Journal of the American College of Surgeons
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Comparative Study
Transfer of training in acquiring laparoscopic skills.
Building on skills already learned in acquiring more complex or related skills is termed transfer of training (TOT). This study examined the TOT effects of previous open and laparoscopic surgical experience on a laparoscopic training module. ⋯ No evidence was found for TOT from open surgical experience to newly introduced laparoscopic knot-tying techniques or from one skill training session to a different skill session at least 4 hours later. This study indicates that specific minimally invasive surgery training is needed to develop laparoscopic surgery skills.
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Comparative Study
The use of electromagnetic motion tracking analysis to objectively measure open surgical skill in the laboratory-based model.
Technical performance has traditionally been assessed subjectively within the operating theater, with few successful attempts at objective analysis. The Imperial College Surgical Assessment Device (ICSAD) has already been shown to be a valid quantitative measure of dexterity in laparoscopic surgical simulation. We describe its application to the assessment of open surgical procedures. ⋯ These findings suggest that hand motion analysis may be an effective objective measure of dexterity in open surgical simulation.