Journal of Surgical Education
Volume 67, Issue 4 , Pages 200-204 , July 2010

Hand-Assisted Laparoscopic Sigmoid Colectomy Skills Acquisition: Augmented Reality Simulator Versus Human Cadaver Training Models

  • Fabien Leblanc, MD

      Affiliations

    • Division of Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, Ohio
    • ,
  • Anthony J. Senagore, MD

      Affiliations

    • Spectrum Health, Grand Rapids, Michigan
    • ,
  • Clyde N. Ellis, MD

      Affiliations

    • Department of Surgery, University of South Alabama, Mobile, Alabama
    • ,
  • Bradley J. Champagne, MD

      Affiliations

    • Division of Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, Ohio
    • ,
  • Knut M. Augestad, MD

      Affiliations

    • Division of Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, Ohio
    • ,
  • Paul C. Neary, MD

      Affiliations

    • Department of Surgery, Adelaide and Health Hospital incorporating the National Children's Hospital, Dublin, Ireland
    • ,
  • Conor P. Delaney, MD

      Affiliations

    • Division of Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, Ohio
    • Corresponding Author InformationCorrespondence: Inquiries to Conor P. Delaney, MD, Division of Colorectal Surgery, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106-5047; fax: (216) 983-7230
    • ,
  • Colorectal Surgery Training Group

References 

  1. Watanabe K, Funayama Y, Fukushima K, Shibata C, Takahashi K, Sasaki I. Hand-assisted laparoscopic vs. open subtotal colectomy for severe ulcerative colitis. Dis Colon Rectum. 2009;52:640–645
  2. Takakura Y, Okajima M, Yoshimitsu M, Hinoi T, Ikeda S, Ohdan H. Hybrid hand-assisted colectomy for transverse colon cancer: a useful technique for non-expert laparoscopic surgeons. World J Surg. 2009;33:2683–2687
  3. Cima RR, Pattana-Arun J, Larson DW, Dozois EJ, Wolff BG, Pemberton JH. Experience with 969 minimal access colectomies: the role of hand-assisted laparoscopy in expanding minimally invasive surgery for complex colectomies. J Am Coll Surg. 2008;206:946–952
  4. Ross HM, Simmang CL, Fleshman JW, Marcello PW. Adoption of laparoscopic colectomy: results and implications of ASCRS hands-on course participation. Surg Innov. 2008;15:179–183
  5. Katz R, Hoznek A, Antiphon P, Van Velthoven R, Delmas V, Abbou CC. Cadaveric versus porcine models in urological laparoscopic training. Urol Int. 2003;71:310–315
  6. Sturm LP, Windsor JA, Cosman PH, Cregan P, Hewett PJ, Maddern GJ. A systematic review of skills transfer after surgical simulation training. Ann Surg. 2008;248:166–179
  7. Seymour N, Gallagher AG, Roman SA, et al. Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg. 2002;236:458–464
  8. Grantcharov TP, Kristiansen VB, Bendix J, Bardram L, Rosenberg J, Funch-Jensen P. Randomized clinical trial of virtual reality simulation for laparoscopic skills training. Br J Surg. 2004;91:146–150
  9. Ahlberg G, Enochsson L, Gallagher AG, et al. Proficiency-based virtual reality training significantly reduces the error rate for residents during their 10 laparoscopic cholecystectomies. Am J Surg. 2007;193:797–804
  10. Leblanc F, Champagne BJ, Augestad KM, et al. A comparison of human cadaver and augmented reality simulator models for straight laparoscopic colorectal skills acquisition training. J Am Coll Surg. 2010;in press
  11. Neary PC, Boyle E, Delaney CP, Senagore AJ, Keane FB, Gallagher AG. Construct validation of a novel hybrid virtual-reality simulator for training and assessing laparoscopic colectomy; results from the first course for experienced senior laparoscopic surgeons. Surg Endosc. 2008;22:2301–2309
  12. Martin JA, Regehr G, Reznick R, et al. Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997;84:273–278
  13. Sarker SK, Kumar I, Delaney CP. Assessing operative performance in advanced laparoscopic colorectal surgery. World J Surg. 2010;in press
  14. Udomsawaengsup S, Pattana-arun J, Tansatit T, et al. Minimally invasive surgery training in soft cadaver (MIST-SC). J Med Assoc Thai. 2005;88:189–194
  15. Giger U, Fresard I, Hafliger A, Bergmann M, Krähenbühl L. Laparoscopic training on Thiel human cadavers: a model to teach advanced laparoscopic procedures. Surg Endosc. 2008;22:901–906
  16. Supe A, Dalvi A, Prabhu R, Kantharia C, Bhuiyan P. Cadaver as a model for laparoscopic training. Indian J Gastroenterol. 2005;24:111–113

 The Laparoscopic Colectomy Simulation Course at 2009 American Society of Colorectal Surgery Annual Meeting was supported by an unrestricted grant from Ethicon EndoSurgery.

 Members of the Colorectal Surgery Training Group are listed in Appendix A.

PII: S1931-7204(10)00171-6

doi: 10.1016/j.jsurg.2010.06.004

Journal of Surgical Education
Volume 67, Issue 4 , Pages 200-204 , July 2010

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