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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
Summary
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.
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.
