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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
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Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Simulation-based training for thoracoscopic lobectomy: a randomized controlled trial: virtual-reality versus

Katrine Jensen1, Charlotte Ringsted, Henrik Jessen Hansen

  • 1Department of Cardiothoracic Surgery, University Hospital of Copenhagen, Rigshospitalet, Thoraxkirurgisk afd. 2152, Blegdamsvej 9, 2100, Copenhagen, Denmark, katrine.jensen@regionh.dk.

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Summary

Traditional black-box simulator training improved thoracoscopic lobectomy skills more effectively than virtual-reality laparoscopy training for surgical residents. Dedicated thoracoscopy simulators are needed for effective training.

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Area of Science:

  • Thoracic Surgery
  • Surgical Simulation
  • Medical Education

Background:

  • Video-assisted thoracic surgery (VATS) is increasingly preferred for early-stage non-small cell lung cancer.
  • Thoracic surgical trainees require proficiency in VATS techniques.
  • No virtual-reality simulators for thoracoscopy are currently available.

Purpose of the Study:

  • To evaluate if training on a laparoscopic simulator enhances trainees' ability to perform a thoracoscopic lobectomy.
  • To compare the effectiveness of virtual-reality versus traditional black-box simulator training for thoracoscopic lobectomy.

Main Methods:

  • Twenty-eight surgical residents were randomized into two groups: virtual-reality (nephrectomy module) or traditional black-box simulator training.
  • Following a retention period, participants performed a thoracoscopic lobectomy on a porcine model.
  • Performance was assessed using a validated scoring tool, measuring time, bleeding, and errors.

Main Results:

  • Both training methods enabled participants to complete the lobectomy.
  • The black-box training group performed the procedure significantly faster (26.6 min) than the virtual-reality group (32.7 min).
  • No significant differences were observed in bleeding or anatomical/non-anatomical errors between the groups.

Conclusions:

  • Simulation-based training, including targeted instruction, facilitates the performance of simulated thoracoscopic lobectomy.
  • Traditional black-box simulator training proved more effective than virtual-reality laparoscopy training for this task.
  • The development of dedicated thoracoscopy simulators is recommended before implementing widespread virtual-reality training programs.