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Simulation in Laparoscopic Surgery

  • Anjali A. Gresens
  • Rebecca C. Britt
Chapter
Part of the Comprehensive Healthcare Simulation book series (CHS)

Abstract

The field of laparoscopic surgery is ideally suited for simulation. Laparoscopy has blossomed alongside the growth of technology. From rudimentary box trainers to high-fidelity virtual reality simulators, learners have a plethora of options for learning laparoscopic skills outside of the operating room. The Fundamentals of Laparoscopic Surgery (FLS) curriculum was developed to ensure trainees have the essential skills needed to perform basic laparoscopy. At a national level, the American Board of Surgery has embraced FLS and incorporated it into a requirement for certification.

Keywords

Laparoscopic training Simulation Fundamentals of Laparoscopic Surgery Surgical simulation Surgical education Laparoscopic skills 

References

  1. 1.
    Polavarapu HV, Kulavlat AN, Sun A, Hamed O. 100 years of surgical education: the past, present, and future. Bull Am Coll Surg. 2013;98(7):22–7.PubMedGoogle Scholar
  2. 2.
    Stefanidis D, Acker EC, Heniford BT. Proficiency-based laparoscopic simulator training leads to improved operating room skill that is resistant to decay. Surg Innov. 2008;15(1):69–73.CrossRefGoogle Scholar
  3. 3.
    Stefanidis D, Hope WW, Korndorffer JR Jr, Markley S, Scott DJ. Initial laparoscopic basic skills training shortens the learning curve of laparoscopic suturing and is cost-effective. J Am Coll Surg. 2010;210(4):436–40.CrossRefGoogle Scholar
  4. 4.
    Stefanidis D, Scerbo MW, Montero PN, Acker CE, Smith WD. Simulator training to automaticity leads to improved skill transfer compared with traditional proficiency-based training: a randomized controlled trial. Ann Surg. 2012;255(1):30–7.CrossRefGoogle Scholar
  5. 5.
    Stefanidis D, Yonce C, Korndorffer JR Jr, Ryan P, Coker A. Does the incorporation of motion metrics into the existing FLS metrics lead to improved skill acquisition on simulators? Ann Surg. 2013;258(1):46–52.CrossRefGoogle Scholar
  6. 6.
    Stunt JJ, Wulms PH, Kerkoffs GM, Dankelman J, van Dijk CN, Tuijthof GJM. How valid are commercially available medical simulators? Adv Med Educ Pract. 2014;5:385–95.CrossRefGoogle Scholar
  7. 7.
    Boza C, Leon F, Buckel E, Riquelme A, Crovari F, Martinez J, et al. Simulation-trained junior residents perform better than general surgeons on advanced laparoscopic cases. Surg Endosc. 2017;31(1):135–41.CrossRefGoogle Scholar
  8. 8.
    Nugent E, Shirilla N, Hafeez A, O’Riordain DS, Traynor O, Harrison AM, et al. Development and evaluation of a simulator-based laparoscopic training program for surgical novices. Surg Endosc. 2013;27:214–21.CrossRefGoogle Scholar
  9. 9.
    Palter VN. Comprehensive training curricula for minimally invasive surgery. J Grad Med Educ. 2011;3(3):293–8.CrossRefGoogle Scholar
  10. 10.
    Li MM, George J. A systematic review of low-cost laparoscopic simulators. Surg Endosc. 2017;31(1):38–48.CrossRefGoogle Scholar
  11. 11.
    Fundamentals of Laparoscopic Surgery [Internet]. Los Angeles: Society of American Gastrointestinal and Endoscopic Surgeons, c2016. [Cited 2016 Aug 14] Available from: www.flsprogram.org.
  12. 12.
    Fichera A, Prachand V, Kives S, Levine R, Hasson H. Physical reality simulation for training of laparoscopists in the 21st century. A multispecialty, multi-institutional study. JSLS. 2005;9:125–9.PubMedPubMedCentralGoogle Scholar
  13. 13.
    Nagendran M, Toon CD, Davidson BR, Gurusamy KS. Laparoscopic surgical box model training for surgical trainees with no prior laparoscopic experience. Cochrane Database Syst Rev. 2014;3:CD010478.Google Scholar
  14. 14.
    Andreatta PB, Marzano DA, Curran DS, Reynolds RK. Evaluation of a precise and measurable model for learning laparoscopic tissue handling. Sim Healthc. 2014;9(5):283–7.CrossRefGoogle Scholar
  15. 15.
    Lucas SM, Zeltser IS, Bensalah K, Tuncel A, Jenkins A, Pearle MS, et al. Training on a virtual reality laparoscopic simulator improves performance of an unfamiliar live laparoscopic procedure. J Uro. 2008;180(6):2588–91.CrossRefGoogle Scholar
  16. 16.
    Brinkmann C, Fritz M, Pankratius U, Bahde R, Neumann P, Schlueter S, et al. Box- or virtual-reality trainer: which tool results in better transfer of laparoscopic basic skills? A prospective randomized trial. J Surg Educ. 2017;74(4):724–35.CrossRefGoogle Scholar
  17. 17.
    Bjerrum F, Sorensen JL, Thinggaard E, Strandbygaard J, Konge L. Implementation of a cross-specialty training program in basic laparoscopy. JSLS. 2015;19(4):1–7.CrossRefGoogle Scholar
  18. 18.
    Brennan PM, Loan JJM, Hughes MA, Hennessey IAM, Partridge RW. Surgical training is undermined by inadequate provision of laparoscopic surgical simulators. Ann R Coll Surg Engl (Suppl). 2014;96:304–7.CrossRefGoogle Scholar
  19. 19.
    Accredited Education Institutes [Internet]. Chicago: American College of Surgeons; c1996–2017 [cited 2016 Feb 12]. Available from: https://www.facs.org/education/accreditation/aei/resources.
  20. 20.
    Brunt M. FLS: celebrating a decade of innovation in surgical education. Bull Am Coll Surg. 2014;99(11):10–5.PubMedGoogle Scholar
  21. 21.
    About the Fellowship Council [Internet]. Los Angeles: The Fellowship Council; c2017 [cited 2016 Feb 12]. Available from: https://fellowshipcouncil.org/about.
  22. 22.
    Ferguson PC, Kraemer W, Nousiainen M, Safir O, Sonnadara R, Alman B, et al. Three-year experience with an innovative, modular competency-based curriculum for orthopaedic training. J Bone Joint Surg Am. 2013;95(21):e166.CrossRefGoogle Scholar
  23. 23.
    Nousiainen MT, McQueen SA, Ferguson P, Alman B, Kraemer W, Safir O, et al. Simulation for teaching orthopaedic residents in a competency-based curriculum: do the benefits justify the increased costs? Clin Orthop Relat Res. 2016;474(4):935–44.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Anjali A. Gresens
    • 1
  • Rebecca C. Britt
    • 2
  1. 1.Department of SurgerySoutheast Louisiana Veterans Health Care SystemNew OrleansUSA
  2. 2.Department of SurgeryEastern Virginia Medical SchoolNorfolkUSA

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