Acquisition of skills in videolaparoscopic surgery by residents in general surgery after training in a high fidelity simulator

  • Fernanda Maria F. do Carmo Lemos Universidade Federal do Tocantins
  • Igor de Sousa Lemos Fernandes Universidade Federal do Tocantins
  • Itágores Hoffman I Lopes S. Coutinho Universidade Federal do Tocantins
  • Pedro Manuel Gonzalez Cuellar Universidade Federal do Tocantins
Keywords: simulation training, laparoscopy, internship and residency, medical education.


AIMS: To observe the acquisition of skills in videolaparoscopic surgery in a group of residents of general surgery, after training in a high fidelity simulator.

METHODS: Case series with a qualitative, descriptive and applied approach. The participants were residents of general surgery who had already completed the surgical techniques module and accomplished the training in a high-fidelity simulator of videolaparoscopy. Data were collected through a semi-structured questionnaire applied to the residents after the training and interviews with the preceptors surgeons, recorded between one year and a year and a half after the training, when the residents were already performing the procedure in real patients.

RESULTS: According to the inclusion criteria, the responses of seven general surgery residents were analyzed. After simulator training, they reported to have acquired skills in videolaparoscopic procedures. Two among the interviewed residents mentioned that they have had difficulties in performing the tasks due to the high sensitivity required by the simulator in some procedures. The "Six-Steps" methodology used during simulator training was well accepted by the residents. The importance of the presence of a tutor during the use of the simulator was pointed out. The videolaparoscopic surgery preceptors reported that skills acquired by the residents after training in the high-fidelity simulator were transferred to the same procedure in real patients.

CONCLUSIONS: The present study allows to conclude that, according to the technical perception and criticals of residents and preceptors of the medical residency program in general surgery, the standardized training using the high-fidelity videolaparoscopic surgery simulator has proved to be effective for skills acquisition by this group of residents, including future surgical procedures in real patients.


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Brandão CF, Collares CF, Marin HF. A simulação realística como ferramenta educacional para estudantes de medicina. Sci Med. 2014;24(2):187-92.

Quilici AP, Abrão KC, Timerman S, Gutierrez F. Simulação clínica: do conceito à aplicabilidade. 1ª ed. São Paulo: Atheneu; 2012.

Brandão CF, Cecilio-Fernandes D, Collares CF, Fernandes GL, Marin HF. Tradução e retrotradução do instrumento de avaliação do trabalho em equipe TeamSTEPPS® para uso no ensino por simulação no Brasil. Sci Med. 2016;26(4): ID24622.

Buzink S, Fingerhut A, Hanna G, Jakimowicz J, Radonak J, Soltes M. Laparoscopic Surgical Skills programme: preliminary evaluation of Grade I Level 1 courses by trainees. Wideochir Inne Tech Malo Inwazyjne. 2012;7(3):188-92.

Figert PL, Park AE, Schwartz RW, Witzke DB. Transfer of training in acquiring laparoscopic skills. J Am Coll Surg. 2001;193(5):533-7.

Melo MAC. Questões relacionadas à Aprendizagem Motora na Videocirurgia. Rev Bras Videocir. 2007;5(2):79-89.

Soper N, Fried G. The fundamentals of laparoscopic surgery: Its time has come. Bull Am Coll Surg. 2008;93(9):30-2.

Okrainec A., Fried GM, Soper NJ, Swanstrom LL. Trends and results of the first 5 years of Fundamentals of Laparoscopic Surgery (FLS) certification testing. Surg Endosc. 2011;25(4):1192-8.

Sanino, GEC. O uso da simulação em enfermagem no curso técnico de enfermagem. JHI. 2012;4:148-51.

Faarvang K, Lisbeth RC. A six-step approach to teaching physical examination. Medical Education. 2006;40:475.

Bath J, Lawrence PF. Twelve tips for developing and implementing an effective surgical simulation programme. Medical Teacher. 2012;34:192-7.

Pandey VA, Black SA, Lazaris AM, Allenberg JR, Eckstein HH, Hagmüller GW, Largiader J, Wolfe JH. European Vascular Workshop Pontresina. Do workshop improved the technical skill of vascular surgical trainees? Eur J Vasc Endocasc Surg. 2005;30(4):441-7.

Bath J, Lawrence P, Chandra A, O'Connell J, Uitdehaage S, Jimenez JC, Davis G, Hiatt J. Standardization is superior to traditional methods of teaching open vascular simulation. J Vasc Surg. 2010;53(1):229-34.

MINAYO, M. C. S. O desafio do conhecimento: pesquisa qualitativa em saúde. 2ª ed. São Paulo: Hucitec; 1993.

Olabuenaga JIR, Ispizua MA. La descodificacion de la vida cotidiana: metodos de investigacion cualitativa. 1ª ed. Bilbao: Universidad de Deusto; 1989.

Seymour NE, Gallagher AG, Roman SA, O Brien MK, Pansal VK, Andersen SK, Satava RM. Virtual reality training improves operating theatre performance: Results of a randomized, double-blinded study. Am J Surg. 2002;236:458-64.

Ahlberg G, Enochsson L, Gallagher AG, Hedman L, Hogman C, McClusky DA 3rd, Ramel S, Smith CD, Arvidsson D. Proficiency-based virtual reality training significantly reduces the error rate for trainees during their first 10 laparoscopic chlecystectomies. Am J Surg. 2007;193(6);797-804.

How to Cite
Lemos, F. M. F. do C., Fernandes, I. de S. L., Coutinho, I. H. I. L. S., & Cuellar, P. M. G. (2018). Acquisition of skills in videolaparoscopic surgery by residents in general surgery after training in a high fidelity simulator. Scientia Medica, 28(1), ID28944.