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Published on: September 18, 2017
Towards virtual FLS: development of a peg transfer simulator
Venkata S Arikatla1, Woojin Ahn, Ganesh Sankaranarayanan
1Department of Mechanical, Aerospace and Nuclear Engineering, at Rensselaer Polytechnic Institute, Troy, USA.
Background:
Peg transfer is one of five tasks in the Fundamentals of Laparoscopic Surgery (FLS), program. This paper reports the development and validation of a Virtual Basic Laparoscopic Skill Trainer-Peg Transfer (VBLaST-PT(©) ) simulator for automatic real-time scoring and objective quantification of performance.
Methods:
New techniques have been introduced in order to allow bi-manual manipulation of pegs and automatic scoring/evaluation while maintaining high quality of simulation. A preliminary face and construct validation study was performed with 22 subjects divided into two groups: experts (PGY 4-5, fellow and practicing surgeons) and novice (PGY 1-3).
Results:
Face validation shows high scores for all aspects of the simulation. Two-tailed Mann-Whitney U-test scores showed significant differences between the two groups on completion time (P = 0.003), FLS score (P =0.002) and the VBLaST-PT© score (P = 0.006).
Conclusions:
VBLaST-PT(©) is a high quality virtual simulator that showed both face and construct validity.
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