Simulation in surgery: Perfecting the practice

Surgical Clinics of North America

Volumn 90, Issue 3, 2010, Pages 457-473

  Choy, Ian ^a   Okrainec, Allan ^a,b  

^a UNIVERSITY OF TORONTO   (Canada)

^b TORONTO WESTERN HOSPITAL   (Canada)

Author keywords

Simulation; Surgical education; Surgical skills; Surgical training

Indexed keywords

CADAVER; CLINICAL PRACTICE; CURRICULUM DEVELOPMENT; LAPAROSCOPE; NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY; PRIORITY JOURNAL; REVIEW; SIMULATION; SIMULATOR; SURGICAL TRAINING; VIRTUAL REALITY SIMULATOR; WORKING TIME;

CLINICAL COMPETENCE; COMPETENCY-BASED EDUCATION; COMPUTER-ASSISTED INSTRUCTION; ENDOSCOPY; GENERAL SURGERY; HUMANS; MODELS, ANIMAL;

EID: 77953100431     PISSN: 00396109     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.suc.2010.02.011     Document Type: Review

References (77)

1. Reznick R.K., MacRae H. Teaching surgical skills-changes in the wind. N Engl J Med 2006, 355(25):2664-2669. [see comment].
2. Grantcharov T.P., Reznick R.K. Training tomorrow's surgeons: what are we looking for and how can we achieve it?. ANZ J Surg 2009, 79:104-107.
3. Kohn K.T., Corrigan J.M., Donaldson M.S. To err is human: building a safer heath system 1999, National Academy Press, Washington, DC.
4. Leape L.L., Berwick D.M. Five years after to err is human: what have we learned?. JAMA 2005, 293(19):2384-2390. [see comment].
5. Fried G.M., Feldman L.S., Vassiliou M.C., et al. Proving the value of simulation in laparoscopic surgery. Ann Surg 2004, 240:518-528.
6. Tsuda S., Scott D. Surgical skills training and simulation. Curr Probl Surg 2009, 46:271-370.
7. Bridges M., Diamond D.L. The financial impact of teaching surgical residents in the operating room. Am J Surg 1999, 177:28-32.
8. Wilkiemeyer M., Pappas T.N., Giobbie-Hurder A., et al. Does resident post graduate year influence the outcomes of inguinal hernia repair?. Ann Surg 2005, 241:879-884.
9. Kauvar D.S., Braswell A., Brown B.D., et al. Influence of resident and attending surgeon seniority on operative performance in laparoscopic cholecystectomy. J Surg Res 2006, 132(2):159-163.
10. What is the European working time directive? Available at:, Accessed September 15, 2009. http://www.dh.gov.uk/en/Managingyourorganisation/Humanresourcesandtraining/Modernisingworkforceplanninghome/Europeanworkingtimedirective/DH_077304.
11. Scott D.J., Dunnington G.L. The new ACS/APDS skills curriculum: moving the learning curve out of the operating room. J Gastrointest Surg 2008, 12:213-221.
12. Strongwater A.M. Transition to the eighty-hour resident work schedule. J Bone Joint Surg Am 2003, 85:1170-1172.
13. Schulman C.I., Levi J., Sleeman D., et al. Are we training our residents to perform open gall bladder and common bile duct operations?. J Surg Res 2007, 142(2):246-249.
14. Livingston E.H., Rege R.V. Technical complications are rising as common duct exploration is becoming rare. J Am Coll Surg 2005, 201(3):426-433.
15. Anastakis D.J., Wanzel K.R., Brown M.H., et al. Evaluating the effectiveness of a 2-year curriculum in a surgical skills center. Am J Surg 2002, 185:378-385.
16. Martin J.A., Regehr G., Reznick R., et al. Objective structured assessment of technical skills (OSATS) for surgical residents. Br J Surg 1997, 84:273-278.
17. Reznick R., Regehr G., MacRae H., et al. Testing technical skill via an innovative " Bench Station" examination. Am J Surg 1996, 172:226-230.
18. Lossing A., Hatswell E., Gilas T., et al. A technical-skills course for 1st-year residents in general surgery: a descriptive study. Can J Surg 1992, 35(5):536-540.
19. Matsumoto E.D., Hamstra S.J., Radomski S.B., et al. A novel approach to endourological training: training at the surgical skills center. J Urol 2001, 166:1261-1266.
20. Zetka J.R. Surgeons and the scope 2003, Cornell University Press, Ithaca (NY).
21. Gallagher A.G., Ritter E.M., Champion H., et al. Virtual reality simulation for the operating room: proficiency-based training as a paradigm shift in surgical skills training. Ann Surg 2005, 241(2):364-372.
22. Broadbent D. Selective and control processes. Cognition 1981, 10:53-58.
23. Vassiliou M.C., Feldman L.S., Andrew C.G., et al. A global assessment tool for evaluation of intraoperative laparoscopic skills. Am J Surg 2005, 190:107-113.
24. Darzi A., Smith S., Taffinder N. Assessing operative skill. BMJ 1999, 318:887-888.
25. Shah J., Darzi A. Surgical skills assessment: an ongoing debate. BJU Int 2001, 88:655-660.
26. Gumbs A.A., Hogle N.J., Fowler D.L. Evaluation of resident laparoscopic performance using global operative assessment of laparoscopic skills. J Am Coll Surg 2007, 204(2):308-313.
27. Korndorffer J.R., Stefanidis D., Scott D.J. Laparoscopic skills laboratories: current assessment and a call for resident training standards. Am J Surg 2006, 191:17-22.
28. Moulton C.-A., Dubrowski A., MacRae H., et al. Teaching technical skills: what kind of practice makes perfect? a randomized controlled trial. Ann Surg 2006, 244:400-409.
29. Cahill R.A., Asakuma M., Perretta S., et al. Gastric lymphatic mapping for sentinel node biopsy by natural orifice transluminal endoscopic surgery. Surg Endosc 2009, 23(5):1110-1116.
30. Asakuma M., Perretta S., Allemann P., et al. Challenges and lessons learned from NOTES cholecystectomy initial experience: a stepwise approach from the laboratory to clinical application. J Hepatobiliary Pancreat Surg 2009, 16(3):249-254.
31. Rosser J.C., Davis B.R., Qureshi H.N. Intracorporeal suturing: the top gun experience. Mastery of surgery 2007, vol. 2:2592. Lippincott Williams & Wilkins, Philadelphia (PA). J.E. Fischer, K.I. Bland (Eds.).
32. Scott D.J., Bergen P.C., Rege R.V., et al. Laparoscopic training on bench models: better and more cost effective than operating room experience?. J Am Coll Surg 2000, 191(3):272-283.
33. Derossis A.M., Fried G.M., Abrahamowicz M., et al. Development of a model for training and evaluation of laparoscopic skills. Am J Surg 1998, 175(6):482-487.
34. Derossis A.M., Bothwell J., Sigman H.H., et al. The effect of practice on performance in a laparoscopic simulator. Surg Endosc 1998, 12(9):1117-1120.
35. Fraser S.A., Klassen D.R., Feldman L.S., et al. Evaluating laparoscopic skills: setting the pass/fail score for the MISTELS system. Surg Endosc 2003, 17(6):964-967.
36. Vassiliou M.C., Ghitulescu G.A., Feldman L.S., et al. The MISTELS program to measure technical skill in laparoscopic surgery: evidence for reliability. Surg Endosc 2006, 20(5):744-747.
37. Black M., Gould J.C. Measuring laparoscopic operative skill in a video trainer. Surg Endosc 2006, 20(7):1069-1071.
38. Adrales C.L., Chu U.B., Witzke D.B., et al. Evaluating minimally invasive surgery training using low-cost mechanical simulations. Surg Endosc 2003, 17:580-585.
39. Fried G.M., Derossis A.M., Bothwell J., et al. Comparison of laparoscopic performance in vivo with performance measured in a laparoscopic simulator. Surg Endosc 1999, 13(11):1077-1081.
40. Derossis A.M., Antoniuk M., Fried G.M. Evaluation of laparoscopic skills: a 2-year follow-up during residency training. Can J Surg 1999, 42(4):293-297.
41. Peters J.H., Fried G.M., Swanstrom L.L., et al. Development and validation of a comprehensive program of education and assessment of the basic fundamentals of laparoscopic surgery. Surgery 2004, 135(1):21-27.
42. Fundamentals of laparoscopic surgery Available at:, Accessed September 23, 2009. http://www.flsprogram.org/.
43. ABS to require ACLS, ATLS and FLS for general surgery certification Available at:, Accessed October 28, 2009. http://home.absurgery.org/default.jsp?news_newreqs.
44. Soper N.J., Fried G.M. The fundamentals of laparoscopic surgery: its time has come. Bull Am Coll Surg 2009, 93(9):30-32.
45. Okrainec A., Smith L., Azzie G. Surgical simulation in Africa: the feasibility and impact of a 3-day fundamentals of laparoscopic surgery course. Surg Endosc 2009, 23(11):2493-2498.
46. Neary P.C., Boyle E., Delaney C.P., et al. Construct validation of a novel hybrid virtual-reality simulator for training and assessing laparoscopic colectomy; results from the first course for experienced senior laparoscopic surgeons. Surg Endosc 2008, 22(10):2301-2309.
47. Datta V., Mackay S., Mandalia M., et al. The use of electromagnetic motion tracking analysis to objectively measure open surgical skill in the laboratory-based model. J Am Coll Surg 2001, 193(5):479-485.
48. Datta V., Chang A., Mackay S., et al. The relationship between motion analysis and surgical technical assessments. Am J Surg 2002, 184(1):70-73.
49. Kuppersmith R.B., Johnston R., Jones S.B., et al. Virtual reality surgical simulation and otolaryngology. Arch Otolaryngol Head Neck Surg 1996, 122(12):1297-1298.
50. Satava R.M. Virtual reality surgical simulator. Surg Endosc 1993, 7:203-205.
51. Gurusamy K.S., Aggarwal R., Palanivelu L., et al. Virtual reality training for surgical trainees in laparoscopic surgery. Cochrane Database Syst Rev 2009, 1. [review] [104 refs], CD006575. DOI:10.1002/14651858.CD006575.pub2.
52. Seymour N.E., Gallagher A.G., Roman S.A., et al. Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 2002, 236(4):458-464.
53. Grantcharov T.P., Kristiansen V.B., Bendix J., et al. Randomized clinical trial of virtual reality simulation for laparoscopic skills training. Br J Surg 2004, 91:146-150.
54. Kothari S.K., Kaplan B.J., DeMaria E.J., et al. Training in laparoscopic suturing skills using a new computer-based virtual reality simulator (MIST-VR) provides results comparable to those with an established pelvic trainer system. J Laparoendosc Adv Surg Tech A 2002, 12(3):167-173.
55. Torkington J., Smith S.G.T., Rees B.I., et al. Skill transfer from virtual reality to a real laparoscopic task. Surg Endosc 2001, 15:1076-1079.
56. Gallagher A., Richie K., McClure N., et al. Objective psychomotor skills assessment of experienced, junior, and novice laparoscopists with virtual reality. World J Surg 2001, 25(11):1478-1483.
57. Botden S.M., Torab F., Buzink S.N., et al. The importance of haptic feedback in laparoscopic suturing training and the additive value of virtual reality simulation. Surg Endosc 2008, 22(5):1214-1222.
58. Cao C.G., Zhou M., Jones D.B., et al. Can surgeons think and operate with haptics at the same time?. J Gastrointest Surg 2007, 11(11):1564-1569.
59. Sutherland L.M., Middleton P.F., Anthony A., et al. Surgical simulation: a systematic review. Ann Surg 2006, 243(3):291-300.
60. Woodrum D.T., Andreatta P.B., Yellamanchilli R.K., et al. Construct validity of the LapSim laparoscopic surgical simulator. Am J Surg 2006, 191(1):28-32.
61. KWv Dongen, Tournoij E., DCvd Zee, et al. Construct validity of the LapSim: Can the LapSim virtual reality simulator distinguish between novices and experts?. Surg Endosc 2007, 21:1413-1417.
62. McDougall E.M., Corica F.A., Boker J.R., et al. Construct validity testing of a laparoscopic surgical simulator. J Am Coll Surg 2006, 202(5):779-787.
63. Andreatta P.B., Woodrum D.T., Gauger P.G., et al. LapMentor metrics possess limited construct validity. Simul Healthc 2008, 3:16-25.
64. Aggarwal R., Ward J., Balasundaram I., et al. Proving the effectiveness of virtual reality simulation for training in laparoscopic surgery. Ann Surg 2007, 246:771-779.
65. Ahlberg G., Enochsson L., Gallagher A.G., et al. Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg 2009, 193:797-804.
66. Andreatta P.B., Woodrum D.T., Birkmeyer J.D., et al. Laparoscopic skills are improved with LapMentor training. Ann Surg 2006, 243:854-863.
67. Nestel D.F., Black S.A., Kneebone R.L., et al. Simulated anaesthetists in high fidelity simulations for surgical training: feasibility of a training programme for actors. Med Teach 2008, 30(4):407-413.
68. Paige J.T., Kozmenko V., Yang T., et al. Attitudinal changes resulting from repetitive training of operating room personnel using of high-fidelity simulation at the point of care. Am Surg 2009, 75(7):584-590.
69. Powers K.A., Rehrig S.T., Irias N., et al. Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surg Endosc 2008, 22(4):885-900.
70. Perretta S., Dallemagne B., Coumaros D., et al. Natural orifice transluminal endoscopic surgery: transgastric cholecystectomy in a survival porcine model. Surg Endosc 2008, 22(4):1126-1130.
71. Hagen M., Wagner O., Swain P., et al. Hybrid natural orifice transluminal endoscopic surgery (NOTES) for Roux-en-Y gastric bypass: an experimental surgical study in human cadavers. Endoscopy 2008, 40(11):918-924.
72. Spaun G.O., Zheng B., Martinec D.V., et al. Bimanual coordination in natural orifice transluminal endoscopic surgery: comparing the conventional dual-channel endoscope, the R-Scope, and a novel direct-drive system. Gastrointest Endosc 2009, 69(6):39-45.
73. Gillen S., Wilhelm D., Meining A., et al. The " ELITE" model construct validation of a new training system for natural orifice transluminal endoscopic surgery (NOTES). Endoscopy 2009, 41:395-399.
74. Gambadauro P., Magos A. NEST (network enhanced surgical training): a PC-based system for telementoring in gynaecological surgery. Eur J Obstet Gynecol Reprod Biol 2008, 139(2):222-225.
75. Schlachta C., Lefebvre K., Sorsdahl A., et al. Mentoring and telementoring leads to effective incorporation of laparoscopic colon surgery. Surg Endosc 2009, [Epub ahead of print].
76. Sebajang H., Trudeau P., Dougall A., et al. Telementoring: an important enabling tool for the community surgeon. Surg Innov 2005, 12(4):327-331.
77. Okrainec A., Henao O., Azzie G. Telesimulation: an effective method for teaching the fundamentals of laparoscopic surgery in resource-restricted countries. Surg Endosc 2009, 24(2):417-422.