Intraoperative monitoring of laparoscopic skill development based on quantitative measures

Cristancho, Sayra; Hodgson, Antony J.; Panton, Ormond N.M.; Meneghetti, Adam; Warnock, Garth L.; Qayumi, Karim

doi:10.1007/s00464-008-0246-9

Cited by 20 publications

(11 citation statements)

References 34 publications

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“…Different possibilities have been described in the literature: VR simulator recorded data, checklists, and global scores, assessment using electromagnetic tracking devices or video tracking devices. 7,8,12,13,15,21,22 We used GRS and 2 independent observers to evaluate the operative performances, similar to other studies in the literature. 7,8,23 The low interobserver variability is proof of the subjective evaluation using GRS scores, and we consequently looked for a similar pattern of changes in each category and for each observer.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Warm-Up Using a Virtual Reality Simulator

Moldovanu¹,

Târcoveanu²,

Dimofte

et al. 2011

JSLS

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Section: Discussionmentioning

confidence: 99%

Preoperative Warm-Up Using a Virtual Reality Simulator

Moldovanu¹,

Târcoveanu²,

Dimofte

et al. 2011

JSLS

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“…Electromagnetic tracking systems have no problems with occlusions (39,58), although the accuracy of position and orientation measurements with this technology could be degraded with magnetic field distortions caused by the metallic objects in the clinical scenario (15,41). For intra-corporeal applications of this tracking technology, a drastic reduction of the sensor size, owing to the reduced workspace, is required (46).…”

Section: Discussionmentioning

confidence: 99%

Systems and technologies for objective evaluation of technical skills in laparoscopic surgery

Sánchez‐Margallo

García

et al. 2013

Minimally Invasive Therapy & Allied Technologies

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Minimally invasive surgery is a highly demanding surgical approach regarding technical requirements for the surgeon, who must be trained in order to perform a safe surgical intervention. Traditional surgical education in minimally invasive surgery is commonly based on subjective criteria to quantify and evaluate surgical abilities, which could be potentially unsafe for the patient. Authors, surgeons and associations are increasingly demanding the development of more objective assessment tools that can accredit surgeons as technically competent. This paper describes the state of the art in objective assessment methods of surgical skills. It gives an overview on assessment systems based on structured checklists and rating scales, surgical simulators, and instrument motion analysis. As a future work, an objective and automatic assessment method of surgical skills should be standardized as a means towards proficiency-based curricula for training in laparoscopic surgery and its certification.

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“…Cristancho et al thoroughly studied intraoperative monitoring of laparoscopic skill development (59). Two surgical tasks, the exposure of Calot's triangle and the dissection of the cystic duct and artery, were analyzed using video and electromagnetic position-sensing technologies.…”

Section: Future Aspects Of Surgical Educationmentioning

confidence: 99%

Minimally invasive surgical technologies: Challenges in education and training

Sándor

Lengyel

Haidegger

et al. 2010

Asian J Endoscop Surgery

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The laparoscopic revolution has fundamentally changed surgical technology. However, this new technology, with its unique psychomotor adaptations, has been a challenge for both experienced and novice surgeons. This review summarizes the history of practical education and training methods and those currently used to ensure surgeons safely practice these new surgical skills. Traditional training boxes, augmented reality simulators and virtual reality simulators represent recently developed educational tools. There are objective programs that subsequently assess the results of training by these simulation methods. Additionally, the advent of robotics in laparoscopic surgery has been accompanied by the introduction of computer‐based robotic surgical simulators. Surgical curricula should also include non‐technical skills training, particularly as global certification of technical and non‐technical surgical skills is expected in the near future. Ultimately, these new systems of surgical simulation contribute to a decrease in surgical error as well as with reduced morbidity and mortality.

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Intraoperative monitoring of laparoscopic skill development based on quantitative measures

Cited by 20 publications

References 34 publications

Preoperative Warm-Up Using a Virtual Reality Simulator

Preoperative Warm-Up Using a Virtual Reality Simulator

Systems and technologies for objective evaluation of technical skills in laparoscopic surgery

Minimally invasive surgical technologies: Challenges in education and training

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