Training the novice in laparoscopy. More challenge is better.

Journal Article (Clinical Trial;Journal Article)

BACKGROUND: Virtual reality simulation is effective in training the novice to perform basic laparoscopic skills. METHODS: Using the Minimally Invasive Surgery Training--Virtual Reality (MIST-VR) trainer, 27 honors high school students were tested at the easy level, prospectively randomized to eight training sessions at the easy (group A, n = 14) or medium (group B, n = 13) level, then retested at the easy level. RESULTS: Both groups were statistically similar at baseline. All scores improved significantly (50.1% to 81.3%) over the period of training (p < 0.05). Although the group A scores were significantly better than the group B scores throughout training (p < 0.05), on final testing at the easy level, group B surpassed group A for all the tasks except TransferPlace (p = 0.054). CONCLUSIONS: Virtual simulation is an effective laparoscopic training method for the novice, providing significant improvement in skill levels over a relatively short period. More challenging training seems to predict greater improvement over time and better final skill levels.

Full Text

Duke Authors

Cited Authors

  • Ali, MR; Mowery, Y; Kaplan, B; DeMaria, EJ

Published Date

  • December 2002

Published In

Volume / Issue

  • 16 / 12

Start / End Page

  • 1732 - 1736

PubMed ID

  • 12140638

Electronic International Standard Serial Number (EISSN)

  • 1432-2218

Digital Object Identifier (DOI)

  • 10.1007/s00464-002-8850-6


  • eng

Conference Location

  • Germany