Training and assessment using the LapSim laparoscopic simulator: a scoping review of validity evidence,Surgical Endoscopy

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Training and assessment using the LapSim laparoscopic simulator: a scoping review of validity evidence
Surgical Endoscopy ( IF 2.4 ) Pub Date : 2022-09-19 , DOI: 10.1007/s00464-022-09593-0
Conor Toale ₁ , Marie Morris ₁ , Dara O Kavanagh ₁

Affiliation

Introduction

The LapSim (Surgical Science, Sweden) laparoscopic simulator is a high-fidelity virtual reality simulator for use in endoscopic surgical training. This review critiques the current validity evidence for the LapSim laparoscopic simulator, specifically with respect to its potential use as a tool and method of training and assessment in surgery.

Methods

A scoping review of the MEDLINE (PubMed), EMBASE, Cochrane and Web of Science databases was conducted in accordance with PRISMA guidelines (2020)—scoping review extension. Articles were included if they presented validity evidence for the use of the LapSim in operative skill training or assessment, in accordance with Messick’s validity framework. European Association of Endoscopic Surgeons (EAES) guidelines (2005) were used to provide recommendations for the use of the LapSim in operative performance training and assessments.

Results

Forty-nine articles were included. An EAES level 2 recommendation was provided with regard to the internal consistency reliability of automated performance metrics in assessing performance. An EAES recommendation of 2 was awarded with respect to the ability of the LapSim to discriminate based on case volume and overall laparoscopic experience (relationships with other variables). Performance assessment metrics on the LapSim correlate with improved performance in the operating room (EAES level of recommendation 1—consequential validity).

Conclusion

The LapSim has accumulated substantial evidence supporting the validity of its use in surgical training and assessment. Future studies should explore the relationship between the achievement of performance benchmarks on the LapSim and subsequent patient outcomes, and interrogate the benefits of implementing virtual reality simulation training and assessment curricula in post-graduate surgical training programmes.

中文翻译：

使用 LapSim 腹腔镜模拟器进行培训和评估：有效性证据的范围界定审查

介绍

LapSim（瑞典外科科学）腹腔镜模拟器是一种用于内窥镜手术培训的高保真虚拟现实模拟器。这篇评论批评了 LapSim 腹腔镜模拟器的当前有效性证据，特别是关于它作为手术培训和评估工具和方法的潜在用途。

方法

对 MEDLINE (PubMed)、EMBASE、Cochrane 和 Web of Science 数据库的范围审查是根据 PRISMA 指南 (2020)——范围审查扩展进行的。根据 Messick 的有效性框架，如果文章提供了在操作技能培训或评估中使用 LapSim 的有效性证据，则它们被包括在内。欧洲内窥镜外科医生协会 (EAES) 指南 (2005) 被用来为在手术性能训练和评估中使用 LapSim 提供建议。