Text
Correlation of laparoscopic and hysteroscopic 30° scope camera navigation skills on box trainers
AbstractThis study investigated a possible correlation be-tween training of camera navigation skills with a 30° optic in hysteroscopy and laparoscopy by exploring whether 30° cam-era navigation training in hysteroscopy provides a certain level of expertise in laparoscopic camera navigation. If a correlation exists, training models and programs in gynecolo-gy could be simplified. In this prospective, randomized, nonblinded study 34 medical students were divided into two groups. Group A (n=17) performed five exercises on a box trainer for hysteroscopy (HYSTT) and five exercises on a box trainer for laparoscopy (LASTT). Group B (n=17) performed 2×5 exercises on the LASTTmodel. Both groups performed a LASTT post-test directly afterwards. The outcome parameter recorded was time to correctly perform the exercise. Compar-ing the results of the LASTTpost-test between groupAandB, a similar performance of both groups was shown (p=.131). A
slightly faster performance in group A is displayed, when comparing the first LASTT exercise between group A (with previous HYSTT training) and group B (without previous
HYSTT training); however, this was a nonsignificant finding (p=.114). Both groups display quite similar learning curves, and after five LASTT repetitions, both groups have reached comparable levels for procedure time, despite the earlier HYSTT training of group A. Previous training on the HYSTTmodel offers some advantage for training on the LASTT model. However, training of 30° camera navigation skills in a hysteroscopic environment does not seem supportive for obtaining the same level of camera expertise in laparoscopy. Therefore, 30° camera navigation in hysteroscopy and lapa-roscopy should be trained separately to reach adequate levels of expertise for each procedure
Tidak ada salinan data
Tidak tersedia versi lain