the Saint Joseph University of Beirut. Trainees' development of basic and complex laparoscopic skills was assessed using standardized FLS tasks. Additionally, a questionnaire was administered to evaluate participants' satisfaction, confidence, and self-assessment levels during task execution. Results: Both groups completed the basic psychomotor tasks successfully, but the experienced group was significantly faster (p<0.005). Experienced participants were able to complete the intracorporeal knot versus half of novices (p=0.023), with the experienced group being better performing and faster. Most of experienced and none of novices manage to accomplish the end-to-end anastomosis. Both groups exhibited comparable levels of confidence, satisfaction, frustration, and difficulty perception. No significant distinction is found between the two groups in terms of performance self-rating. Also, no significant correlation is found between the levels of self-assessment and the objective scores of precision cutting and anastomosis among participants. Conclusion: This study reaffirms the effectiveness of simulation-based laparoscopic training for developing and retaining basic and complex surgical skills. While such training enhances stress management and self-confidence, it still insufficient to develop high level of vigilance and self-awareness.

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A study of simulation training in laparoscopic bilioenteric anastomosis on a 3D-printed dry lab model

Cited by 5 publications

References 26 publications

Optimized reusable modular 3D-printed models of choledochal cyst to simulate laparoscopic and robotic bilioenteric anastomosis

Optimized reusable modular 3D-printed models of choledochal cyst to simulate laparoscopic and robotic bilioenteric anastomosis

Simulation training of laparoscopic biliary-enteric anastomosis with a three-dimensional-printed model leads to better skill transfer: a randomized controlled trial

Impact of a University Laparoscopic Training Program on Dexterity and Vigilance Development.

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