Structured Visualization for Laparoscopic Skill Acquisition:A Randomized Controlled Study.

Rok &#x160;umak; Maja Leban; Tamara Serdin&#x161;ek

doi:10.1016/j.jsurg.2026.104132

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Structured Visualization for Laparoscopic Skill Acquisition:A Randomized Controlled Study.

Rok Šumak·Maja Leban·Tamara Serdinšek

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Abstract

OBJECTIVE: To evaluate whether structured visualization can support acquisition of basic laparoscopic skills during simulation training and whether this approach can achieve outcomes comparable to repeated physical practice. DESIGN: Prospective randomized comparative study. SETTING: Simulation-based laparoscopic skills training at a university-affiliated teaching center. PARTICIPANTS: Fifty laparoscopy-naive medical students were randomly assigned to a laparoscopic practice group or a visualization group. The laparoscopic practice group performed a validated Gynecological Endoscopic Surgical Education and Assessment (GESEA) Laparoscopic Skills Training and Testing (LASTT) hand-eye coordination task 7 consecutive times. The visualization group performed the same task physically on attempts 1, 4, and 7, while attempts 2, 3, 5, and 6 consisted of guided visualization. Each attempt lasted up to 2 minutes, and performance was scored as the number of correctly placed rings (range 0-12). RESULTS: Baseline performance was comparable between groups (2.92 ± 2.14 vs 2.88 ± 1.72; p = 0.94). Both groups improved significantly over time (p < 0.001). No statistically significant between-group differences were found on the 4th attempt (6.52 ± 3.25 vs 5.76 ± 2.57; p = 0.48) or 7th attempt (8.24 ± 2.86 vs 7.44 ± 2.99; p = 0.39). The final physical performance of the visualization group was significantly better than the 3rd physical attempt of the laparoscopic practice group (p = 0.025). CONCLUSIONS: Structured visualization may support early laparoscopic skill acquisition and achieve short-term outcomes comparable to repeated hands-on simulator training. Visualization should be considered an adjunct, rather than a replacement, for physical practice in simulation-based laparoscopic education.

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Laparoscopy Humans Clinical Competence Female Simulation Training Prospective Studies Male Education, Medical, Undergraduate Adult hand-eye coordination laparoscopy simulation training training visualization Journal Article Randomized Controlled Trial Comparative Study

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Rok Šumak, Maja Leban, Tamara Serdinšek. 2026-08-28. Structured Visualization for Laparoscopic Skill Acquisition:A Randomized Controlled Study.. https://doi.org/10.1016/j.jsurg.2026.104132

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Journal Article; Randomized Controlled Trial; Comparative Study resource Adult subject Clinical Competence subject Comparative Study subject Female subject Humans subject Journal Article subject Laparoscopy subject Male subject Randomized controlled trials study

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