Journal
AMERICAN JOURNAL OF SURGERY
Volume 202, Issue 3, Pages 265-272Publisher
EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
DOI: 10.1016/j.amjsurg.2010.11.008
Keywords
Simulator; Training; Laparoscopy; MISTELS; LAP Mentor
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BACKGROUND: The efficacy of laparoscopy simulators remains controversial. METHODS: This was a comparative prospective study that evaluated the impact of simulator training on technical competence during a real surgical procedure. Residents were divided into 3 groups: the Mcgill Inanimate System for Training and Evaluation of Laparoscopic Skills (MISTELS) group, training on a simple simulator; LAP Mentor group, training on a virtual simulator; and control group. An initial evaluation was made by a validated score during a laparoscopic cholecystectomy. Each resident was then trained for 1 month. A second evaluation was then performed. RESULTS: Before/after scores were significantly improved in the MISTELS (P = .042) and LAP Mentor (P = .026) groups. It was not the case in the control group. There was a better progression in the MISTELS (P = .026) and LAP Mentor (P = .007) groups than in the control group. There was no significant difference between the MISTELS and LAP Mentor groups. CONCLUSIONS: Simulator training provides a more rapid acquisition of competence in surgical technique. (C) 2011 Elsevier Inc. All rights reserved.
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