Does 3D imaging improve laparoscopic intracorporeal suturing skill acquisition in novices and trainee surgeons?

Abstract

s / International Journal of Surgery 11 (2013) 686e745 706 ABSTRACTS 1447: DOES 3D IMAGING IMPROVE LAPAROSCOPIC INTRACORPOREAL SUTURING SKILL ACQUISITION IN NOVICES AND TRAINEE SURGEONS? Walid Elbakbak , Badriya Alaramim, Amina Bouhelal , Shah-Jalal Sarker , Bijendra Patel . Barts Cancer institue, London, UK; Royal London Hospital, London, UK. Aims: To objectively evaluate and compare the effects of 3D versus 2D vision system on novice and surgeons performing laparoscopic intracorporeal suturing in terms of performance times, number of repetitions and errors in standardised laboratory settings. Methods: Thirty novices (medical-students) and twenty four core surgical trainees (year 1 &2) were randomised between two vision systems (3D or 2D) stratified by gender. Candidates performed laparoscopic intracorporeal suturing according to the validated fundamentals of laparoscopic surgery (FLS) curriculum until task proficiency is achieved. Parameter measured were the total time to reach task proficiency, number of repetitions and task errors. Results: We concluded that the performance time and repetitions while performing laparoscopic suturing under 3D and 2D vision systems were similar but a trend towards fewer errors and better precision score was observed in 3D vision in both novices and trainees. The novice participant's error score was statically significant (P1⁄40.002). Conclusion: Acquiring laparoscopic suturing skills using 3D vision system is as effective as conventional 2D laparoscopy with no statistical difference in time, number of repetitions and measured error rates in reaching proficiency using FLS curriculum. However, there is a trend towards fewer errors and better precision score in candidates performing under 3D vision. 1449: IMPACT OF EWTD ON PATIENT CARE AND TRAINING e EXPERIENCE OF A DISTRICT GENERAL HOSPITAL Dilraj Bilku, David Andrew, Suresh Pillai. United Lincolnshire Hospitals NHS