Hand dominance and performance in a laparoscopic skills curriculum

T. W. Powers, D. J. Bentrem, A. P. Nagle, M. T. Toyama, S. A. Murphy, K. M. Murayama*

*Corresponding author for this work

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Background: This study evaluated the influence of hand dominance on skill acquisition during a basic laparoscopic skills curriculum. Methods: 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. Results: 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. Conclusions: 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.

Original languageEnglish (US)
Pages (from-to)673-677
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume19
Issue number5
DOIs
StatePublished - May 1 2005

Keywords

  • Dexterity
  • Ergonomy
  • Hand dominance
  • Laparoscopic skill
  • Skills curriculum

ASJC Scopus subject areas

  • Surgery

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