Abstract
To evaluate whether the use of the physical surgical simulator may benefit the development of laparoscopic skills. Ten medical students were divided into two groups: the first one performed ten weekly training sessions with a physical surgical simulator - ETX A2 LAP and, afterwards, one laparoscopic cholecystectomy in a porcine model, while the second group performed only a laparoscopic cholecystectomy. Both groups were compared regarding bleeding, total surgical time, time to perform each surgical step and qualitative parameters, based on a previously validated tool. There was no difference in any of the evaluated parameters. We did not find any evidence of benefit in the use of the physical simulator for surgical performance in medical students.
Highlights
IntroductionBesides the extensive range of theoretical learning, surgeons must possess an immense practical training experience in order to reach a satisfactory domain of surgical skills and be responsible for leading the operation room
Learning surgery is a dynamic, extensive and multifaceted process
Laparoscopy has evolved over the years and is currently the gold standard for some procedures, such as cholecystectomy, and discussed whether it should be considered the gold standard for others, like appendectomy[4,5]
Summary
Besides the extensive range of theoretical learning, surgeons must possess an immense practical training experience in order to reach a satisfactory domain of surgical skills and be responsible for leading the operation room. To reach this ability level, surgeons relied on various training methods throughout history: corpse’s dissection, surgery in animals and by attending surgical procedures with experienced surgeons dedicated to teaching. The improvement of laparoscopic surgical technique over the years has allowed this approach to present several advantages over conventional surgery, such as: lower rate of postoperative infection, better cosmetic results, shorter hospital stay and faster postoperative recovery[2,3]. The search for better methods of teaching laparoscopic surgery is still the subject of extensive research
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