Camera navigation in laparoscopy, Objective structured assessment of camera navigation skills, Training
Citation Information :
Winarto H, Saspriyana KY, Kekalih A. Comparison Objective Structured Assessment of Camera Navigation Skills Score—Pre- and Post-training Intervention. World J Lap Surg 2020; 13 (2):69-73.
Aim: Inexperienced operating assistants are often tasked with the important role of handling camera navigation during laparoscopic surgery. Incorrect handling can lead to poor visualization and increased operating time. The objective of this research was to examine benefit of camera navigation training in laparoscopic used pelvic box based on Objective Structured Assessment of Camera Navigation Skills (OSA CNS) assessment and explore factors correlated to difference skill after training. Materials and methods: An experimental study (pre–post interventional study) was conducted at the training room of Indonesia Clinical Training and Education Centre (ICTEC) Faculty of Medicine Universitas Indonesia-Dr. Cipto Mangunkusumo Hospital (CMH), on December 2018 to January 2019. Participants were Obstetrics and Gynecology resident Medical Faculty of Universitas Indonesia. We did evaluation before training and 1, 2, 3 weeks after training used OSA CNS. Data analysis used paired-t test. Results: There were significant increasing OSA CNS score after camera navigation training used pelvic box. Average OSA CNS score before training and 1, 2, 3 weeks after training were 15.00 ± 2.03, 17.60 ± 2.69, 16.36 ± 1.84, 17.80 ± 2.26, respectively. Optimum duration of OSA CNS evaluation was 3 weeks after the training. Female gender and low experience were two factors influence camera navigation skill after the training. Conclusion: Laparoscopy camera navigation training used pelvic box could be applied to support residency program curriculum and there were increasing camera navigation skills after training used pelvic box. Female gender and low experience were factors significant correlate to training outcome of camera navigation skill used pelvic box. Clinical significance: Camera navigation training used pelvic box is a critical component for teaching safe endoscopic practices in our Ob/Gyn residency training program.
Martin J, Regehr G, Reznick R. Objective Structured Assessment of technical skills (OSATS) for surgical residents. Br J Surg 1997;84(2): 273–278.
Elbiss HM, George S, Sidky I, et al. Gynaecological laparoscopy courses in the United arab emirates. Afr Health Sci 2013;13(2):393–401.
Buku Rancangan Pengajaran Program Spesialis. Program Studi Dokter Spesialis Obstetri dan Ginekologi Fakultas Kedokteran Universitas Indonesia 2016.
Kramp KH, van Det MJ, Hoff C, et al. Validity and reliability of global operative assessment of laparoscopic skills (GOALS) in novice trainees performing a laparoscopic cholecystectomy. J Surg Educ 2015;72(2):351–358.
Zheng B, Hur HC, Johnson S, et al. Validity of using fundamentals of laparoscopic surgery (FLS) program to assess laparoscopic competence for gynecologists. Surg Endosc 2010;24(1): 152–160.
Nilsson C, Sorensen JL, Konge L, et al. Simulation-based camera navigation training in laparoscopy-a randomized trial. Surg Endosc 2017;31(5):2131–2139.
Sroka G, Feldman LS, Vassiliou MC, et al. Fundamentals of laparoscopic surgery simulator training to proficiency improves laparoscopic performance in the operating room-a randomized controlled trial. Am J Surg 2010;199(1):115–120.
Vitish-Sharma P, Knowles J, Patel B. Acquisition of fundamental laparoscopic skills: is a box really as good as a virtual reality trainer? Int J Surg 2011;9(8):659–661.
Shore EM, Lefebvre GG, Grantcharov TP. Gynecology resident laparoscopy training: present and future. Am J Obstet Gynecol 2015;212(3):298–301, 298 e1.
Schiefele U, Krapp A. Interest as a predictor of academic achievement: a meta-analysis of research. Universitat der Bundeswehr 2016. pp. 183–210.
Romero P, Gunther P, Kowalewski KF, et al. Halsted's “See one, do one, and teach One” vs Peyton's four-step approach: a randomized trial for training of laparoscopic suturing and knot tying. J Surg Educ 2018;75(2):510–515.
Zendejas B, Brydges R, Hamstra SJ, et al. State of the evidence on simulation-based training for laparoscopic surgery: a systematic review. Ann Surg 2013;257(4):586–593.
Loukas C, Nikiteas N, Schizas D, et al. A head-to-head comparison between virtual reality and physical reality simulation training for basic skills acquisition. Surg Endosc 2012;26(9):2550–2558.
Huang J, McGlothlin JD. Assessment of obstetrician-gynecologists performing laparoscopic surgery: study of hand size and surgical instruments. Journal of Ergonomics 2017;8(1):1–5.
Stucky CH, Cromwell KD, Voss RK, et al. Surgeon symptoms, strain, and selections: systematic review and meta-analysis of surgical ergonomics. Ann Med Surg (Lond) 2018;27:1–8.
Donnon T, DesCoteaux J, Violato C. Impact of cognitive imaging and sex differences on the development of laparoscopic suturing skills. Can J Surg 2004;48(5):387–393.
White MT, Welch K. Does gender predict performance of novices undergoing fundamentals of laparoscopic surgery (FLS) training? Am J Surg 2012;203(3):397–400; discussion.
Louridas M, Quinn LE, Grantcharov TP. Predictive value of background experiences and visual spatial ability testing on laparoscopic baseline performance among residents entering postgraduate surgical training. Surg Endosc 2016;30(3):1126–1133.
Dawe SR, Pena GN, Windsor JA, et al. Systematic review of skills transfer after surgical simulation-based training. Br J Surg 2014;101(9):1063–1076.