ISSN:
1432-2218
Keywords:
Laparoscopic techniques
;
Simulators
;
Training
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Background: Maneuvers involving two-handed techniques such as intracorporeal suturing and knot-tying during laparoscopy are intrinsically more difficult than ones performed during open surgery. Methods: The use of simulators to practice and teach specialized techniques is established. However, simulators vary greatly, and few, as yet, represent the abdominal wall well. Results: This study has shown that the working angle between instruments during laparoscopic cholecystectomy is 78°, and this can be increased to 117° by moving the instruments laterally. In contrast, the working angle in four trainers assessed was never greater than 77°. Conclusions: This suggests that some maneuvers may be more difficult in trainers than at surgery. This has implications for training and the further development of more realistic simulators.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00191627
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