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Related Experiment Video

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Simulator Training for Endovascular Neurosurgery

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Structured box training improves stability of retraction while multitasking in colorectal surgery simulation.

Jarek Kobiela¹, Piotr Spychalski¹, Dariusz Łaski¹

¹Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Gdansk, Poland.

The Journal of Surgical Research

|June 26, 2018

Summary

A laparoscopic box-training protocol significantly improved surgical trainees' ability to perform steady retraction while multitasking during colorectal surgery simulation. This training enhances efficiency by enabling trainees to retract effectively even when simultaneously operating a camera.

Keywords:

Colorectal cancer Colorectal surgery Inflammatory bowel disease Laparoscopic training Multitasking

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Area of Science:

Surgical simulation
Medical education
Laparoscopic surgery

Background:

Laparoscopic colorectal surgery is a standard procedure.
Multitasking, such as simultaneous camera navigation and retraction, is crucial for efficient laparoscopic surgery.
Surgical trainees require proficiency in multitasking for advanced laparoscopic procedures.

Purpose of the Study:

To evaluate the effectiveness of a box-training protocol in improving retraction stability during multitasking in colorectal surgery simulation.
To assess if structured training enhances the ability of surgical trainees to maintain steady retraction while performing other tasks.

Main Methods:

Fifty-eight medical students participated in a basic laparoscopic box-training course.
Retraction stability was measured during single-task and multitasking scenarios before and after the training course.

Main Results:

Prior to training, multitasking significantly impaired retraction stability, indicated by increased force variation and exertion.
Post-training, significant improvements were observed in traction stability during multitasking, with reduced maximal and range of force.
After training, no significant difference in retraction stability was found between single-task and multitasking performance.

Conclusions:

A structured laparoscopic box-training curriculum effectively enhances retraction stability during multitasking in colorectal surgery simulation.
The training improved the ability to retract steadily while simultaneously managing the laparoscopic camera.
Post-training, trainees could retract as efficiently during multitasking as they could during single-task retraction.