Analysis of the application of laparoscopic simulation teaching in the basic skills training for residents in minimally invasive surgery

Xu Qiqi; Li Xueqing; Wang Xin; Zhao Yiguo; Gao Pengji

doi:10.3969/j.issn.2096-4293.2026.02.006

Abstract：Objective To design a simulation-based training program for basic laparoscopic skills applicable to the standardized residency training stage,and to assess its effectiveness in improving trainees'technical performance.Methods Fifty trainees undergoing standardized surgery residency training in Beijing Jishuitan Hospital Affiliated to Capital Medical University were recruited as research subjects to receive training in the simulation training course of laparoscopic skills.Before training,the residents were tested using the laparoscopy basic theory and skills score form to understand the baseline level of the residents.After training,the test was performed again,and the scores of the residents in the two tests were compared.Results After receiving training,the total assessment score of trainees was higher than that of the pre-training test,and the difference was statistically significant(P<0.05).Scores in instrument recognition and use,hand-eye co-ordination(lifting),three-dimensional positioning(lassoing),cutting specific shapes(triangles),controlling a 0-degree laparoscopic lens,and successfully grasping a specific segment,as well as the overall assessment score of the overall evaluation test were significantly improved,and the differences were statistically significant(all P<0.05).The differences were not statistically significant(all P>0.05)when comparing the aspects of cutting specific shapes(circle),cutting specific shapes(ellipse),successful titanium clamping,and suturing and knotting.Conclusion Laparoscopic simulation teaching can improve trainees'basic theory and practical skills level of laparoscopic surgery,and has great application value in the basic skills training of minimally invasive surgery for residents.