Journal of the American College of Surgeons
Volume 207, Issue 4 , Pages 560-568 , October 2008

Prospective, Randomized, Double-Blind Trial of Curriculum-Based Training for Intracorporeal Suturing and Knot Tying

  • Kent R. Van Sickle, MD

      Affiliations

    • Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX
    • Corresponding Author InformationCorrespondence address: Kent R Van Sickle, MD, University of Texas Health Science Center San Antonio, Department of Surgery, 7703 Floyd Curl Dr, Mail Code 7842, San Antonio, TX 78229-3900
    • ,
  • E. Matt Ritter, MD, FACS

      Affiliations

    • NCA Medical Simulation Center, Uniformed Services University of the Health Sciences, Bethesda, MD
    • ,
  • Mercedeh Baghai, MD

      Affiliations

    • Emory Simulation Training and Robotics (ESTAR), Emory University School of Medicine, Atlanta, GA
    • ,
  • Adam E. Goldenberg, MD

      Affiliations

    • Emory Simulation Training and Robotics (ESTAR), Emory University School of Medicine, Atlanta, GA
    • ,
  • Ih-Ping Huang, MD

      Affiliations

    • Emory Simulation Training and Robotics (ESTAR), Emory University School of Medicine, Atlanta, GA
    • ,
  • Anthony G. Gallagher, PhD

      Affiliations

    • Royal College of Surgeons Ireland, Dublin, Ireland
    • ,
  • C. Daniel Smith, MD, FACS

      Affiliations

    • Mayo Clinic Jacksonville, Jacksonville, FL

Received 24 January 2008 ,Revised 5 May 2008 ,Accepted 6 May 2008.

References 

  1. Fried GM, Feldman LS, Vassiliou MC, et al. Proving the value of simulation in laparoscopic surgery. Ann Surg. 2004;240:518–525discussion 525–518
  2. Korndorffer JR, Dunne JB, Sierra R, et al. Simulator training for laparoscopic suturing using performance goals translates to the operating room. J Am Coll Surg. 2005;201:23–29
  3. McClusky DA, Gallagher AG, Ritter EM, et al. Virtual reality training improves junior residents' operating room performance: results of a prospective, randomized, double-blinded study of the complete laparoscopic cholecystectomy. J Am Coll Surg. 2004;199:73–78
  4. Seymour NE, Gallagher AG, Roman SA, et al. Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg. 2002;236:458–463discussion 463–454
  5. Youngblood PL, Srivastava S, Curet M, et al. Comparison of training on two laparoscopic simulators and assessment of skills transfer to surgical performance. J Am Coll Surg. 2005;200:546–551
  6. Gallagher AG, Ritter EM, 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;241:364–372
  7. Ritter EM, Scott DJ. Design of a proficiency-based skills training curriculum for the fundamentals of laparoscopic surgery. Surg Innov. 2007;14:107–112
  8. Aggarwal R, Tully A, Grantcharov T, et al. Virtual reality simulation training can improve technical skills during laparoscopic salpingectomy for ectopic pregnancy. BJOG. 2006;113:1382–1387
  9. Anastakis DJ, Regehr G, Reznick RK, et al. Assessment of technical skills transfer from the bench training model to the human model. Am J Surg. 1999;177:167–170
  10. Grantcharov TP, Kristiansen VB, Bendix J, et al. Randomized clinical trial of virtual reality simulation for laparoscopic skills training. Br J Surg. 2004;91:146–150
  11. Reznick R, Regehr G, MacRae H, et al. Testing technical skill via an innovative “bench station” examination. Am J Surg. 1997;173:226–230
  12. 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;191:272–283
  13. Fried GM, Derossis AM, Bothwell J, Sigman HH. Comparison of laparoscopic performance in vivo with performance measured in a laparoscopic simulator. Surg Endosc. 1999;13:1077–1081discussion 1082
  14. Ritter EM, McClusky DA, Gallagher AG, Smith CD. Real-time objective assessment of knot quality with a portable tensiometer is superior to execution time for assessment of laparoscopic knot tying performance. Surg Innov. 2005;12:233–237
  15. Van Sickle KR, Baghai M, Huang IP, et al. Construct validity of an objective assessment method for laparoscopic intracorporeal suturing and knot tying. Am J Surg. 2007;(in press)
  16. Ahlberg G, Enochsson L, Gallagher AG, et al. Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg. 2007;193:797–804
  17. Van Sickle KR, Smith B, McClusky DA, et al. Evaluation of a tensiometer to provide objective feedback in knot tying performance. Am Surg. 2005;71:1018–1023

 Disclosure Information: Nothing to disclose.

PII: S1072-7515(08)00511-5

doi: 10.1016/j.jamcollsurg.2008.05.007

Journal of the American College of Surgeons
Volume 207, Issue 4 , Pages 560-568 , October 2008

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