| Title: | Development and validation of a porcine organ model for training in essential laparoscopic surgical skills |
| Authors: | Higuchi, Madoka Browse this author |
| Abe, Takashige Browse this author →KAKEN DB |
| Hotta, Kiyohiko Browse this author →KAKEN DB |
| Morita, Ken Browse this author |
| Miyata, Haruka Browse this author |
| Furumido, Jun Browse this author |
| Iwahara, Naoya Browse this author |
| Kon, Masafumi Browse this author →KAKEN DB |
| Osawa, Takahiro Browse this author →KAKEN DB |
| Matsumoto, Ryuji Browse this author →KAKEN DB |
| Kikuchi, Hiroshi Browse this author →KAKEN DB |
| Kurashima, Yo Browse this author →KAKEN DB |
| Murai, Sachiyo Browse this author |
| Aydin, Abdullatif Browse this author |
| Raison, Nicholas Browse this author |
| Ahmed, Kamran Browse this author |
| Khan, Muhammad Shamim Browse this author |
| Dasgupta, Prokar Browse this author |
| Shinohara, Nobuo Browse this author →KAKEN DB |
| Keywords: | animal organs |
| laparoscopic surgery |
| simulation |
| surgical education |
| wet lab training |
| Issue Date: | Oct-2020 |
| Publisher: | John Wiley & Sons |
| Journal Title: | International journal of urology |
| Volume: | 27 |
| Issue: | 10 |
| Start Page: | 929 |
| End Page: | 938 |
| Publisher DOI: | 10.1111/iju.14315 |
| Abstract: | Objectives To develop a wet laboratory training model for learning core laparoscopic surgical skills and evaluating learners' competency level outside the operating room. Methods Participants completed three tasks (task 1: tissue dissection around the aorta; task 2: tissue dissection and division of the renal artery; task 3: renal parenchymal closure). Each performance was video recorded and subsequently evaluated by two experts, according to the Global Operative Assessment of Laparoscopic Skills and task-specific metrics that we developed (Assessment Sheet of Laparoscopic Skills in Wet Lab score). Mean scores were used for analyses. The subjective mental workload was also assessed (NASA Task Load Index). Results The 54 participants included 32 urologists, eight young trainees and 14 medical students. A total of 13 participants were categorized as experts (>= 50 laparoscopic surgeries), eight as intermediates (10-49) and 33 as novices (0-9). There were significant differences in the Global Operative Assessment of Laparoscopic Skills and Assessment Sheet of Laparoscopic Skills in Wet Lab scores among the three groups in all three tasks. Higher NASA Task Load Index scores were observed in novices, and there were significant differences in tasks 1 (Kruskal-Wallis test,P = 0.0004) and 2 (P = 0.0002), and marginal differences in task 3 (P = 0.0745) among the three groups. Conclusions Our training model has good construct validity, and differences in the NASA Task Load Index score reflect previous laparoscopic surgical experiences. Our findings show the ability to assess both laparoscopic surgical skills and mental workloads, which could help educators comprehend trainees' level outside the operating room. Given the decreasing opportunity to carry out pure laparoscopic surgeries because of the dissemination of robotic surgery, especially in urology, our model can offer practical training opportunities. |
| Rights: | https://creativecommons.org/licenses/by/4.0/ |
| Type: | article |
| URI: | http://hdl.handle.net/2115/79630 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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