Mastery of laparoscopic surgical techniques requires improved hand-eye coordination and spatial awareness skills. Dry box (off-the-job) training is an important training tool to improve hand-eye coordination and spatial awareness skills. Suture and ligation training in a dry box is common and important. Other basic techniques (e.g., grasping, lifting, pushing, pulling, pressing, and dissection) are a large part of laparoscopic surgery. However, no routine and effective training methods have been established. Fundamentals of Laparoscopic Surgery (FLS) was developed by the Society of American Gastrointestinal and Endoscopic Surgeons to teach standard cognitive and psychomotor skills to practitioners of laparoscopic surgery.

The importance of standardization in training was recognized by the American Board of Surgery (ABS), which in 2008 made passing the FLS a requirement for obtaining certification in general surgery. The FLS consists of five tasks (Peg Transfer, Precision Cutting, Ligation Loop, Suture with Extracorporeal Knot, and Suture with Intracorporeal Knot). For all tasks, both time and accuracy are measured for performance and high scores result from tasks performed efficiently and without error. Each task has its own scoring formula based upon a combination of time and accuracy measures. The performance of the FLS tasks has been shown to be correlated with intraoperative performance on laparoscopic procedures. Creating various shapes with origami is a traditional Japanese culture. The crane, which is one of the most well-known origami forms, is not easy to create due to its complex structure. In recent years, some Japanese laparoscopic trainees have been trained to make origami cranes under a dry box (hereafter referred to as origami crane training). Coordinated movement of both forceps is essential to make an origami crane in a dry box, and it is considered effective for training hand-eye coordination and bi-hand coordination. In the present study, we examined the impact of origami crane training on the FLS scores of medical students.

visit for more articles at Journal of General Surgery Reports

Kindly submit your article at  https://www.imedpub.com/submissions/general-surgery-reports.html 

Regards
Mishita
Jornal co-ordinator
Journal of General Surgery Reports