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- W1965577384 abstract "Introduction Laparoscopy is currently the gold standard for cholecystectomy. Recent literature suggests surgical trainees have limited exposure to open cholecystectomy which may result in suboptimal performance in the event of conversion. Furthermore, most training and assessment models are designed for laparoscopic cholecystectomy with limited opportunities for open simulator training. The present study's purpose was to design an inexpensive model for open cholecystectomy and validate a performance assessment tool. Methods The simulator is comprised of a porcine liver and gallbladder in a mock human abdomen with silicon skin. The assessment tool utilizes inexpensive IR cameras to provide tracking of participant hand motions. Ten novice general surgery trainees ( 100 cholecystectomies) completed an open cholecystectomy using the simulator. Procedures were recorded and assessed by a blinded evaluator using a global rating scale. Tracking data analysis was based on number of movements and total path length. Results Novices (t=36.18 min) completed the procedure significantly slower than experts (t=19.53 min) (Mann-Whitney's test U=20, p Conclusions The present model presents a realistic, low-cost tool for training and assessment of procedural skills in open cholecystectomy. The study demonstrated the validity of the IR tracking device as an objective assessment tool for open surgical skills training. Future training should incorporate this low-cost, highly effective training device into surgical curricula." @default.
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- W1965577384 date "2011-09-01" @default.
- W1965577384 modified "2023-10-17" @default.
- W1965577384 title "Design and validation of a model for assessment of procedural skills in open surgery" @default.
- W1965577384 doi "https://doi.org/10.1016/j.jamcollsurg.2011.06.310" @default.
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