![]() ![]() At the end of the training, there were no differences in motion or force parameters between the two groups. Group 1 used significantly less time to complete the total of six tasks (27 %). Participants completed a questionnaire assessing: self-perceived dexterity before and after the training, their experienced frustration and the difficulty of the training.Ī total of 34 participants were included, one was excluded because of incomplete training. Performance time, motion analysis parameters (economy of movements) and interaction force parameters (tissue handling) were measured. Group 2 performed six suturing tasks in a standard laparoscopic box trainer. Group 1 performed three suturing tasks in a transparent laparoscopic box trainer under direct vision followed by three suturing tasks in a standard non-transparent laparoscopic box trainer equipped with a 0° laparoscope. The aim of this study was to examine the influence of training under direct vision prior to training with indirect vision on the learning curve of the laparoscopic suture task. For an experienced laparoscopist, LN might be a better alternative. Morbidity was significantly reduced compared with the open approach. LN for giant symptomatic ADPKD was feasible, safe and efficacious. ![]() The need of narcotic analgesics between the two groups might have no significant difference (WMD -54.66, 95%CI -129.76-20.44, P = 0.154). Seven studies were identified, including 195 cases (118 LN / 77 ON). The weighted mean difference (WMD) and risk ratio (RR), with their corresponding 95% confidence interval (CI), were calculated to compare continuous and dichotomous variables, respectively. To compare efficacy and safety of laparoscopicnephrectomy (LN) versusopen nephrectomy (ON) in the management of autosomal dominant polycystic kidney disease (ADPKD), we conducted a systematic review and meta-analysis.Ī systematic search of the electronic databases PubMed, Scopus, and the Cochrane Library was performed up to October 2014.This systematic review was performed based on observational comparative studies that assessed the two techniques. Visual feedback during surgery through the transparent top of the laparoscopic box trainer helped reduce the learning time required to carry out laparoscopic surgery. The time reduction rate for the level 3 task was lowest in group C, with a statistically significant difference existing in group A (P<.001). Overall time reduction rate in group C was significantly shorter than that in group A, but not in group B. There was no significant difference in operating time between the levels 2 and 3 tasks. Training significantly reduced the operating time, with a significant difference between the level 1 task and the levels 2 (P<.001) and 3 (P<.0001) tasks. Completion time of each task before and after training was compared. Forty-five students were divided into three groups: group A, students without practical training group B, students trained using the covered box trainer and group C, students trained using the transparent box trainer. Three tasks (levels 1 to 3) involving organ handling while setting the surgical field were arranged to evaluate the efficacy of training. An original box trainer equipped with a transparent top made of mesh covered with a latticed structure was developed and used for evaluation of novices during laparoscopic training. Few studies have investigated whether visualizing the surgical field in the box trainer improves performance of laparoscopic surgical procedures during laparoscopic training. Laparoscopic surgical training using a box trainer facilitates mastery of laparoscopic surgery.
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