Effective Use of Laparoscopic Simulators in Gynecological Training
Journal of the Society of Laparoscopic and Robotic Surgeons, cilt.29, sa.2, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 29 Sayı: 2
- Basım Tarihi: 2025
- Doi Numarası: 10.4293/jsls.2025.00017
- Dergi Adı: Journal of the Society of Laparoscopic and Robotic Surgeons
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, MEDLINE
- Anahtar Kelimeler: Augmented reality, Laparoscopic surgery, Laparoscopy, Medical residency, Patient simulations
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: This study aims to assess the effectiveness of a haptic-enabled laparoscopic simulator in improving the surgical proficiency of residents across different experience levels. Design: This prospective study was conducted to evaluate the effectiveness of a haptic laparoscopic simulator (LAP Mentor) for gynecological procedures among residents. Participants were divided into three groups based on experi-ence: senior, midlevel, and junior residents, and completed simulations of bilateral tubal ligation and prophylactic oophorectomy, with performance metrics including time taken and instrument movements recorded. Result: While group 1 generally scored higher, no statistically significant differences were found between groups. Major bleeding incidents were rare, occurring once in group 2 during tubal ligation and twice in group 3 during prophylactic oophorectomy. Within-group analysis revealed improvements for group 2, which showed reduced duration (P 5.006), left-hand movements (P 5.009), and right-hand movements (P 5.002) and group 3 also achieved statistically significant decreases in duration (P 5.004), left-hand movements (P 5.001), and right-hand movements (P 5.003), indicating skill development over time. Conclusion: Limited but regular access to advanced simulators—offered two or three times annually— could empower residency programs to meet contem-porary surgical training standards without incurring prohibitive costs, ensuring broader access to high-quality skills development.