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Surgical Innovation, Vol. 15, No. 2, 136-142 (2008)
DOI: 10.1177/1553350608318142

A Simple, Low-Cost Platform for Basic Laparoscopic Skills Training

Avner B. Dayan, MD

Department of General Surgery and Transplantation Sheba Medical Centre, Tel Hashomer, Israel

Amitai Ziv, MD

Israel Centre for Medical Simulation, Sheba Medical Centre

Haim Berkenstadt, MD

Israel Centre for Medical Simulation, Sheba Medical Centre

Yaron Munz, MD

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 {alpha} 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.

Key Words: laparoscopic skills • training • low cost • box trainer • innovative


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