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Can virtual reality simulators be a certification tool for bariatric surgeons?

Domenico Giannotti1, Gregorio Patrizi, Giovanni Casella

  • 1Department of Surgical Sciences, Policlinico "Umberto I", "Sapienza" - University of Rome, Viale Regina Elena 324, 00161, Rome, Italy, domenico.giannotti@uniroma1.it.

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|September 3, 2013
PubMed
Summary

The Lap Mentor simulator effectively differentiates bariatric surgeons from general surgeons in complex laparoscopic procedures, showing potential for bariatric surgeon certification and tailored training.

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Area of Science:

  • Surgical Simulation
  • Medical Education Technology
  • Bariatric Surgery Training

Background:

  • Virtual laparoscopic simulators have proposed construct validity for basic skills.
  • Their ability to assess experience in complex procedures like laparoscopic Roux-en-Y gastric bypass remains unclear.

Purpose of the Study:

  • To evaluate the Lap Mentor simulator's capacity to identify surgeon experience in advanced laparoscopic procedures.
  • To assess the simulator's utility in certifying bariatric surgeons.

Main Methods:

  • Twenty surgeons (10 general, 10 bariatric) were tested on basic and advanced laparoscopic tasks.
  • Tasks included eye-hand coordination, gastric pouch creation, and gastrojejunal anastomosis simulation.

Main Results:

  • No significant differences were observed in the basic eye-hand coordination task.
  • Significant differences between bariatric and general surgeons were found in gastric pouch creation and gastrojejunal anastomosis simulation tasks.
  • Specific metrics like gastric pouch volume, fundus inclusion, dissection, and enterotomy characteristics differed significantly.

Conclusions:

  • The Lap Mentor simulator can differentiate surgeon expertise in complex bariatric procedures.
  • It shows potential as a certification tool for bariatric surgeons, assessing technical skills crucial for long-term outcomes.
  • Performance analysis can guide personalized surgical training to maximize skill improvement.