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LapAppendectomy4all: validation of a new methodology for laparoscopic appendectomy simulation and training
Mário Rui Gonçalves1, Ricardo Marinho2, Sofia Gaspar Reis3
1Centro Académico Clínico das Beiras (Academic Clinical Center of Beiras), Faculty of Health Sciences, Faculty of Health Sciences, University of Beira Interior, Av. Infante D. Henrique, 6200-506, Covilhã, Portugal. marioruig@gmail.com.
A new, inexpensive silicone model for Laparoscopic Appendectomy (LA) simulation significantly improved surgical residents' confidence and performance. This low-cost tool provides valuable foundational skills for performing real LA procedures.
Area of Science:
- Surgical Education
- Medical Simulation
- Minimally Invasive Surgery
Background:
- Appendectomy is a frequent procedure for surgical residents.
- Current training methods may lack sufficient hands-on experience for minimally invasive approaches.
Purpose of the Study:
- To assess the fidelity, usefulness, and educational value of a novel, low-cost silicone model for Laparoscopic Appendectomy (LA) simulation.
- To evaluate the model's impact on surgical residents' confidence and foundational skills in an introductory laparoscopy course.
Main Methods:
- A new silicone model for LA simulation was developed and tested.
- First-year general surgery residents participated in an introductory laparoscopy course utilizing the model.
- Performance was assessed using a specific scale, and participants completed a post-course questionnaire.
Main Results:
- Residents with more experience using the model demonstrated higher execution, quality, and global performance.
- The model was considered adequate, with high face and content validity.
- 97% of participants felt they learned solid foundations for LA, and most agreed the model increased confidence for real procedures.
Conclusions:
- The new low-cost laparoscopic appendectomy model is validated for face, content, and construct.
- Integrating this model into introductory courses enhances surgical residents' confidence and provides valuable foundational training for laparoscopic appendectomy.

