Hand dominance and performance in a laparoscopic skills curriculum

This study evaluated the influence of hand dominance on skill acquisition during a basic laparoscopic skills curriculum. A total of 27 surgical residents (5 postgraduate year 3 [PGY-3] and 22 PGY-2 residents) participated in a 4-week laparoscopic skills curriculum. The residents were pre- and postte...

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Veröffentlicht in:Surgical endoscopy 2005-05, Vol.19 (5), p.673-677
Hauptverfasser: POWERS, T. W, BENTREM, D. J, NAGLE, A. P, TOYAMA, M. T, MURPHY, S. A, MURAYAMA, K. M
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container_end_page 677
container_issue 5
container_start_page 673
container_title Surgical endoscopy
container_volume 19
creator POWERS, T. W
BENTREM, D. J
NAGLE, A. P
TOYAMA, M. T
MURPHY, S. A
MURAYAMA, K. M
description This study evaluated the influence of hand dominance on skill acquisition during a basic laparoscopic skills curriculum. A total of 27 surgical residents (5 postgraduate year 3 [PGY-3] and 22 PGY-2 residents) participated in a 4-week laparoscopic skills curriculum. The residents were pre- and posttested on six laparoscopic tasks during weeks 1 and 4. During weeks 2 and 3, the residents attended a proctored practice session. The results were compared using analysis of variance (ANOVA), (with significance determined by a p value less than 0.05. The posttest scores were significantly higher than the pretest scores. On the pretest, lefthand-dominant (LHD) surgeons (n = 4) performed significantly better than righthand-dominant (RHD) surgeons (n = 23). In the analysis of individual task pretest scores, LHD surgeons performed significantly better on pattern cutting and vessel loop application. Posttest analysis of overall performance did not show significant differences between the RHD and LHD surgeons. Participation in a laparoscopic skills curriculum improved overall performance. The LHD surgeons demonstrated better initial performance, but posttest comparison showed no difference between the two groups.
doi_str_mv 10.1007/s00464-003-8290-y
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subjects Adult
Biological and medical sciences
Clinical Competence
Digestive system. Abdomen
Educational Measurement
Endoscopy
Endoscopy - education
Functional Laterality
Humans
Internship and Residency
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopy
Medical sciences
Models, Anatomic
Psychomotor Performance
Surgical Instruments
Surgical Mesh
Surgical Stapling
Suture Techniques
title Hand dominance and performance in a laparoscopic skills curriculum
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