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Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
Published on: August 15, 2025
743
Force-based learning curve tracking in fundamental laparoscopic skills training
Sem F Hardon1, Tim Horeman2,3, H Jaap Bonjer4
1Department of Surgery, VU University Medical Center, P.O. Box 7057, 1007MB, Amsterdam, The Netherlands. s.hardon@vumc.nl.
Surgical Endoscopy
|February 10, 2018
Summary
This study introduces an objective tool to measure laparoscopic skills at home. The system effectively tracks tissue manipulation and instrument handling, showing significant improvement after two weeks of training.
Area of Science:
- Minimally Invasive Surgery (MIS)
- Surgical Education
- Medical Simulation
Background:
- Challenges in surgical skills training include limited trainer availability, time, and cost.
- Objective assessment tools are needed for preclinical skills acquisition in minimally invasive surgery (MIS).
Purpose of the Study:
- To establish and validate an objective measurement tool for preclinical laparoscopic skills acquisition.
- To assess the effectiveness of an at-home training program using this tool.
Main Methods:
- A mobile laparoscopic simulator with integrated force, motion, and time tracking (ForceSense) was utilized.
- Performance parameters for tissue manipulation and instrument handling were continuously monitored.
- Proficiency levels were defined by experts; resident skills were assessed pre- and post-training using objective measurements and OSATS.
Main Results:
- Objective tracking revealed significant improvements in force application, tissue manipulation, and instrument handling after training (p < 0.05).
- All Objective Structured Assessment of Technical Skills (OSATS) scores increased significantly (p < 0.028).
- Proficiency in all tasks was achievable within two weeks of at-home training.
Conclusions:
- Objective monitoring of force, motion, and time parameters effectively quantifies basic laparoscopic skills development.
- The at-home training program demonstrated improved skills and self-confidence, suggesting its integration into residency curricula.
- This validated tool provides insight into training duration required for specific skill competence.
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