Trainee Factors Influencing Initial Performance in Single Incision Pediatric Endoscopic Surgery Simulation Training

Raphael N. Vuille-dit-Bille, Bradley Wallace, Lukas Fink, Gabathuler Milsom Matthias, Paul Montero, Davis M. Aasen and Ahmed I Marwan

Department of Pediatric Surgery, Children’s Hospital Colorado, USA
Department of Mathematics, Cantonal School of Wil (SG), Switzerland
Steag & Partner AG, St. Gallen, Switzerland
Department of Surgery GI, Trauma, and Endocrine Surgery, University of Colorado, USA
University of Colorado School of Medicine, USA

^*Correspondance to: Ahmed Marwan 

 PDF  Full Text DOI: 10.25107/2474-1647.2147

Abstract

Background: Studies of multi-port laparoscopy training have revealed multiple trainee factors exist that influence various components of simulated laparoscopy. Thorough identification of trainee factors influencing initial Single Incision Pediatric Endosurgery (SIPES) aptitude, and thus training requirements, has not been performed.Materials and
Methods: Performance during simulated single incision laparoscopic cholecystectomy was assessed in 12 participants. Total time for the procedure, path lengths of the instruments, economy of movements, minor and major adverse events were measured. Factors assessed by multivariate analysis for effects on performance were: age, gender, the approximate number of previously performed multiport laparoscopic surgeries, years of clinical experience doing multiport laparoscopic surgeries, previous multiport laparoscopic simulator training, and expertise in console gaming.Result: Among assessed factors, male gender (p=0.0072), video game expertise (p=0.0291), and higher age (p=0.0357) correlated with overall performance. Previous laparoscopic simulator experience (p=0.0904) non-significantly correlated with simulated SIPES cholecystectomy execution. Comparing individual outcomes in males versus females, number of errors was significantly higher in females (p=0.0431), whereas time, path length and economy were not different between groups. Individual outcomes were not different comparing expert video gamers vs. non-expert gamers and comparing participants 30 years and older to participants below 30 years, respectively.Conclusion: Gender, video game experience, and age affect performance of simulated single incision surgery.

Keywords

Single incision surgery; Pediatric; Simulation; Training factors

Cite the article

Vuille-dit-Bille RN, Wallace B, Fink L, Matthias GM, Montero P, Aasen DM, et al. Trainee Factors Influencing Initial Performance in Single Incision Pediatric Endoscopic Surgery Simulation Training. Clin Surg. 2018; 3: 2147.