Virtual Laparoscopy Simulation: a Promising Pedagogic Tool in Gynecology

Abstract

Background and Objectives: Virtual simulators have played a vital role in preparing surgeons for laparoscopic and robotic procedures in gynecologic surgery. The effi-cacy of the simulator was evaluated to improve basic (trainee) laparoscopic skills and assess training levels. Methods: This prospective, comparative study was con-ducted in volunteer residents in the obstetrics and gynecology training program of Université Laval. Study partic-ipants performed 9 laparoscopic simulator tasks on 2 different occasions. Skills improvement between sessions and differences between junior and senior residents were examined. Results: Thirteen junior and 11 senior residents partici-pated in the study. Junior trainees significantly improved their speed of execution, accuracy, and maintenance of horizontal view. Senior trainees mainly accelerated their rapidity in completing different tasks. They performed better than junior trainees, with economy of movements, and tended toward greater precision, speed of execution, and safe retraction in various tasks. Conclusion: Virtual simulators are useful pedagogic tools that could benefit both junior and senior residents. Inte-gration into the residency curricula should be considered.