Construction and validation of a low-cost laparoscopic simulator for surgical education. 2013

Jared Wong, and Gaurav Bhattacharya, and Steven J Vance, and Peter Bistolarides, and Aziz M Merchant
Department of Surgery, Central Michigan University College of Medicine, Saginaw, Michigan 48602, USA.

BACKGROUND To construct a trainer that would achieve the equivalent goals of the Fundamentals of Laparoscopic Surgery (FLS) trainer at an economical cost. A validation study comparing our homemade (HM) trainer vs the FLS trainer was performed. A literature search as well as a price comparison with other commercially available laparoscopic trainers is presented. METHODS The HM laparoscopic trainer was constructed using a prefabricated hard plastic frame with a vinyl plastic sheet affixed as the roof. A row of light-emitting diode lights and a charge-coupled device camera were mounted on the inside roof of the frame. Electrical wires were spliced to supply power to both the light-emitting diode lights and the camera. The charge-coupled device camera was connected to a liquid crystal display screen which was affixed directly across from the user. Subjects were prospectively randomized to perform the 5 tasks put forth by the McGill Inanimate System for Training and Evaluation of Laparoscopic Skills on both the HM trainer and the FLS trainer (pegboard transfer, pattern cut, placement of ligating loop, extracorporeal knot suture, and intracorporeal knot suture). Simple paired t test was performed to compare times between the trainers. METHODS The construction of the trainer and the validation study were performed at the Central Michigan University College of Medicine Department of Simulation. METHODS Subjects consisted of third- and fourth-year medical students (n = 30). RESULTS A laparoscopic trainer box was constructed and assembled in 2 hours. The HM trainer cost $309 representing a cost savings of $1371. Results of the validation study demonstrated no statistical difference in times to complete 3 out of the 5 tasks as well as no difference in total time to complete all 5 tasks (p value< 0.05). CONCLUSIONS Valid laparoscopic simulators can be constructed at an economical cost.

UI MeSH Term Description Entries
D010535 Laparoscopy A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy. Celioscopy,Laparoscopic Surgical Procedures,Peritoneoscopy,Surgical Procedures, Laparoscopic,Laparoscopic Assisted Surgery,Laparoscopic Surgery,Laparoscopic Surgical Procedure,Procedure, Laparoscopic Surgical,Procedures, Laparoscopic Surgical,Surgery, Laparoscopic,Surgical Procedure, Laparoscopic,Celioscopies,Laparoscopic Assisted Surgeries,Laparoscopic Surgeries,Laparoscopies,Peritoneoscopies,Surgeries, Laparoscopic,Surgeries, Laparoscopic Assisted,Surgery, Laparoscopic Assisted
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D003198 Computer Simulation Computer-based representation of physical systems and phenomena such as chemical processes. Computational Modeling,Computational Modelling,Computer Models,In silico Modeling,In silico Models,In silico Simulation,Models, Computer,Computerized Models,Computer Model,Computer Simulations,Computerized Model,In silico Model,Model, Computer,Model, Computerized,Model, In silico,Modeling, Computational,Modeling, In silico,Modelling, Computational,Simulation, Computer,Simulation, In silico,Simulations, Computer
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013647 Task Performance and Analysis The detailed examination of observable activity or behavior associated with the execution or completion of a required function or unit of work. Critical Incident Technique,Critical Incident Technic,Task Performance,Task Performance, Analysis,Critical Incident Technics,Critical Incident Techniques,Incident Technic, Critical,Incident Technics, Critical,Incident Technique, Critical,Incident Techniques, Critical,Performance, Analysis Task,Performance, Task,Performances, Analysis Task,Performances, Task,Task Performances,Task Performances, Analysis,Technic, Critical Incident,Technics, Critical Incident,Technique, Critical Incident,Techniques, Critical Incident
D014584 User-Computer Interface The portion of an interactive computer program that issues messages to and receives commands from a user. Interface, User Computer,Virtual Systems,User Computer Interface,Interface, User-Computer,Interfaces, User Computer,Interfaces, User-Computer,System, Virtual,Systems, Virtual,User Computer Interfaces,User-Computer Interfaces,Virtual System

Related Publications

Jared Wong, and Gaurav Bhattacharya, and Steven J Vance, and Peter Bistolarides, and Aziz M Merchant
January 2020, International journal of environmental research and public health,
Jared Wong, and Gaurav Bhattacharya, and Steven J Vance, and Peter Bistolarides, and Aziz M Merchant
April 2015, Surgical laparoscopy, endoscopy & percutaneous techniques,
Jared Wong, and Gaurav Bhattacharya, and Steven J Vance, and Peter Bistolarides, and Aziz M Merchant
October 2022, Journal of laparoendoscopic & advanced surgical techniques. Part A,
Jared Wong, and Gaurav Bhattacharya, and Steven J Vance, and Peter Bistolarides, and Aziz M Merchant
January 2015, Annali italiani di chirurgia,
Jared Wong, and Gaurav Bhattacharya, and Steven J Vance, and Peter Bistolarides, and Aziz M Merchant
January 2007, Simulation in healthcare : journal of the Society for Simulation in Healthcare,
Jared Wong, and Gaurav Bhattacharya, and Steven J Vance, and Peter Bistolarides, and Aziz M Merchant
October 2017, Surgical technology international,
Jared Wong, and Gaurav Bhattacharya, and Steven J Vance, and Peter Bistolarides, and Aziz M Merchant
January 2010, Cirugia espanola,
Jared Wong, and Gaurav Bhattacharya, and Steven J Vance, and Peter Bistolarides, and Aziz M Merchant
June 2011, Surgical innovation,
Jared Wong, and Gaurav Bhattacharya, and Steven J Vance, and Peter Bistolarides, and Aziz M Merchant
January 2019, Community eye health,
Jared Wong, and Gaurav Bhattacharya, and Steven J Vance, and Peter Bistolarides, and Aziz M Merchant
February 2020, Clinical and experimental otorhinolaryngology,
Copied contents to your clipboard!