Education in laparoscopic surgery: All eyes towards in vivo training

Kelvin Harvey Kramp

    Research output: ThesisThesis fully internal (DIV)

    2363 Downloads (Pure)


    Nowadays, an increasing number of operations is performed with laparoscopic surgery. Due to the fact that his type of surgery is so different than conventional surgery the selection, training and assessment of trainees for surgery is currently under discussion in the scientific community.

    This thesis shows that tests of visual-spatial and psychomotor ability have a predictive value in laparoscopic surgery. Assessment of applications for training in laparoscopic surgery could therefore benefit from an evaluation of these abilities.

    The training of surgeons may be improved by using the Pareto principle, a principle which is widely used in business management and assumes that 20% of the different causes is responsible for 80% of the consequences. This thesis demonstrates that also in the operating room 20% of the laparoscopic skills seems to be responsible for 80% of the verbal corrections given by supervisors. To increase training efficiency it seems sensible to develop training tools (VR simulator tasks, books, courses, etc.) that are focused on these laparoscopic skills.

    In the current training system an general assessment form is used to provide feedback, the OSATS. Although this is a step forward in respect to the more subjective assessments used previously, it cannot be used for procedure specific feedback. This thesis shows that assessment of the degree of physical and verbal support a surgical trainee needs from the supervisor can be used for giving procedure specific feedback.
    Original languageEnglish
    QualificationDoctor of Philosophy
    Awarding Institution
    • University of Groningen
    • Pierie, Jean-Pierre, Supervisor
    • van Det, M.J., Co-supervisor, External person
    Award date7-Dec-2016
    Place of Publication[Groningen]
    Print ISBNs978-90-367-9322-3
    Publication statusPublished - 2016


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