Department of Surgery, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, Adelaide, SA, 5011, Australia.
Surg Endosc. 2011 Feb;25(2):343-55. doi: 10.1007/s00464-010-1181-0. Epub 2010 Jul 8.
The acquisition of technical skills using surgical simulators is an area of active research and rapidly evolving technology. The LapSim is a virtual reality simulator that currently allows practice of basic laparoscopic skills and some procedures. To date, no reviews have been published with reference to a single virtual reality simulator.
A PubMed search was performed using the keyword "LapSim," with further papers identified from the citations of original search articles.
Use of the LapSim to develop surgical skills has yielded overall results, although inconsistencies exist. Data regarding the transferability of learned skills to the operative environment are encouraging as is the validation work, particularly the use of a combination of measured parameters to produce an overall comparative performance score.
Although the LapSim currently does not have any proven significant advantages over video trainers in terms of basic skills instruction and although the results of validation studies are variable, the potential for such technology to have a huge impact on surgical training is apparent. Work to determine standardized learning curves and proficiency criteria for different levels of trainees is incomplete. Moreover, defining which performance parameters measured by the LapSim accurately determine laparoscopic skill is complex. Further technological advances will undoubtedly improve the efficacy of the LapSim, and the results of large multicenter trials are anticipated.
使用手术模拟器来获得技术技能是一个活跃的研究领域，也是技术快速发展的领域。LapSim 是一款虚拟现实模拟器，目前允许进行基本腹腔镜技能和一些手术的练习。迄今为止，尚无任何针对单一虚拟现实模拟器的评论发表。
使用关键字“LapSim”在 PubMed 上进行了搜索，并从原始搜索文章的引文进一步确定了其他论文。
使用 LapSim 来发展手术技能已经产生了总体结果，尽管存在不一致之处。关于从学习技能转移到手术环境的数据令人鼓舞，特别是使用组合测量参数来产生整体比较性能评分的验证工作。
尽管在基本技能指导方面，LapSim 目前与视频训练器相比没有任何明显的优势，并且验证研究的结果存在差异，但这种技术对手术培训产生巨大影响的潜力是明显的。确定不同水平的学员标准化学习曲线和熟练标准的工作尚未完成。此外，确定由 LapSim 测量的哪些性能参数准确地确定腹腔镜技能是复杂的。进一步的技术进步无疑将提高 LapSim 的效果，预计将进行大型多中心试验。
