Assessment of comparative skills between hand-assisted and straight laparoscopic colorectal training on an augmented reality simulator.
Dis Colon Rectum
; 53(9): 1323-7, 2010 Sep.
Article
en En
| MEDLINE
| ID: mdl-20706077
ABSTRACT
PURPOSE:
The aim of this study was to compare skills sets during a hand-assisted and straight laparoscopic colectomy on an augmented reality simulator.METHODS:
Twenty-nine surgeons, assigned randomly in 2 groups, performed laparoscopic sigmoid colectomies on a simulator group A (n = 15) performed hand-assisted then straight procedures; group B (n = 14) performed straight then hand-assisted procedures. Groups were compared according to prior laparoscopic colorectal experience, performance (time, instrument path length, and instrument velocity changes), technical skills, and operative error.RESULTS:
Prior laparoscopic colorectal experience was similar in both groups. Both groups had better performances with the hand-assisted approach, although technical skill scores were similar between approaches. The error rate was higher with the hand-assisted approach in group A, but similar between both approaches in group B.CONCLUSIONS:
These data define the metrics of performance for hand-assisted and straight laparoscopic colectomy on an augmented reality simulator. The improved scores with the hand-assisted approach suggest that with this simulator a hand-assisted model may be technically easier to perform, although it is associated with increased intraoperative errors.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Simulación por Computador
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Instrucción por Computador
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Competencia Clínica
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Laparoscopía
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Colectomía
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Cirugía Colorrectal
Tipo de estudio:
Clinical_trials
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Dis Colon Rectum
Año:
2010
Tipo del documento:
Article
País de afiliación:
Estados Unidos