Author/Authors :
Forgione, Antonello Department of Surgical Oncology and Minimally Invasive Surgery - AIMS Academy - Niguarda Hospital - Milan, Italy , Guraya, Salman Y Department of Surgery, College of Medicine - Taibah University - Almadinah Almunawwarah, Saudi Arabia
Abstract :
Background: Historically, operating room (OR) has always been considered as a stand‑alone trusted platform for surgical education
and training.However, concerns about financial constraints, quality control, and patient safety have urged the surgical educators to
develop more cost‑effective, surgical educational platforms that can be employed outside the OR. Furthermore, trained surgeons
need to regularly update their surgical skills to keep abreast with the emerging surgical technologies. This research aimed to explore
the value of currently available modern surgical tools that can be used outside the or and also elaborates the existing laparoscopic
surgical training programs in world‑class centers across the globe with a view to formulate a blended and unified structured surgical
training program. Materials and Methods: Several data sources were searched using MeSH terms “Laparoscopic surgery” and
“Surgical training” and “Surgical curriculum” and “fundamentals of endoscopic surgery” and “fundamentals of laparoscopic surgery”
and “Telementoring” and “Box trainer.” The eligibility criteria used in data extraction searched for original and review articles and by
excluding the editorial articles, short communications, conference proceedings, personal view, and commentaries. Data synthesis
and data analysis were done by reviewing the initially retrieved 211 articles. Irrelevant and duplicate and redundant articles were
excluded from the study. Results: Finally, 12 articles were selected for this systematic review. Data results showed that a myriad of
cutting‑edge technical innovations have provided modern surgical training tools such as the simulation‑based mechanical and virtual
reality simulators, animal and cadaveric labs, telementoring, telerobotic‑assisted surgery, and video games. Surgical simulators allow
the trainees to acquire surgical skills in a tension‑free environment without supervision or time constraints. Conclusion: The existing
world‑renowned surgical training centers employ various clusters of training tools that essentially endeavor to embed the acquisition
of knowledge and technical skills. However, a unified training curriculum that may be accepted worldwide is currently not available.
Keywords :
Laparoscopic surgery , surgical training , telementoring , telerobotic assistance , virtual reality simulator