ArticleLangenbeck's archives of surgery2018
Conception of the Lübeck Toolbox curriculum for basic minimally invasive surgery skills.
Article in Langenbeck's archives of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Comparison of laparoscopic performance using low-cost laparoscopy simulators versus state-of-the-art simulators: a multi-center prospective, randomized crossover trial.Surgical endoscopy · 2025Trial
- Impact of one-to-one tutoring on fundamentals of laparoscopic surgery (FLS) passing rate in a single center experience outside the United States: a randomized controlled trial.Surgical endoscopy · 2018Trial
- Student-led curriculum design and teaching by fellow students provide a feasible platform for surgical identity and a gateway to surgical careers.Innovative surgical sciences · 2026Article
- Conception and prospective multicentric validation of a Robotic Surgery Training Curriculum (RoSTraC) for surgical residents: from simulation via laboratory training to integration into the operation room.Journal of robotic surgery · 2024Article
- [Organization of continuing education at a university hospital].Chirurgie (Heidelberg, Germany) · 2023Review
- Does practice make perfect? Laparoscopic training mainly improves motion efficiency: a prospective trial.Updates in surgery · 2023Article
- Optimizing laparoscopic training efficacy by 'deconstruction into key steps': a randomized controlled trial with novice medical students.Surgical endoscopy · 2022Review
- Surgical Site Infection Following Single-Port Appendectomy: A Systematic Review of the Literature and Meta-Analysis.Frontiers in surgery · 2022Review
- Evaluating the influence of music at different sound pressure levels on medical students' performance of standardized laparoscopic box training exercises.BMC medical education · 2021Article
- Changes in attentional resources during the acquisition of laparoscopic surgical skills.BJS open · 2021Article
- Must Clinics Replace 2D by 3D Environments for an Efficient Training of Laparoscopic Novices? A Critical Analysis of the Learning Curve for Basic Skills.Frontiers in surgery · 2021Article
- A Digital Twin Approach for Contextual Assistance for Surgeons During Surgical Robotics Training.Frontiers in robotics and AI · 2021Article
- Different cognitive styles can affect performance in laparoscopic surgery skill training.Surgical endoscopy · 2020Article
- Testing Distinct Three-Dimensional Effects in Laparoscopy: A Prospective Randomized Trial Using the Lübecker Toolbox Curriculum.Visceral medicine · 2020Article
- Efficacy of goal-directed minimally invasive surgery simulation training with the Lübeck Toolbox-Curriculum prior to first operations on patients: Study protocol for a multi-centre randomized controlled validation trial (NOVICE).International journal of surgery protocols · 2020Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDifficulties at the beginning of the learning curve in minimally invasive surgery (MIS) can well be overcome by simulation outside the operating room. Despite a great number of available devices, standardized, structured, and validated training curricula for video simulators are scarce.
methodsThe Lübeck Toolbox (LTB) video trainer provides six training modules and online video tutorials. Proficiency levels for the tasks were defined by performance analysis of MIS experts (n = 15). Mean values of the best performed repetitions were set as benchmarks for a validation study with n = 30 MIS novices and the learning curves calculated. The novices performed a cholecystectomy on a pig organ model before and after the curriculum which were analyzed using the GOALS score.
resultsBenchmarks defined by expert performance for the task Nos. 1 to 6 were 72 s (± 8) (Pack Your Luggage), 49 s (± 9) (Weaving), 66 s (± 10) (Chinese Jump Rope), 89 s (± 28) (Triangle Cut), 138 s (± 44) (Hammer Cut), and 98 (± 22) (Suturing). The median numbers of required repetitions by the novices to reach the proficiency level were n = 42 (7-80), n = 26 (9-55), n = 32 (14-77), n = 44 (15-59), n = 19 (6-68), and n = 26 (15-60). These values were all located at the beginning of the plateau phase of the learning curves. GOALS score improved significantly after completion of the curriculum (18.0 (± 2.6) vs. 10.9 (± 1.6), p < 0.0001).
conclusionThe LTB curriculum constitutes a new highly standardized and proficiency level-based training program for basic skills in MIS. Transferability of the task content to a (sub)-realistic environment could be demonstrated. Still, future trials will have to further validate the effectiveness of the LTB curriculum.
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