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DOI: 10.1177/1553350608318142 A Simple, Low-Cost Platform for Basic Laparoscopic Skills TrainingDepartment of General Surgery and Transplantation Sheba Medical Centre, Tel Hashomer, Israel
Israel Centre for Medical Simulation, Sheba Medical Centre
Israel Centre for Medical Simulation, Sheba Medical Centre
Israel Centre for Medical Simulation, Sheba Medical Centre, dr.munz{at}012.net.il, Department of General Surgery and Transplantation Sheba Medical Centre, Tel Hashomer, Israel
Laparoscopic basic skills' training relies mainly on costly video trainers. The aim of this study was to evaluate a simple, low-cost devise for laparoscopic training. In all, 32 participants with varying levels of skill were recruited. A Simulab LapTrainer (Simulab, Seattle, Washington), using a simple plastic box, a webcam, and a Universal Serial Bus 2 card, was used together with standard operating tools. Participants performed 3 tasks (rope passing, peg transfer, and intracorporeal knot tying), which were video recorded and blindly assessed by 2 experts using error scores, checklists, and time. Statistical analysis included nonparametric tests and Cronbach
Key Words: laparoscopic skills training low cost box trainer innovative
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for inter-rater reliability. A P <.05 was deemed significant. Highly significant differences were noted between groups in all tasks and for all parameters (P = .001). Inter-rater reliability was 0.88. Simulator ratings were good: 63%, excellent: 28%, and only 9% rated it as average. The Simulab LapTrainer provides a valid alternative for skills training. Its simplicity, portability, and relatively low cost make it an attractive surgical training tool.