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A simulated training model for laparoscopic pyloromyotomy: Is 3D printing the way of the future?
- Source :
- Journal of Pediatric Surgery. 53:937-941
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Hypertrophic pyloric stenosis (HPS) is a common neonatal condition treated with open or laparoscopic pyloromyotomy. 3D-printed organs offer realistic simulations to practice surgical techniques. The purpose of this study was to validate a 3D HPS stomach model and assess model reliability and surgical realism.Medical students, general surgery residents, and adult and pediatric general surgeons were recruited from a single center. Participants were videotaped three times performing a laparoscopic pyloromyotomy using box trainers and 3D-printed stomachs. Attempts were graded independently by three reviewers using GOALS and Task Specific Assessments (TSA). Participants were surveyed using the Index of Agreement of Assertions on Model Accuracy (IAAMA).Participants reported their experience levels as novice (22%), inexperienced (26%), intermediate (19%), and experienced (33%). Interrater reliability was similar for overall average GOALS and TSA scores. There was a significant improvement in GOALS (p0.0001) and TSA scores (p=0.03) between attempts and overall. Participants felt the model accurately simulated a laparoscopic pyloromyotomy (82%) and would be a useful tool for beginners (100%).A 3D-printed stomach model for simulated laparoscopic pyloromyotomy is a useful training tool for learners to improve laparoscopic skills. The GOALS and TSA provide reliable technical skills assessments.II.
- Subjects :
- Male
3d printed
medicine.medical_specialty
education
Box trainer
Pyloric Stenosis, Hypertrophic
Pediatrics
03 medical and health sciences
0302 clinical medicine
Pyloromyotomy
Surveys and Questionnaires
Humans
Medicine
Technical skills
Simulation Training
Neonatal condition
business.industry
Internship and Residency
Reproducibility of Results
General Medicine
Evidence-based medicine
Inter-rater reliability
Education, Medical, Graduate
General Surgery
030220 oncology & carcinogenesis
Printing, Three-Dimensional
Pediatrics, Perinatology and Child Health
Physical therapy
Female
Laparoscopy
030211 gastroenterology & hepatology
Surgery
Surgical education
business
Laparoscopic pyloromyotomy
Subjects
Details
- ISSN :
- 00223468
- Volume :
- 53
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Surgery
- Accession number :
- edsair.doi.dedup.....c17e1e5d9d688e2c094efe80bb1bf6df