Learn About Laparoscopy

Training of laparoscopic skills during surgical training is recognized as an important aspect of surgical education. In fact, in developed country the residency review committee for surgery has now required minimum numbers for laparoscopic procedures. It is proved now that laparoscopy requires a very different set of skills compared to open surgery. Laparoscopic skills are inherently different than the open surgery due to differences in the sensory input, including loss of depth perception due to the translation of a two-dimensional video image to a three-dimensional working environment, different skilled eye-hand coordination because the field of vision is not the same as the operating field, dissimilar tactile feedback compared to open surgery, the fulcrum and liver effect of long laparoscopic instruments, varying handles of laparoscopic instruments. Laparoscopic basic skills are best trained in the nonclinical setting. The beginners are more benefited if they will perform laparoscopic surgery after developing their skill in non clinical environment. Godd quality endotrainer and virtual-reality trainers have been shown to be useful in training laparoscopic skills. At World Laparoscopy Hospital, Gurgaon, study were perform to see that previous experience of open surgery is necessary or not to develop laparoscopic skill. This study tested the hypothesis that baseline scores could be predicted in inanimate box trainers and virtual-reality trainers by non surgical skills. In this study only preclinical medical students were included so that they should not have the training of open surgery. All participating doctor were given a survey ascertaining if they played computer games or played a electronic keyboard. After calculating all the data it was found that nonsurgical skills do not predict baseline scores in either trainer.There are obvious differences among individuals with regard to baseline ability and skill. Certain nonsurgical skills may predict baseline laparoscopic skills. Some studies have suggested that baseline laparoscopic skills can be predicted by video game usage interestingly. Because of more require enhanced eye-hand coordination, manual dexterity, and visuospatial ability, which are traits necessary for laparoscopic proficiency. The young participants with good previous history of interest in playing video game could develop their skill in laparoscopy more quickly. The difficult aspect of defining laparoscopic skill is that it does not truly exist in a vacuum. To separate laparoscopic skill from surgical judgment is difficult. In addition, while many have developed excellent metrics for laparoscopic skills no data have yet been published to determine if these metrics correlate with patient outcome, which is the ultimate reason for learning laparoscopic skills. Ultimately, all laparoscopic skill training needs to accompany a broad-based curriculum. The conclusion of this study was it is evident that the preexistence of nonsurgical skills cannot be consistently utilized to predict baseline scores on endoscopic trainer.