A self-training method for maintaining adequate laparoscopic view

Maintenance of an adequate laparoscopic view by an assistant is a fundamental aspect for performing effective laparoscopic surgery. We describe a self training model for obtaining optimal laparoscopic view using a web camera and a bench trainer. Trainees held a needle-holder with the right hand and introduced a needle into the trainer, sutured a sponge pad, and withdrew the needle; while the left hand held the web camera for monitoring the operating field. They were videotaped during the procedure and were scored before and after training by independent observers using an objective assessment of a technical skill scoring system. Results showed the scores after training were significantly higher than before training (P=0.0021) . Thus, we conclude the self-training method could improve the skill in manipulating the laparoscope by an assistant.