The role of cognitive abilities in laparoscopic simulator training
The role of cognitive abilities in laparoscopic simulator training
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DOI：
10.1007/s10459-013-9455-7
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发表时间：
2014-05-01
影响因子：
4
通讯作者：
Broeders, I. A. J. M.
中科院分区：
文献类型：
--
作者：
Groenier, M.;Schraagen, J. M. C.;Broeders, I. A. J. M.
学习微创手术（MIS）与学习开放手术有很大的不同，学员学习MIS的能力也不同。以往的研究主要集中在视觉空间能力（VSA）在MIS学习曲线中的作用。在当前的研究中，空间记忆、感知速度、一般推理能力以及VSA与MIS模拟器性能之间的关系被检验。对53名腹腔镜手术新手进行了认知能力测试。使用LapSim模拟器（外科科学有限公司，哥德堡，瑞典）评估腹腔镜性能。参与者在模拟器上进行多次训练，直到熟练掌握为止。参与者在完成任务的时间和运动效率上都有了显著的改善。表现与不同的认知能力有关，这取决于表现测量和认知能力的类型。认知能力与训练时间或学习曲线的陡峭度没有关系。在腹腔镜模拟器训练期间，认知能力介导某些方面的表现。基于目前的研究，我们得出结论，认知能力倾向测试不能用于住院医师的选择，但对于制定个性化的培训计划可能有用。将会有更多的研究来检验认知能力测试如何用于设计培训项目。
Learning minimally invasive surgery (MIS) differs substantially from learning open surgery and trainees differ in their ability to learn MIS. Previous studies mainly focused on the role of visuo-spatial ability (VSA) on the learning curve for MIS. In the current study, the relationship between spatial memory, perceptual speed, and general reasoning ability, in addition to VSA, and performance on a MIS simulator is examined. Fifty-three laparoscopic novices were tested for cognitive aptitude. Laparoscopic performance was assessed with the LapSim simulator (Surgical Science Ltd., Gothenburg, Sweden). Participants trained multiple sessions on the simulator until proficiency was reached. Participants showed significant improvement on the time to complete the task and efficiency of movement. Performance was related to different cognitive abilities, depending on the performance measure and type of cognitive ability. No relationship between cognitive aptitude and duration of training or steepness of the learning curve was found. Cognitive aptitude mediates certain aspects of performance during training on a laparoscopic simulator. Based on the current study, we conclude that cognitive aptitude tests cannot be used for resident selection but are potentially useful for developing individualized training programs. More research will be performed to examine how cognitive aptitude testing can be used to design training programs.