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>Journals >Cirugía y Cirujanos >Year 2011, Issue 1

Jakimowicz JJ, Jakimowicz CM
Simulation in surgery. Where are we now and where to from here?
Cir Cir 2011; 79 (1)

Language: Español
References: 34
Page: 44-49
PDF: 245.91 Kb.

[Full text - PDF]


With the introduction of new techniques and technologies, operative skills became a crucial part of surgical competence, deserving more attention. Implementation of validated simulation modalities into the training curriculum is emphasized. It became obvious that operative skills should be brought to an adequate level of proficiency using different available approaches. At the dawn of the 21st century it became apparent that the use of simulation to train and to assess technical surgical skills provided a good solution to offset the curtailed apprenticeship system. The current state and future perspectives of simulation in surgical training are discussed. Development and use of multimodality simulation supported by e-learning, video-learning in web-based modules, is needed to support the apprenticeship system in order to achieve the necessary competences to become an expert surgeon.

Key words: Virtual reality simulation, training curriculum, laparoscopic surgery.


  1. Aggarwal R, Darzi A. Technical-skills training in the 21st century. N Engl J Med 2006;25:2695-2696.

  2. Jakimowicz JJ, Cuschieri A. Time for evidence-based minimal access surgery training—simulate or sink. Surg Endosc 2005;19:1-3.

  3. Jakimowicz J, Fingerhut A. Simulation in surgery. Br J Surg 2009;96:563-564.

  4. Peyton JWR. Teaching and Learning in Medical Practice. London: Manticore Europe Ltd.; 1998.

  5. Ericson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med 2004;79(10 suppl):570-581.

  6. Scott DJ, Ritter EM, Tesfay ST, Pimentel EA, Nagji A, Fried GM. Certification pass rate of 100% for fundamentals of laparoscopic surgery skills after proficiency-based training. Surg Endosc 2008;22:1887-1893.

  7. Okrainec A, Henao O, Azzie G. Telesimulation: an effective method for teaching the fundamentals of laparoscopic surgery in resourcerestricted countries. Surg Endosc 2010;24:417-422.

  8. Gurusamy K, Aggarwal R, Palanivela L, Davidson BR. Systemic review of randomized controlled trials on the effectiveness of virtual reality training for laparoscopic surgery. Br J Surg 2008;95:1088-1097.

  9. Tsang JS, Naughton PA, Leong S, Hill ADK, Kelly CJ, Leahy A. Virtual reality in endovascular surgery training. Surgeon 2008;6:214-222.

  10. Hsu JH, Younan D, Pandalai S, Gillespie BT, Jain RA, Schippert DW, et al. Use of computer simulation for determining endovascular skill levels in carotid stenting model. J Vasc Surg 2004;40 6:1118-1125.

  11. Botden SMBI, Torab F, Buzink SN, Jakimowicz JJ. The importance of haptic feedback in laparoscopic suturing training and the additive value of virtual reality simulation. Surg Endosc 2008;22:1214-1222.

  12. Botden SMBI, Jakimowicz JJ. What is going on in augmented reality simulation in laparoscopic surgery. Surg Endosc 2009;23:1693-1700.

  13. Botden SMBI, Hingh IHJT, Jakimowicz JJ. Suturing training in augmented reality: gaining proficiency in suturing skills faster. Surg Endosc 2009;23:2131-2137.

  14. Botden SMBI, Hingh IHJT, Jakimowicz JJ. Meaningful assessment method for laparoscopic suturing training in augmented reality. Surg Endosc 2009;23:2221-2228.

  15. Sutherland LM, Middleton PF, Anthony A, Hamdorf J, Cregan P, Scott D, et al. Surgical simulation: a systematic review. Ann Surg 2006;243:291-330.

  16. Pandey CVA, Wolfe JHN, Liapis CD, Bergqvist D. The examination assessment of technical competence in vascular surgery. Br J Surg 2006;93:1132-1138.

  17. Schijven M, Jakimowicz J, Carter F. How to select aspirant laparoscopic surgical trainees: establishing concurrent validity comparing XITACT LS500 index performance scores with standardized psychomotoric aptitude test battery scores. J Surg Res 2004;121:112-119.

  18. Haluck RS, Marshall RL, Kummel TM, Melkonian MG. Are surgery training programs ready for virtual reality? A survey of program directors in general surgery. J Am Coll Surg 2000;193:600-605.

  19. Korndorffer JR, Stefanidis D, Scott DJ. Laparoscopic skills laboratories: current assessment ands a call for resident training standards. Am J Surg 2006;192:17-22.

  20. Chan B, Martel G, Poulin EC, Mamazza J, Boushey RP. Resident training in minimally invasive surgery: a survey of Canadian departments and division chairs. Surg Endosc 2010;24:499-503.

  21. Satava RN, Cuschieri A, Hamdorf J. Metrics for objective assessment. Surg Endosc 2003;17:220-226.

  22. Carter FJ, Schijven MP, Aggarwal R, Grantcharov T, Francis NK, Hanna GB, et al. Consensus guidelines for validation of virtual reality surgical simulators. Surg Endosc 2005;19:1523-1532.

  23. Buzink SN, Goossens RH, Schoon EJ, de Ridder H, Jakimowicz JJ. Do basic psychomotor skills transfer between different image-based procedures? World J Surg 2010;34:933-940.

  24. Buzink SN, Botden SMBI, Heemskerk J, Goossens RHM, De Ridder H, Jakimowicz JJ. Camera navigation and tissue manipulation; are these laparoscopic skills related? Surg Endosc 2009;23:750-757.

  25. Schijven MP, Jakimowicz JJ, Broeders IA, Tseng LN. The Eindhoven laparoscopic cholecystectomy training course—improving operation room performance using virtual reality training: results from first EAES accredited virtual reality training’s curriculum. Surg Endosc 2005;19:1220-1226.

  26. Aggarwal R, Crocket P, Dias A, Misra A, Ziprin P, Darzia A. Development of a virtual reality training curriculum for laparoscopic cholecystectomy. Br J Surg 2009;96:1086-1093.

  27. Farmer E, van Rooij J, Reimersma J, Jorna P, Moraal J. Handbook on Simulation-Based Training. London: Ashgate Publishing Ltd.; 1999.

  28. Sarker SK, Rehman S, Ladwa M, Chang A, Vincent C. A decisionmaking learning and assessment tool in laparoscopic cholecystectomy. Surg Endosc 2009;23:197-203.

  29. Simbionix, medical training simulators and clinical devices for MIS (minimally invasive surgery. Company Newsletter January 2010. [Consultado el 29 de septiembre de 2010.] Disponible en www.simbionix.com/index.html.

  30. Miller GE. The assessment of clinical skills/competence/performance. Acad Med 1990;65(9 suppl):S63-S67.

  31. Schijven MP, Reznick RK, Ten Cate OTH, Grantcharov TP, Regehr G, Satterthwaite L, et al.. Transatlantic comparison of the competence of surgeons at the start of their professional career. Br J Surg 2010;97:443-449.

  32. Ber R. The CIP (comprehensive integrative puzzle) assessment method. Med Teach 2003;25:171-176.

  33. MacRae H, Cohen R, Regehr G, Reznick R, Burnstein M. A new assessment tool: the patient assessment and management examination. Surgery 1997;122:335-343.

  34. Reznick R, Regehr G, MacRae H, Martin J, McCulloch W. Testing technical skill via innovative “bench station” examination. Am J Surg 1997;173:226-230.

>Journals >Cirugía y Cirujanos >Year 2011, Issue 1

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