An Inanimate Intracorporeal Anastomosis Model With Real-Time Force Feedback: An Initial Study
A Masie Rahimi1, Sem F Hardon2, Joost Stael2
1Department of Surgery, Amsterdam UMC, Location Vrije Universiteit, Amsterdam, The Netherlands; Amsterdam Skills Centre for Health Sciences, Amsterdam, The Netherlands; Cancer Center Amsterdam, Amsterdam, The Netherlands.
The Journal of Surgical Research
|January 8, 2025
Summary
This study introduces a new laparoscopic intestinal anastomosis training task with objective feedback. Experts demonstrated superior technical skills in force, motion, and time compared to novices, validating the training task.
Area of Science:
- Surgical Simulation
- Medical Education Technology
Background:
- Laparoscopic intestinal anastomosis demands specialized skills.
- Objective feedback for anastomosis simulation training is limited.
- This study addresses the need for objective assessment in surgical training.
Purpose of the Study:
- To analyze a novel laparoscopic intestinal anastomosis training task.
- To utilize objective force, motion, and time measurements for skill assessment.
- To develop a reproducible training module for advanced laparoscopic skills.
Main Methods:
- Developed a reproducible artificial tissue laparoscopic intestinal anastomosis task.
- Novices and experts performed the task using two suture techniques.
- Objective feedback on force, motion, and time was provided by a laparoscopic box trainer.
Main Results:
- Experts exhibited significantly lower maximal impulses and shorter path lengths with multifilament braided sutures compared to novices.
- Experts used significantly lower maximal forces and shorter path lengths with barbed sutures.
- Experts consistently completed the anastomosis task faster than novices across both suture types.
Conclusions:
- A validated, reproducible laparoscopic intestinal anastomosis training task using objective metrics was developed.
- This training task allows for repetitive practice and assessment of advanced surgical skills.
- The objective data can be used to evaluate skill transfer to the operating room.
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