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Use of box simulators for improving intraoperative laparoscopic skills - an essential tool for the surgeon in training.
Malik, Awais Amjad; Ayyaz, Mahmood; Afzal, Muhammad Farooq; Ali, Abrar Ashraf; Shamim, Romaisa; Khan, Ruqayya; Khan, Huma Sabir; Naeem, Awais; Bhatti, Samiullah.
Afiliación
  • Malik AA; Department of General Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
  • Ayyaz M; Department of General Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
  • Afzal MF; Department of General Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
  • Ali AA; Department of General Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
  • Shamim R; Department of Plastic Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
  • Khan R; Department of General Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
  • Khan HS; Department of General Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
  • Naeem A; Department of General Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
  • Bhatti S; Department of General Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
J Coll Physicians Surg Pak ; 25(3): 172-5, 2015 Mar.
Article en En | MEDLINE | ID: mdl-25772955
OBJECTIVE: To compare the improvement of intraoperative laparoscopic skills by measuring GOALS score between residents who have undergone simulator training with those who have not received any simulator training. STUDY DESIGN: A randomized controlled trial. PLACE AND DURATION OF STUDY: Department of Surgery, Services Hospital, Lahore, from August 2013 to February 2014. METHODOLOGY: Thirty residents belonging to year 1, 2 and 3 were included in the study. They were randomly divided into 2 groups. Both groups had a baseline evaluation with GOALS score while performing dissection of gallbladder from liver bed during laparoscopic cholecystectomy. Group-A underwent formal training on simulators whereas group-B did not receive any formal training on simulators. After 6 months, a repeat evaluation was done again by measuring GOALS score while performing gallbladder dissection. RESULTS: Baseline GOALS scores of both the groups were similar. Group-A baseline score was 7.66 ± 0.93 and group-B score was 7.46 ± 1.04 (p = 0.585). However repeat scores for group-A showed a significant improvement (an increase of 7.16 ± 1.48 to 14.76 ± 1.67, p < 0.001) from baseline scores. Residents in group-B improved their scores by 2.30 ± 0.99 to 9.76 ± 0.79 (p < 0.001). When inter group comparison was done the second score of group-A was significantly higher than that of group-B (14.76 ± 1.67 vs. 9.76 ± 0.79, p < 0.001). Inter-rater reliability was moderately significant (Kappa 0.540).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Especialidades Quirúrgicas / Enseñanza / Simulación por Computador / Competencia Clínica / Colecistectomía Laparoscópica / Internado y Residencia Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: J Coll Physicians Surg Pak Asunto de la revista: MEDICINA Año: 2015 Tipo del documento: Article Pais de publicación: Pakistán
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Especialidades Quirúrgicas / Enseñanza / Simulación por Computador / Competencia Clínica / Colecistectomía Laparoscópica / Internado y Residencia Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: J Coll Physicians Surg Pak Asunto de la revista: MEDICINA Año: 2015 Tipo del documento: Article Pais de publicación: Pakistán