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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Consensus-informed Development of Scoring Systems for Intermediate Laparoscopic Simulation Modules: An ESU

Arianna Pischetola1, Moises Rodriguez Socarras2, Tiago Ribeiro de Oliveira3

  • 1Faculty of Medicine, Campus Bio-Medico University, Rome, Italy.

European Urology Open Science
|April 24, 2026
PubMed
Summary
This summary is machine-generated.

This study introduces validated laparoscopic simulation modules for urological training, showing experts perform better than residents. These modules aim to standardize surgical education and improve trainee assessment.

Keywords:
BenchmarkingClinical competenceLaparoscopyPartial nephrectomySimulation trainingUrology educationValidation studyVascular injuries

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Area of Science:

  • Urological Surgery Education
  • Surgical Simulation
  • Competency-Based Training

Background:

  • Standardized surgical training is crucial in urology.
  • The European School of Urology (ESU) developed the Standardisation in Surgical Education initiative.
  • The ESU Laparoscopic Workgroup focuses on creating validated, competency-based training modules.

Purpose of the Study:

  • To develop two intermediate-level laparoscopic simulation modules: Partial Nephrectomy (PN) and Major Vessel Injury (MVI).
  • To establish standardized performance metrics and scoring criteria for these modules within the ESU curriculum.
  • To evaluate the feasibility and educational relevance of these modules.

Main Methods:

  • Modules were evaluated in hands-on training courses across European congresses.
  • Participants included experts and residents (PN: 27, MVI: 41).
  • Performance parameters included procedure time, tissue handling, technical precision, completeness, hemostasis, and functional outcome, analyzed using Mann-Whitney U test and descriptive statistics.

Main Results:

  • Experts completed both PN and MVI modules significantly faster than residents (p < 0.001 for both).
  • Qualitative parameters like tissue handling and hemostasis favored expert performance.
  • Candidate scoring frameworks were proposed based on observed performance and Delphi consensus.

Conclusions:

  • The study confirms the feasibility and educational value of the PN and MVI laparoscopic simulation modules.
  • Preliminary scoring frameworks are proposed to guide assessment and feedback.
  • Further validation in larger cohorts is recommended before formal implementation.