Effectiveness of Low Cost Laparoscopic Training Box to Increase Laparoscopic Skills in Urology Training Center Universitas Padjadjaran/Hasan Sadikin General Hospital

Abstract

Laparoscopy has become the standard of care in many urological procedures. Various simulations are used to train laparoscopic skills. This study evaluates the effectiveness of our low cost laparoscopic training box simulation to improve urologic laparoscopic skills. The study was conducted during Urology Laparoscopic Surgery Training Course in the department of Urology Universitas Padjadjaran/Hasan Sadikin General Hospital in year 2016. Eight practicing urologists with mean age 40.2 completed the study. Lecture and video presentation were presented to all participants before box training. Pre- training participants were evaluated for two basic laparoscopic tasks using a global rating scale and a task specific checklist. Participants then were trained under instructor supervision and then evaluated using the same global rating scale and specific task list. Participants performed nephrectomy on the second day on a live animal (pigs) and evaluated. Wilcoxon matched paired signed- rank test was used to analyze pre- and post-training score results. There are statistically significant improvements in global rating scale and task specific checklist for both tasks (P < 0.05). All participants successfully performed nephrectomy on the pigs that reflects low cost laparoscopic training box simulation is effective to improve urologic laparoscopic skills.