Department of Pediatric Surgery, Princess Máxima Center, Utrecht, The Netherlands.
Department of Pediatric Surgery, Radboudumc-Amalia's Children's Hospital, Nijmegen, The Netherlands.
J Laparoendosc Adv Surg Tech A. 2021 Jan;31(1):117-123. doi: 10.1089/lap.2020.0533. Epub 2020 Dec 4.
To increase complex minimally invasive skills (MIS), frequent training outside the clinical setting is of uttermost importance. This study compares two low-cost pediatric MIS simulators, which can easily be used preclinically. The LaparoscopyBoxx is a portable simulator without a tracking system, with costs ranging from €90 to €315. The EoSim simulator has a built-in camera and tracking system and costs range from €780 to €1800. During several pediatric surgical conferences and workshops (January 2017-December 2018), participants were asked to use both simulators. Afterward, they completed a questionnaire regarding their opinion on realism and didactic value, scored on a five-point Likert scale. A total of 50 participants (24 experts and 25 target group, one unknown) evaluated one or both simulators. Both simulators scored well on the questionnaire. The LaparoscopyBoxx scored significantly better regarding the "on screen representation of the instrument actions" (mean 4.2 versus 3.5, = .001), "training tool for pediatric surgery" (mean 4.4 versus 3.9, = .005), and "appealing take-home simulator" (mean 4.6 versus 4.0, = .002). The simulators tested in this study were both regarded an appealing take-home simulator. The LaparoscopyBoxx scored significantly better than the EoSim, even though this is a low budget simulator without tracking capabilities.
为了提高复杂的微创手术（MIS）技能，在临床环境之外进行频繁的培训是非常重要的。本研究比较了两种低成本的儿科微创手术模拟器，它们可以在临床前轻松使用。LaparoscopyBoxx 是一种没有跟踪系统的便携式模拟器，价格在 90 欧元到 315 欧元之间。EoSim 模拟器具有内置摄像头和跟踪系统，价格在 780 欧元到 1800 欧元之间。在几次儿科手术会议和研讨会（2017 年 1 月至 2018 年 12 月）期间，要求参与者使用这两种模拟器。之后，他们完成了一份关于对现实感和教学价值的看法的问卷，评分采用五分制。共有 50 名参与者（24 名专家和 25 名目标组，1 名未知）评估了一种或两种模拟器。两种模拟器在问卷上的得分都很高。LaparoscopyBoxx 在“仪器操作在屏幕上的呈现”（平均 4.2 对 3.5， = .001）、“儿科手术培训工具”（平均 4.4 对 3.9， = .005）和“吸引人的便携模拟器”（平均 4.6 对 4.0， = .002）方面的得分明显更高。本研究中测试的模拟器都被认为是吸引人的便携模拟器。LaparoscopyBoxx 的得分明显高于 EoSim，尽管这是一种没有跟踪功能的低成本模拟器。
