Is Laparoscopic Simulator Performance Affected by Training Environment?

The use of simulators in laparoscopic surgery complements current training with reduced working hours. Trainees can acquire basic skills quickly and efficiently without compromising patient safety. Competence in skills learnt on a simulator has been shown to translate to operating theatre performance. In addition to this, laparoscopic surgeons require new skills since no transfer has been reported between open surgical skills and new laparoscopic techniques. As a result of their numerous advantages, simulators are routinely used as part of training in laparoscopic surgery.

Laparoscopic simulator performance: Harrier fighter pilots versus medical and non-medical undergraduates

There is increasing use of simulation in medical training, including laparoscopic surgery. This is a situation likely to increase as the number of hours spent in direct surgical training reduces as a result of the European Working Time Directive and the consequently decreased length of training. New skills are required by laparoscopic surgeons, including overcoming altered depth perception, translating 2D images into 3D anatomy, and familiarisation with laparoscopic instruments. These skills must be mastered in addition to those required by open surgeons: no transfer has been found between open surgical and new laparoscopic skills.