Evidence map›Paper›PMID 38331406›Full record

ArticleEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2024

Training simulator efficacy in developing thoracic and general surgical skills in a residency programme: a pilot study.

Sarah Grossi, Maria Cattoni, Luca Filipponi, Alessandro Marzorati, Nicola Rotolo, Giulio Carcano, Andrea Imperatori

Abstract read
In one paragraph

Article in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sarah GrossiCenter for Thoracic Surgery, Department of Medicine and Surgery (DMC), University of Insubria, Varese, Italy.ORCID 0000-0002-9471-2791
Maria CattoniCenter for Thoracic Surgery, Department of Medicine and Surgery (DMC), University of Insubria, Varese, Italy.ORCID 0000-0003-3042-2725
Luca FilipponiCenter for Thoracic Surgery, Department of Medicine and Surgery (DMC), University of Insubria, Varese, Italy.ORCID 0000-0003-0131-9817
Alessandro MarzoratiGeneral, Emergency and Transplant Surgery, Department of Medicine and Innovation Technology (DiMIT), University of Insubria, Varese, Italy.
Nicola RotoloCenter for Thoracic Surgery, Department of Medicine and Surgery (DMC), University of Insubria, Varese, Italy.ORCID 0000-0003-1325-9284
Giulio CarcanoGeneral, Emergency and Transplant Surgery, Department of Medicine and Innovation Technology (DiMIT), University of Insubria, Varese, Italy.
Andrea ImperatoriCenter for Thoracic Surgery, Department of Medicine and Surgery (DMC), University of Insubria, Varese, Italy.ORCID 0000-0001-6281-1800

Funding

University of Insubria
6 · The paper itself

Abstract

objectivesVirtual training simulators have been introduced in several surgical disciplines to improve residents' abilities. Through the use of the LapSim® virtual training simulator (Surgical Science, Göteborg, Sweden), this study aims to plan an effective learning path in minimally invasive thoracic and general surgery.

methodsAll thoracic and general surgery trainees in their 1st and 2nd year of residency at the University of Insubria were enrolled and randomized into 2 groups: residents undergoing an intensive twice-a-week virtual training programme (group A: n = 8) and those undergoing a once-weekly non-intensive virtual training programme (group B: n = 9). The virtual training programme was divided into 4 modules, each of 12 weeks. In the 1st module, trainees repeated grasping, cutting, clip application, lifting and grasping, and fine dissection exercises during each training session. Seal-and-cut exercise was performed as the initial and final test. Data on surgical manoeuvres (time and on mistakes) were collected; intra- and inter-group comparisons were planned.

resultsNo significant differences were observed between groups A and B at the 1st session, confirming that the 2 groups had similar skills at the beginning. After 12 weeks, both groups showed improvements, but comparing data between initial and final test, only Group A registered a significant reduction in total time (P-value = 0.0015), left (P-value = 0.0017) and right (P-value = 0.0186) instrument path lengths, and in left (P-value = 0.0010) and right (P-value = 0.0073) instrument angular path lengths, demonstrating that group A acquired greater precision in surgical manoeuvres.

conclusionsVirtual simulator training programme performed at least twice a week was effective for implementing basic surgical skills required for the trainee's professional growth. Additional virtual training modules focused on more complex exercises are planned to confirm these preliminary results.

Indexed as

Internship and ResidencyLaparoscopyClinical CompetenceComputer SimulationEducation, Medical, GraduateHumansPilot ProjectsUser-Computer InterfaceEducationLaparoscopic surgerySimulator trainingSurgical simulationThoracoscopic surgeryVirtual reality

Identifiers

PMID38331406
PMCPMC11933274

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.