King's College London

Research portal

Development and validation of a porcine organ model for training in essential laparoscopic surgical skills

Research output: Contribution to journalArticle

Standard

Development and validation of a porcine organ model for training in essential laparoscopic surgical skills. / Higuchi, Madoka; Abe, Takashige; Hotta, Kiyohiko; Morita, Ken; Miyata, Haruka; Furumido, Jun; Iwahara, Naoya; Kon, Masafumi; Osawa, Takahiro; Matsumoto, Ryuji; Kikuchi, Hiroshi; Kurashima, Yo; Murai, Sachiyo; Aydin, Abdullatif; Raison, Nicholas; Ahmed, Kamran; Khan, Muhammad Shamim; Dasgupta, Prokar; Shinohara, Nobuo.

In: International Journal of Urology, Vol. 27, No. 10, 01.10.2020, p. 929-938.

Research output: Contribution to journalArticle

Harvard

Higuchi, M, Abe, T, Hotta, K, Morita, K, Miyata, H, Furumido, J, Iwahara, N, Kon, M, Osawa, T, Matsumoto, R, Kikuchi, H, Kurashima, Y, Murai, S, Aydin, A, Raison, N, Ahmed, K, Khan, MS, Dasgupta, P & Shinohara, N 2020, 'Development and validation of a porcine organ model for training in essential laparoscopic surgical skills', International Journal of Urology, vol. 27, no. 10, pp. 929-938. https://doi.org/10.1111/iju.14315

APA

Higuchi, M., Abe, T., Hotta, K., Morita, K., Miyata, H., Furumido, J., Iwahara, N., Kon, M., Osawa, T., Matsumoto, R., Kikuchi, H., Kurashima, Y., Murai, S., Aydin, A., Raison, N., Ahmed, K., Khan, M. S., Dasgupta, P., & Shinohara, N. (2020). Development and validation of a porcine organ model for training in essential laparoscopic surgical skills. International Journal of Urology, 27(10), 929-938. https://doi.org/10.1111/iju.14315

Vancouver

Higuchi M, Abe T, Hotta K, Morita K, Miyata H, Furumido J et al. Development and validation of a porcine organ model for training in essential laparoscopic surgical skills. International Journal of Urology. 2020 Oct 1;27(10):929-938. https://doi.org/10.1111/iju.14315

Author

Higuchi, Madoka ; Abe, Takashige ; Hotta, Kiyohiko ; Morita, Ken ; Miyata, Haruka ; Furumido, Jun ; Iwahara, Naoya ; Kon, Masafumi ; Osawa, Takahiro ; Matsumoto, Ryuji ; Kikuchi, Hiroshi ; Kurashima, Yo ; Murai, Sachiyo ; Aydin, Abdullatif ; Raison, Nicholas ; Ahmed, Kamran ; Khan, Muhammad Shamim ; Dasgupta, Prokar ; Shinohara, Nobuo. / Development and validation of a porcine organ model for training in essential laparoscopic surgical skills. In: International Journal of Urology. 2020 ; Vol. 27, No. 10. pp. 929-938.

Bibtex Download

@article{ea092148c7f644ed8b599225398454a1,
title = "Development and validation of a porcine organ model for training in essential laparoscopic surgical skills",
abstract = "OBJECTIVES: To develop a wet laboratory training model for learning core laparoscopic surgical skills and evaluating learners' competency level outside the operating room.METHODS: Participants completed three tasks (task 1: tissue dissection around the aorta; task 2: tissue dissection and division of the renal artery; task 3: renal parenchymal closure). Each performance was video recorded and subsequently evaluated by two experts, according to the Global Operative Assessment of Laparoscopic Skills and task-specific metrics that we developed (Assessment Sheet of Laparoscopic Skills in Wet Lab score). Mean scores were used for analyses. The subjective mental workload was also assessed (NASA Task Load Index).RESULTS: The 54 participants included 32 urologists, eight young trainees and 14 medical students. A total of 13 participants were categorized as experts (≥50 laparoscopic surgeries), eight as intermediates (10-49) and 33 as novices (0-9). There were significant differences in the Global Operative Assessment of Laparoscopic Skills and Assessment Sheet of Laparoscopic Skills in Wet Lab scores among the three groups in all three tasks. Higher NASA Task Load Index scores were observed in novices, and there were significant differences in tasks 1 (Kruskal-Wallis test, P = 0.0004) and 2 (P = 0.0002), and marginal differences in task 3 (P = 0.0745) among the three groups.CONCLUSIONS: Our training model has good construct validity, and differences in the NASA Task Load Index score reflect previous laparoscopic surgical experiences. Our findings show the ability to assess both laparoscopic surgical skills and mental workloads, which could help educators comprehend trainees' level outside the operating room. Given the decreasing opportunity to carry out pure laparoscopic surgeries because of the dissemination of robotic surgery, especially in urology, our model can offer practical training opportunities.",
keywords = "animal organs, laparoscopic surgery, simulation, surgical education, wet lab training",
author = "Madoka Higuchi and Takashige Abe and Kiyohiko Hotta and Ken Morita and Haruka Miyata and Jun Furumido and Naoya Iwahara and Masafumi Kon and Takahiro Osawa and Ryuji Matsumoto and Hiroshi Kikuchi and Yo Kurashima and Sachiyo Murai and Abdullatif Aydin and Nicholas Raison and Kamran Ahmed and Khan, {Muhammad Shamim} and Prokar Dasgupta and Nobuo Shinohara",
note = "{\textcopyright} 2020 The Authors. International Journal of Urology published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association.",
year = "2020",
month = oct,
day = "1",
doi = "10.1111/iju.14315",
language = "English",
volume = "27",
pages = "929--938",
journal = "International Journal of Urology",
issn = "0919-8172",
publisher = "Wiley-Blackwell",
number = "10",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Development and validation of a porcine organ model for training in essential laparoscopic surgical skills

AU - Higuchi, Madoka

AU - Abe, Takashige

AU - Hotta, Kiyohiko

AU - Morita, Ken

AU - Miyata, Haruka

AU - Furumido, Jun

AU - Iwahara, Naoya

AU - Kon, Masafumi

AU - Osawa, Takahiro

AU - Matsumoto, Ryuji

AU - Kikuchi, Hiroshi

AU - Kurashima, Yo

AU - Murai, Sachiyo

AU - Aydin, Abdullatif

AU - Raison, Nicholas

AU - Ahmed, Kamran

AU - Khan, Muhammad Shamim

AU - Dasgupta, Prokar

AU - Shinohara, Nobuo

N1 - © 2020 The Authors. International Journal of Urology published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association.

PY - 2020/10/1

Y1 - 2020/10/1

N2 - OBJECTIVES: To develop a wet laboratory training model for learning core laparoscopic surgical skills and evaluating learners' competency level outside the operating room.METHODS: Participants completed three tasks (task 1: tissue dissection around the aorta; task 2: tissue dissection and division of the renal artery; task 3: renal parenchymal closure). Each performance was video recorded and subsequently evaluated by two experts, according to the Global Operative Assessment of Laparoscopic Skills and task-specific metrics that we developed (Assessment Sheet of Laparoscopic Skills in Wet Lab score). Mean scores were used for analyses. The subjective mental workload was also assessed (NASA Task Load Index).RESULTS: The 54 participants included 32 urologists, eight young trainees and 14 medical students. A total of 13 participants were categorized as experts (≥50 laparoscopic surgeries), eight as intermediates (10-49) and 33 as novices (0-9). There were significant differences in the Global Operative Assessment of Laparoscopic Skills and Assessment Sheet of Laparoscopic Skills in Wet Lab scores among the three groups in all three tasks. Higher NASA Task Load Index scores were observed in novices, and there were significant differences in tasks 1 (Kruskal-Wallis test, P = 0.0004) and 2 (P = 0.0002), and marginal differences in task 3 (P = 0.0745) among the three groups.CONCLUSIONS: Our training model has good construct validity, and differences in the NASA Task Load Index score reflect previous laparoscopic surgical experiences. Our findings show the ability to assess both laparoscopic surgical skills and mental workloads, which could help educators comprehend trainees' level outside the operating room. Given the decreasing opportunity to carry out pure laparoscopic surgeries because of the dissemination of robotic surgery, especially in urology, our model can offer practical training opportunities.

AB - OBJECTIVES: To develop a wet laboratory training model for learning core laparoscopic surgical skills and evaluating learners' competency level outside the operating room.METHODS: Participants completed three tasks (task 1: tissue dissection around the aorta; task 2: tissue dissection and division of the renal artery; task 3: renal parenchymal closure). Each performance was video recorded and subsequently evaluated by two experts, according to the Global Operative Assessment of Laparoscopic Skills and task-specific metrics that we developed (Assessment Sheet of Laparoscopic Skills in Wet Lab score). Mean scores were used for analyses. The subjective mental workload was also assessed (NASA Task Load Index).RESULTS: The 54 participants included 32 urologists, eight young trainees and 14 medical students. A total of 13 participants were categorized as experts (≥50 laparoscopic surgeries), eight as intermediates (10-49) and 33 as novices (0-9). There were significant differences in the Global Operative Assessment of Laparoscopic Skills and Assessment Sheet of Laparoscopic Skills in Wet Lab scores among the three groups in all three tasks. Higher NASA Task Load Index scores were observed in novices, and there were significant differences in tasks 1 (Kruskal-Wallis test, P = 0.0004) and 2 (P = 0.0002), and marginal differences in task 3 (P = 0.0745) among the three groups.CONCLUSIONS: Our training model has good construct validity, and differences in the NASA Task Load Index score reflect previous laparoscopic surgical experiences. Our findings show the ability to assess both laparoscopic surgical skills and mental workloads, which could help educators comprehend trainees' level outside the operating room. Given the decreasing opportunity to carry out pure laparoscopic surgeries because of the dissemination of robotic surgery, especially in urology, our model can offer practical training opportunities.

KW - animal organs

KW - laparoscopic surgery

KW - simulation

KW - surgical education

KW - wet lab training

UR - http://www.scopus.com/inward/record.url?scp=85088832043&partnerID=8YFLogxK

U2 - 10.1111/iju.14315

DO - 10.1111/iju.14315

M3 - Article

C2 - 32743896

VL - 27

SP - 929

EP - 938

JO - International Journal of Urology

JF - International Journal of Urology

SN - 0919-8172

IS - 10

ER -

View graph of relations

© 2018 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454