The correlation between fundamental characteristics and first-time performance in laparoscopic tasks

Harrington, Cuan M.; Bresler, Richard; Ryan, Donncha; Traynor, Oscar; Kavanagh, Dara

doi:10.1016/j.amjsurg.2017.04.015

Cited by 6 publications

(6 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interestingly, there was a significant negative correlation between measures of prior gaming experience and laparoscopic performance, indicating that students with more prior gaming experience performed laparoscopic tasks quicker using both the classic and the single-port system. This observation was shown in many other studies before [42][43][44].…”

Section: Discussionsupporting

confidence: 81%

Learning curve of surgical novices using the single-port platform SymphonX: minimizing OR trauma to only one 15-mm incision

et al. 2020

View full text Add to dashboard Cite

Background Minimally invasive single-port surgery is always associated with large incisions up to 2–3 cm, complicated handling due to the lack of triangulation, and instrument crossing. The aim of this prospective study was to report how medical students without any laparoscopic experience perform several laparoscopic tasks (rope pass, paper cut, peg transfer, recapping, and needle threading) with the new SymphonX single-port platform and to examine the learning curves in comparison to the laparoscopic multi-port technique. Methods A set of 5 laparoscopic skill tests (Rope Pass, Paper cut, Peg Transfer, Recapping, Needle Thread) were performed with 3 repetitions. Medical students performed all tests with both standard laparoscopic instruments and the new platform. Time and errors were recorded. Results A total of 114 medical students (61 females) with a median age of 23 years completed the study. All subjects were able to perform the skill tests with both standard laparoscopic multi-port and the single-port laparoscopic system and were able to significantly improve their performance over the three trials for all five tasks—rope pass (p < 0.001), paper cut (p < 0.001), peg transfer (p < 0.001), needle threading (p < 0.001), and recapping (p < 0.001). In 3 out of 5 tasks, medical students performed the tasks faster using the standard multi-port system—rope pass (p < 0.001), paper cut (p < 0.001), and peg transfer (p < 0.001). In the task recapping, medical students performed the task faster using the new single-port system (p = 0.003). In the task needle threading, there was no significant difference between the standard multi-port system and the new single-port system (p > 0.05). Conclusion This is the first study analyzing learning curves of the commercially available SymphonX platform for abdominal laparoscopic surgery when used by novices. The learning curve and the error rate are promising.

show abstract

Section: Discussionsupporting

confidence: 81%

Learning curve of surgical novices using the single-port platform SymphonX: minimizing OR trauma to only one 15-mm incision

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Older studies focused on efficiency like time without considering quality-related parameters. 26,37 In the current study, the effect of gender on laparoscopic performance is complex. On the one hand, women performed worse on initial assessment: they were significantly slower, less precise, and had worse knot quality scores.…”

Section: Discussionmentioning

confidence: 99%

“…This could be the consequence of the associations between video games and improved complex hand-eye coordination and visual attention. 12,26 Extensive video gaming is thought to alter cortical network plasticity and affect other dissociated tasks resulting in reduced reaction times. 27 Reconstructing two-dimensional images into three-dimensional environments is integral to both videogames and laparoscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

“…24,25 The practice of a musical instrument regularly has been shown to have positive effects on initial laparoscopic performance and training. 26 Some authors found that patients currently playing an instrument were faster and had better dexterity and suture quality. 26 In the current study, a similar result was found.…”

Section: Discussionmentioning

confidence: 99%

“…26 Some authors found that patients currently playing an instrument were faster and had better dexterity and suture quality. 26 In the current study, a similar result was found. Patients playing an instrument were faster and had a higher quality score at the initial assessment.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Factors Influencing Performance in Laparoscopic Suturing and Knot Tying: A Cohort Study

et al. 2022

View full text Add to dashboard Cite

Background Laparoscopic suturing and knot tying are regarded as some of the most difficult laparoscopic skills to learn. Training is essential to reach proficiency, but available training opportunities are limited. Various techniques to improve training have been evaluated. It appears that individual-related factors affect initial performance and response to training. Thus, the current study aimed to assess factors influencing laparoscopic-suturing and knot-tying performances. Methods All patients were trained one-on-one (teacher–student) for 3 hours. Patients were tested before training (bowel anastomosis model) and directly after training (congenital diaphragmatic hernia or esophageal atresia model) to evaluate transferability. Primary endpoints were time, knot quality, precision, knot strength, and overall laparoscopic knotting performance. Moreover, factors such as (1) age, (2) gender, (3) handedness, (4) previous training or operative experience, (5) playing an instrument, (6) sportive activities, and (7) computer gaming which may influence the primary endpoints were assessed. Results In total, 172 medical students or novice surgical residents were included. Training significantly improved all outcome parameters assessed in the current study. More than 50% of the patients reached proficiency after 3 hours of training. Personal factors like operative experience, playing music instruments, sportive activities, and computer gaming affected some outcome parameters. Handedness and gender affected initial performance but differences partially subsided after training. Younger participants showed a much better response to training. Conclusion In conclusion, several factors influence initial performance and response to the training of laparoscopic suturing and knot tying. Surgeons who want to improve their laparoscopic performance, should concentrate on playing a musical instrument and performing sports rather than playing videos gaming. It appears that training is a key and more practice opportunities should be incorporated into medical school and surgical curricula. Moreover, handedness may affect the outcome but only if the training concepts are not tailored to the dominant hand of the surgeon. Future training and surgical curricula should adapt to this and tailor their concepts accordingly.

show abstract

Playing to your skills: a randomised controlled trial evaluating a dedicated video game for minimally invasive surgery

et al. 2018

View full text Add to dashboard Cite

show abstract

The correlation between fundamental characteristics and first-time performance in laparoscopic tasks

Cited by 6 publications

References 26 publications

Learning curve of surgical novices using the single-port platform SymphonX: minimizing OR trauma to only one 15-mm incision

Learning curve of surgical novices using the single-port platform SymphonX: minimizing OR trauma to only one 15-mm incision

Factors Influencing Performance in Laparoscopic Suturing and Knot Tying: A Cohort Study

Playing to your skills: a randomised controlled trial evaluating a dedicated video game for minimally invasive surgery

Contact Info

Product

Resources

About