Related Experiment Video
Updated: Jun 13, 2026
08:21
Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
Published on: August 15, 2025
Resident perceptions of advanced laparoscopic skills training
Vanessa N Palter1, Neil Orzech, Rajesh Aggarwal
1Toronto General Hospital, The Wilson Centre, 200 Elizabeth Street, 1ES 565, Toronto, ON, M5G 2C4, Canada. Vanessa.palter@utoronto.ca
Surgical Endoscopy
|April 30, 2010
Summary
Senior surgical residents prefer animal and synthetic models over virtual reality for learning advanced laparoscopic suturing. Current training in these techniques is suboptimal, necessitating curriculum redesign.
Area of Science:
- Surgical Education
- Minimally Invasive Surgery
- Medical Simulation
Background:
- Assesses resident perceptions of laparoscopic suturing training models.
- Evaluates the quality of advanced minimally invasive surgical techniques training.
Purpose of the Study:
- To explore resident perceptions of four laparoscopic suturing teaching models.
- To assess current training quality in advanced minimally invasive surgery.
Main Methods:
- 14 senior general surgery residents (PGY 3-5) participated in an advanced laparoscopy workshop.
- Four training models were used: Fundamentals of Laparoscopic Surgery (FLS) box, synthetic Nissen model, virtual reality (VR) simulator, and porcine jejuno-jejunostomy model.
- Post-workshop questionnaires and statistical analysis (ANOVA, Fisher's exact test) evaluated resident opinions and model effectiveness.
Main Results:
- Residents had limited experience in advanced laparoscopic cases.
- The porcine model was ranked highest, followed by synthetic Nissen, FLS, and VR models.
- 81.8% of residents found the animal model "extremely helpful" compared to 21.4% for the VR model (p = 0.048).
Conclusions:
- Operative experience in advanced laparoscopy for senior residents is insufficient.
- Simulated learning environments show resident preference for animal or video-trainers over virtual reality.
- Curriculum design for advanced endoscopy training should consider these findings.
