Are Advanced Laparoscopic Surgeons Ready to Embrace ‘Touchy Feely’ Feedback?
Susannah M Wyles, MSc MRCS, Danilo Miskovic, MD FRCS, John Griffith, MD FRCS, Roger Motson, MS FRCS, George B Hanna, PhD FRCS. Imperial College London, Bradford Royal Infirmary, Colchester General Hospital BackgroundEnsuring the maximum educational output is achieved by trainees from each training session is a priority for every trainer. Given that laparoscopic surgery is… Continue Reading
Assessment of a Mandatory Curriculum for Laparoscopic Skills Using a Portable, Self-Practice Box Trainer Outside of Duty Hours
Michael Russo, MD, Shawn Tsuda, MD. University of Nevada School of Medicine Background: Surgical skills training has become an integral part of general surgery residency programs. However, there remains no consensus as to what should comprise a mandatory curriculum. Further, defined practice or proficiency requirements designed outside of the 80-hour work week have not been… Continue Reading
Assisting Skills in Advanced Laparoscopic Surgery Among Different Level of Surgical Residents in a Program with Early Introduction of Laparoscopic Training
Iswanto Sucandy, MD, Gintaras Antanavicius, MD FACS. Abington Memorial Hospital Introduction : Resident participation in advanced laparoscopic operations requiring significant learning curve has become commonplace during early phase of surgical training. Previous study on laparoscopic cholecystectomy has reported that junior residents with less technical experience contribute to longer operative time, higher blood loss and increased… Continue Reading
Augmented Reality Navigation System for Laparoscopic Splenectomy in Children Based On Preoperative CT Image Using Optical Tracking Device
Satoshi Ieiri, MD PhD, Munenori Uemura, Kouzou Konishi, MD PhD, Takanori Nakatsuji, MD PhD, Mayumi Higashi, MD PhD, Junko Akiyoshi, MD PhD, Ryota Souzaki, MD PhD, Yoshiaki Kinoshita, MD PhD, Morimasa Tomikawa, MD PhD FACS, Kazuo Tanoue, MD PhD FACS. Department of Pediatric Surgery, Kyushu University Purpose: In minimally invasive endoscopic surgery, because the surgeon… Continue Reading
Can Residents Safely and Efficiently Be Taught Single Incision Laparoscopic Cholecystectomy?
Christopher C Rupp, MD, Timothy Farrell, MD. University of North Carolina School of Medicine Introduction: Single Incision Laparoscopic Cholecystectomy (SILC) has recently emerged as a viable option for selected patients undergoing gallbladder removal. While several studies have concluded that this technique is safe when performed by experienced surgeons under controlled conditions, there are no studies… Continue Reading
Can Virtual Reality Laparoscopic Simulators Predict Future Surgeons? One-Year Follow Up
Dana A Telem, MD, Emily Steinhagen, MD, Scott Q Nguyen, MD, Celia M Divino, MD FACS. The Mount Sinai Hospital Introduction: A previous study performed by the authors demonstrated significantly superior VR (virtual reality) simulator performance in third-year medical students interested in surgical careers. The purpose of this study was to assess whether a correlation… Continue Reading
Characteristics of Instantaneous Adaptations with Display Latencies in a Simulated Telesurgery Platform
Gyusung Lee, PhD, Carlos Godinez, MD, Jesus Caban, PhD, Tameka Clanton, MS, Adrian Park, MD. University of Maryland Introduction: This study investigates through quantitative performance analysis how well laparoscopic surgeons would instantaneously adapt to various levels of latency in a simulated laparoscopic telesurgical environment. Recently, advances and innovation in surgical settings have raised a number… Continue Reading
Comparing Subjective and Objective Measures of Knowledge During Surgical Residency
Timothy M Farrell, MD, Michael O Meyers, MD, Lindsee E McPhail, MD, Geoffrey P Kohn, MD, Mark J Koruda, MD, Anthony A Meyer, MD PhD. University of North Carolina at Chapel Hill Objective: Surgery resident knowledge is assessed subjectively and objectively throughout training. Subjective evaluation depends upon faculty assessment. Objective measurement derives from the American… Continue Reading
Comparison of Laparoscopic Skills Performance Using Laparoscopic Single-Site Access (SSA) Devices vs. an Independent-Port SSA Approach
Matthew R Schill, BSE, J Esteban Varela, MD, Margaret M Frisella, RN, L. Michael Brunt, MD. Section of Minimally Invasive Surgery, Washington University School of Medicine, St. Louis, MO Introduction: Interest in single site access (SSA) laparoscopy as an alternative to standard multi-port laparoscopy has led to the development of SSA–specific access devices. We analyzed… Continue Reading
Completion of a Novel Virtual Reality-Based Suturing Curriculum Improves Laparoscopic Intracorporeal Knot Tying Skills in Novices
Shohan Shetty, MD, Lucian Panait, MD, Robert L Bell, MD, Kurt E Roberts, MD, Andrew J Duffy, MD. Yale University School of Medicine, New Haven, CT, Saint Mary's Hospital, Waterbury, CT Introduction: Training residents in advanced surgical skills is now possible, and even required, outside of the operating room. However, work-hour limits, increased patient volume,… Continue Reading
Defining a Proficiency-Based Virtual Reality Curriculum for Laparoscopic Colorectal Surgery
Vanessa N Palter, MD, Maurtis Graafland, MD, Marlies P Schijven, MD PhD, Teodor P Grantcharov, MD PhD. St. Michael's Hospital, Toronto, On, Canada., Academic Medical Center Amsterdam, Amsterdam, The Netherlands Introduction: Laparoscopic colorectal surgery is an advanced minimally invasive procedure with a long variable learning curve. Although task training on virtual reality simulators has been… Continue Reading
Detailed Analysis of Surgical Energy Use in a General Surgical Practice
Andrea Limpuangthip, BA, Gyusung Lee, PhD, Ivan George, Adrian Park, MD. University of Maryland Medical Center Introduction:Advancing surgical technology has recently focused research on development of energy-based surgical devices that both minimize patient harm and maximize operating room efficiency. Laparoscopic surgeries commonly and significantly employ energy-based devices to cut, coagulate, or seal tissue with minimal… Continue Reading
Determining the Structure of Training Sessions for Laparoscopic Surgery: What Is Important?
Susannah M Wyles, MSc MRCS, Danilo Miskovic, MD FRCS, Roger Motson, MS FRCS, Robin H Kennedy, MS FRCS, Ara W Darzi, MD FRCS FMedSci, George B Hanna, PhD FRCS. Imperial College London, Colchester General Hospital, St Mark's Hospital Harrow BackgroundTraining laparoscopic surgery is known to be difficult, and has different challenges for the teacher, particularly… Continue Reading
Do You Have to Be an Expert Surgeon to Make a Good Laparoscopic Surgery Trainer?
Susannah M Wyles, MSc MRCS, Danilo Miskovic, MD FRCS, Ian Jenkins, MD FRCS, Ara W Darzi, MD FRCS FMedSci, George B Hanna, PhD FRCS. Imperial College London, St Mark's Hospital Harrow IntroductionIn the current climate of change in the structure of surgical training and the reduction in trainee hours spent within the operating room, there… Continue Reading
Does Previous Laparoscopic Experience Improve the Ability to Perform Single Incision Laparoscopic Surgery?
Trystan M Lewis, Mr, Rajesh Aggarwal, Mr, Richard M Kwasnicki, Mr, Ara Darzi, Prof, Paraskevas Paraskeva, Mr. Imperial College London IntroductionSingle Incision Laparoscopic Surgery (SILS) has been suggested as a safer and less invasive alternative to standard laparoscopic surgery (LAP). It is not clear whether previous laparoscopic experience influences the ability to perform SILS. This… Continue Reading