World Journal of Laparoscopic Surgery

Register      Login

VOLUME 15 , ISSUE 2 ( May-August, 2022 ) > List of Articles


Efficacy of Serious Game Training in Comparison with the Traditional Training in Learning the Laparoscopic Cholecystectomy Skills: An Interventional Analytic Study

Zohrehsadat Mirmoghtadaie, Mansour Bhahrdoust, Adnan Tizmaghz, Ghazaal Shabestanipour

Keywords : Laparoscopic cholecystectomy, Serious game, Touch Surgery™

Citation Information : Mirmoghtadaie Z, Bhahrdoust M, Tizmaghz A, Shabestanipour G. Efficacy of Serious Game Training in Comparison with the Traditional Training in Learning the Laparoscopic Cholecystectomy Skills: An Interventional Analytic Study. World J Lap Surg 2022; 15 (2):99-102.

DOI: 10.5005/jp-journals-10033-1523

License: CC BY-NC 4.0

Published Online: 16-08-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Background: Performing a laparoscopic cholecystectomy (LC) surgery requires a high level of experience, and complementary training methods are demanded. In this study, we evaluated the efficacy of serious game LC training compared to the traditional LC training in laparoscopic cholecystectomy skills of junior residents. Materials and methods: Forty-four junior residents with no history of LC performance were assigned to either the serious game training group (case group, n = 22) or the traditional (Zollinger's Atlas of Surgical Operations) training group (control group, n = 22). Participants were allowed to perform the operation only when they achieved a score of more than 80% in the theory checklist. Results: The mean LC skills score based on the pre-surgery theory checklist was 84.5 ± 11.1% in the case group and 68.2 ± 17.6% in the control group (p = 0.021). The total number of attempts needed to reach an 80% score in the theory checklist was 2.97 ± 1.40 in the case and 4.17 ± 2.03 in the control group (p = 0.001). The mean operation time and the number of attempts needed to complete the operation without complications were significantly lower in the case group (p = 0.028 and p = 0.041, respectively). The final skills score was 90.8 ± 9.2% in the case group and 80.1 ± 14.2% in the control group (p = 0.012). Conclusion: Serious game training was more effective than traditional training in all aspects of LC performance. Therefore, broader usage of the serious game for LC training is recommended.

PDF Share
  1. De Paolis LT, editor Serious game for laparoscopic suturing training. IEEE Sixth International Conference on Complex, Intelligent, and Software Intensive Systems; 2012.
  2. Hassler KR, Collins JT, Philip K, et al. Laparoscopic cholecystectomy. StatPearls 2022.
  3. Hori T, Oike F, Furuyama H, et al. Protocol for laparoscopic cholecystectomy: is it rocket science? World J Gastroenterol 2016;22(47):10287–10303. DOI: 10.3748/wjg.v22.i47.10287.
  4. Scott DJ, Bergen PC, Rege RV, 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. DOI: 10.1016/s1072-7515(00)00339-2.
  5. Graafland M, Ten Cate O, van Seventer JP, et al. Mapping the demand for serious games in postgraduate medical education using the entrustable professional activities framework. Games Health J 2015;4(5):381–386. DOI: 10.1089/g4h.2014.0129.
  6. Kowalewski KF, Hendrie JD, Schmidt MW, et al. Validation of the mobile serious game application Touch Surgery™ for cognitive training and assessment of laparoscopic cholecystectomy. Surg Endosc 2017;31(10):4058–4066. DOI: 10.1007/s00464-017-5452-x.
  7. Graafland M, Bemelman WA, Schijven MP. Game-based training improves the surgeon's situational awareness in the operation room: a randomized controlled trial. Surg Endosc 2017;31(10):4093–4101. DOI: 10.1007/s00464-017-5456-6.
  8. Haubruck P, Nickel F, Ober J, et al. Evaluation of app-based serious gaming as a training method in teaching chest tube insertion to medical students: randomized controlled trial. J Med Internet Res 2018;20(5):e195. DOI: 10.2196/jmir.9956.
  9. Knight JF, Carley S, Tregunna B, et al. Serious gaming technology in major incident triage training: a pragmatic controlled trial. Resuscitation 2010;81(9):1175–1179. DOI: 10.1016/j.resuscitation.2010.03.042.
  10. Middeke A, Anders S, Schuelper M, et al. Training of clinical reasoning with a serious game versus small-group problem-based learning: a prospective study. PLoS One 2018;13(9):e0203851. DOI: 10.1371/journal.pone.0203851.
  11. Dankbaar MEW, Richters O, Kalkman CJ, et al. Comparative effectiveness of a serious game and an e-module to support patient safety knowledge and awareness. BMC Med Educ 2017;17(1):30. DOI: 10.1186/s12909-016-0836-5.
  12. Cain J, Piascik P. Are serious games a good strategy for pharmacy education? Am J Pharm Educ 2015;79(4):47. DOI: 10.5688/ajpe79447.
  13. Haoran G, Bazakidi E, Zary N. Serious games in health professions education: review of trends and learning efficacy. Yearb Med Inform 2019;28(1):240–248. DOI: 10.1055/s-0039-1677904.
  14. Ijgosse W, van Goor H, Rosman C, et al. Construct validity of a serious game for laparoscopic skills training: validation study. JMIR Serious Games 2020;8(2):e17222. PMID: 32379051.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.