• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • SAGES 2021 Annual Meeting
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2021
      • SAGES 2020
      • SAGES 2019
      • SAGES 2018
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • SAGES Logo Products
    • “Unofficial” Logo Products
  • Log In

Simulation and Performance of Single Site Surgery

Pamela Burgess, MD, Joel Brockmeyer, MD, Byron Faler, MD, Yong Choi, MD. Dwight D. Eisenhower Army Medical Center

 

INTRODUCTION
Interest in Laparoendoscopic Single Site (LESS) surgery has been increasing in the past several years. While the benefits of LESS surgery are limited to cosmesis at this time, a recent survey performed at a meeting of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) indicated that a majority of participants anticipated widespread acceptance of LESS surgery as a commonly used modality in the future. Citing improved cosmesis, theoretical reduced pain, and quicker return to work, more surgeons are offering this to patients. Despite definite benefits, LESS has been demonstrated to be safe in small studies.
Laparoscopic simulation has become a necessity in training general surgeons. Studies have shown consistently that the more frequently a surgeon performs a procedure, the better they become. Much study has been done demonstrating that practice in a simulation lab can improve scores of set levels of skill which can be transferred to the operating room.
Fundamental Laparoscopic Skills (FLS) has positioned conventional laparoscopy (LAP) within the general surgery curriculum by requiring graduating residents to be proficient with skills that have been validated as objective measures.
We hypothesize that simulation training with LESS trainers will improve scores on the PEG transfer portion of FLS more than training on a conventional laparoscopic simulation trainers.
METHODS
Medical students were recruited and randomized to practice with a (LESS) surgery trainer or the standard FLS trainer. (LESS) training was performed with standard straight laparoscopic instruments using the GELPoint system (Applied Medical). Data was collected regarding gender, handedness, video game systems owned and hours played per week, as well as varsity sports played. They were given a brief introduction and allowed to practice for 15 minutes during which each completed >5 repetitions of transfer. They were then tested in the PEG transfer on the (LESS) surgery trainer.
RESULTS
14 students were recruited for participation, 6 females and 8 males. The subjects were randomized into the two groups with seven subjects per group. All subjects were right handed. No difference was identified between groups in regards to age or gender. Mean score between the groups was 141 and 98 in the LAP and LESS groups respectively (p=0.143). On regression analysis, varsity sports played and number of gaming systems owned were not significant. Female gender was found to be an independent predictor of a higher score, correlation coefficient of 58.530 (p=0.045), as well as number of gaming systems owned, 29.359 (p=0.026).
DISCUSSION
LESS surgery is on the forefront of surgical innovation with new technology constantly in development. While new technologies are intuitive, they have yet to show true utility and their learning curve has been prohibitive. This study, while small in number, demonstrates that after a single session there is no statistical difference between scores regardless of simulation system. An improvement in laparoscopic skills based on video gaming skills has been shown recently and is shown again in this study. The unexpected difference in scores between genders is interesting and requires further investigation.
 


Session Number: Poster – Poster Presentations
Program Number: P166
View Poster

79

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2012 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Surgery is Safer with Vaccination 1

Addressing Religious Concerns About COVID-19 Vaccine

This may be a difficult subject matter for you and your patient to talk about.  Be assured, all major organized religious groups encourage and recommend the COVID-19 vaccine. Listed below are references and websites you can direct your patient towards to help them make an informed decision with regards to their religious concerns against the […]

SAGES Statement on AAPI Violence

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) stands in solidarity with the Asian American and Pacific Islander (AAPI) community. In the summer of 2020, SAGES released a statement condemning the violence, racism, and hatred toward the Black community in the wake of George Floyd and Breonna Taylor’s murders. It is with great sorrow […]

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
[email protected]
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2022 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2022 Society of American Gastrointestinal and Endoscopic Surgeons