The impact of simulated intra-abdominal movement on basic laparoscopic skills development: a feasibility study.

IF 1.7 4区医学 Q2 SURGERY

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-03-22 DOI:10.1080/13645706.2025.2481394

Jan-Willem Klok, Masie Rahimi, Sem Hardon, Roelf Postema, Jaap Bonjer, Freek Daams, Jenny Dankelman, Tim Horeman

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引用次数: 0

Abstract

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.

查看原文本刊更多论文

模拟腹内运动对基本腹腔镜技能发展的影响：可行性研究。

背景：腹腔镜手术需要一套复杂的运动技能：腹腔镜手术需要一套复杂的运动技能。目前，腹腔镜基本技能训练是在静态环境中进行的，而术中腹部组织往往是运动的。本研究的目的是开发一个动态训练平台，并评估其在箱式训练器中对腹腔镜技能掌握的影响：动态腹腔镜平台（DyLaP）包括一个移动底座，该底座与 Lapron 箱式训练器和 ForceSense 客观测量系统集成。在一项比较研究中对动态训练进行了评估，研究人员将新手分为静态训练组和动态训练组，使用 DyLaP 进行了六次木钉转移任务的训练试验。之后，两组都进行了动态考试任务。对任务操作（力）和仪器效率（路径长度和时间）进行了测量：结果：参与者（n = 12）表现出显著差异（p 结论：DyLaP 可用于进行动态检查：DyLaP 可用于提供具有挑战性的真实训练环境。从挂钩转移比较研究中可以得出结论，动态训练对腹腔镜技能的掌握有显著影响。还需要更多的研究来评估基于力的训练任务中的动态训练效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minimally Invasive Therapy & Allied Technologies 医学-外科

CiteScore

3.80

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.