Abstract
Introduction: Ethical concerns for patient safety, training hours restrictions, and operating room costs are challenging the doctrines of surgical training. Training outside the operating room (OR) has become an essential component of surgical education. Computerized simulators are increasingly being used for laparoscopic and endoscopic training but factory settings and metrics have been incompletely developed and evaluated. The LapSim (Surgical Science, Göteborg, Sweden) is a laparoscopic virtual reality simulator that allows an instructor to customize curricula to the skill level of the trainee.
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