Analyze Diet
Animals : an open access journal from MDPI2023; 13(24); 3781; doi: 10.3390/ani13243781

Approaches to Laparoscopic Training in Veterinary Medicine: A Review of Personalized Simulators.

Abstract: Veterinary minimally invasive surgery (MIS) has experienced notable growth in recent years, yet the availability of specialized training tools remains limited and not readily accessible to practitioners worldwide. While borrowing simulators from human medicine practices suffices for acquiring fundamental laparoscopic skills, it proves inadequate when addressing procedure-specific nuances. Veterinary professionals are now taking steps to create simulators tailored to their patients, although the validation process can be time-consuming. Consequently, the availability of advanced laparoscopic simulators for veterinary training remains scarce. The present study aims to highlight custom-made simulators. A comprehensive search across five databases was conducted to uncover the simulators documented from 2010 to 2022. A total of five simulators emerged from this search, with four grounded in a canine model and only one in an equine model. These models underwent validation and were found to be effective in training surgeons for their designated tasks. The findings underscore a limited array of simulators, predominantly catering to two species (horses and dogs). Considering these findings, it is evident that further research is imperative to create laparoscopic simulators capable of facilitating advanced veterinary training. This would enable the continued evolution of surgical techniques across diverse species, including ruminants, small mammals, and non-mammalian animals.
Publication Date: 2023-12-08 PubMed ID: 38136818PubMed Central: PMC10740942DOI: 10.3390/ani13243781Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article
  • Review

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

Overview

  • This study reviews the current state of personalized laparoscopic simulators used in veterinary medicine training.
  • It highlights the scarcity of specialized, procedure-specific simulators tailored to different animal species and emphasizes the need for further development in this area.

Background

  • Minimally invasive surgery (MIS) in veterinary medicine has grown substantially over recent years.
  • Training tools specifically designed for veterinary laparoscopic procedures are limited and often not accessible worldwide.
  • Simulators from human medicine are commonly repurposed to develop basic laparoscopic skills in veterinary practitioners, but they lack specificity for veterinary procedures.
  • Veterinary surgeons recognize the need for customized simulators that reflect the anatomical and procedural nuances of different animal species.
  • Developing and validating these specialized simulators tends to be a lengthy and resource-demanding process.

Research Aim and Methodology

  • The study aimed to identify and review personalized laparoscopic simulators developed for veterinary training.
  • A thorough literature review was performed using five databases to locate documented simulators from 2010 to 2022.
  • The search criteria focused on simulators customized for veterinary applications rather than generic or human-based laparoscopic simulators.

Findings

  • Only five personalized laparoscopic simulators were identified during the search period.
  • Of these simulators, four were designed based on canine anatomical models and one utilized an equine model.
  • All identified simulators underwent some form of validation to test their effectiveness in training veterinary surgeons for specific laparoscopic tasks.
  • Validated models demonstrated effectiveness in enhancing surgical skills relevant to the targeted veterinary procedures.

Implications and Conclusions

  • The current availability of advanced laparoscopic simulators in veterinary medicine is very limited, primarily concentrated on dogs and horses.
  • This limitation indicates significant gaps in training resources for other species such as ruminants, small mammals, and non-mammalian animals.
  • There is an urgent need for further research and development to create and validate laparoscopic simulators tailored to a wider range of veterinary species.
  • Expanding the diversity and sophistication of these simulators will support better training, accelerating the advancement of veterinary surgical techniques across multiple animal groups.

Cite This Article

APA
Dejescu CA, Bel LV, Melega I, Muresan SMC, Oana LI. (2023). Approaches to Laparoscopic Training in Veterinary Medicine: A Review of Personalized Simulators. Animals (Basel), 13(24), 3781. https://doi.org/10.3390/ani13243781

Publication

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 13
Issue: 24
PII: 3781

Researcher Affiliations

Dejescu, Cosmina Andreea
  • Department of Surgery, Anesthesiology and Intensive Care, Faculty of Veterinary Medicine Cluj-Napoca, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, 400372 Cluj-Napoca, Romania.
Bel, Lucia V
  • Department of Surgery, Anesthesiology and Intensive Care, Faculty of Veterinary Medicine Cluj-Napoca, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, 400372 Cluj-Napoca, Romania.
Melega, Iulia
  • Department of Surgery, Anesthesiology and Intensive Care, Faculty of Veterinary Medicine Cluj-Napoca, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, 400372 Cluj-Napoca, Romania.
Muresan, Stefana Maria Cristina
  • Department of Surgery, Anesthesiology and Intensive Care, Faculty of Veterinary Medicine Cluj-Napoca, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, 400372 Cluj-Napoca, Romania.
Oana, Liviu Ioan
  • Department of Surgery, Anesthesiology and Intensive Care, Faculty of Veterinary Medicine Cluj-Napoca, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, 400372 Cluj-Napoca, Romania.

Conflict of Interest Statement

The authors declare no conflict of interest.

References

This article includes 44 references
  1. Levi O, Michelotti K, Schmidt P, Lagman M, Fahie M, Griffon D. Comparison between Training Models to Teach Veterinary Medical Students Basic Laparoscopic Surgery Skills. J. Vet. Med. Educ. 2016;43:80–87.
    doi: 10.3138/jvme.0715-109Rpubmed: 26752022google scholar: lookup
  2. Kilkenny J.J., White K, Singh A. Evaluating Veterinary Student Skill Acquisition on a Laparoscopic Suturing Exercise after Simulation Training. Vet. Surg. 2019;48:66–73.
    doi: 10.1111/vsu.12930pubmed: 30168604google scholar: lookup
  3. Chen C.Y., Ragle C.A., Lencioni R, Fransson B.A.. Comparison of 2 Training Programs for Basic Laparoscopic Skills and Simulated Surgery Performance in Veterinary Students. Vet. Surg. 2017;46:1187–1197.
    doi: 10.1111/vsu.12729pubmed: 28990691google scholar: lookup
  4. Fransson B.A.. Advances in Laparoscopic Skills Training and Management. Vet. Clin. N. Am. Small Anim. Pract. 2016;46:1–12.
    doi: 10.1016/j.cvsm.2015.08.002pubmed: 26396055google scholar: lookup
  5. Oviedo-Peñata C.A., Tapia-Araya A.E., Lemos J.D., Riaño-Benavides C., Case J.B., Maldonado-Estrada J.G.. Validation of Training and Acquisition of Surgical Skills in Veterinary Laparoscopic Surgery: A Review. Front. Vet. Sci. 2020;7:306.
    doi: 10.3389/fvets.2020.00306pmc: PMC7283875pubmed: 32582781google scholar: lookup
  6. Fugazzi R.W., Fransson B.A., Davis H.M., Gay J.P.. Biomechanical Strength of Two Laparoscopic Herniorrhaphy Techniques in a Cadaveric Diaphragm and in a Neoprene Model. Vet. Comp. Orthop. Traumatol. 2013;26:198–203.
    doi: 10.3415/VCOT-12-06-0083pubmed: 23677123google scholar: lookup
  7. Hunt J.A., Simons M.C., Anderson S.L.. If You Build It, They Will Learn: A Review of Models in Veterinary Surgical Education. Vet. Surg. 2022;51:52–61.
    doi: 10.1111/vsu.13683pubmed: 34270115google scholar: lookup
  8. Fransson B.A., Ragle C.A.. Assessment of Laparoscopic Skills before and after Simulation Training with a Canine Abdominal Model. J. Am. Vet. Med. Assoc. 2010;236:1079–1084.
    doi: 10.2460/javma.236.10.1079pubmed: 20470069google scholar: lookup
  9. McDougall E.M.. Validation of Surgical Simulators. J. Endourol. 2007;21:244–247.
    doi: 10.1089/end.2007.9985pubmed: 17444766google scholar: lookup
  10. Balsa I.M., Giuffrida M.A., Culp W.T.N., Mayhew P.D.. Perceptions and Experience of Veterinary Surgery Residents with Minimally Invasive Surgery Simulation Training. Vet. Surg. 2020;49:21–27.
    doi: 10.1111/vsu.13295pubmed: 31385334google scholar: lookup
  11. Mustafa M., Elarbi M.M., Ragle C.A., Fransson B.A., Farnsworth K.D.. Face, Construct, and Concurrent Validity of a Simulation Model for Laparoscopic Ovariectomy in Standing Horses. J. Am. Vet. Med. Assoc. 2018;253:92–100.
    doi: 10.2460/javma.253.1.92pubmed: 29911940google scholar: lookup
  12. SIMULVET®. [(accessed on 28 August 2023)]. Available online: http://Store.Ccmijesususon.Com/Es/Material-de-Simulacion/8-Simulvet.Html.
  13. Usón-Gargallo J., Tapia-Araya A.E., Díaz-Güemes Martin-Portugués I., Sánchez-Margallo F.M.. Development and Evaluation of a Canine Laparoscopic Simulator for Veterinary Clinical Training. J. Vet. Med. Educ. 2014;41:218–224.
    doi: 10.3138/jvme.0913-136R1pubmed: 25000884google scholar: lookup
  14. Tapia-Araya A.E., Uson-Gargallo J., Enciso S., Perez-Duarte F.J., Martin-Portugués I.D.G., Fresno-Bermejo L., Sánchez-Margallo F.M.. Assessment of Laparoscopic Skills in Veterinarians Using a Canine Laparoscopic Simulator. J. Vet. Med. Educ. 2016;43:71–79.
    doi: 10.3138/jvme.0315-034R1pubmed: 26653288google scholar: lookup
  15. SIMULAP®—Simulador de Laparoscopia NOTES y Puerto Único. [(accessed on 28 August 2023)]. Available online: http://Store.Ccmijesususon.Com/Es/Material-de-Simulacion/19-Simulap.Html.
  16. Oviedo-Peñata C.A., Giraldo Mejía G.E., Riaño-Benavides C.H., Maldonado-Estrada J.G., Lemos Duque J.D.. Development and Validation of a Composed Canine Simulator for Advanced Veterinary Laparoscopic Training. Front. Vet. Sci. 2022;9:936144.
    doi: 10.3389/fvets.2022.936144pmc: PMC9621388pubmed: 36325095google scholar: lookup
  17. Hincapié-Gutiérrez L.C., Oviedo-Peñata C.A., Rojas-Galvis M.A., Riaño-Benavides C.H., Maldonado-Estrada J.G.. Implementation of a Canine Ergonomic Abdominal Simulator for Training Basic Laparoscopic Skills in Veterinarians. Animals 2023;13:1140.
    doi: 10.3390/ani13071140pmc: PMC10093257pubmed: 37048396google scholar: lookup
  18. Oviedo Peñata C.A., Lemus-Duque J.D., Maldonado-Estrada J.G.. Significant Transfer of Surgical Skills Acquired in an Advanced Laparoscopic Training Program for Total Laparoscopic Gastropexy Assessed in a Live Porcine Model. BMC Vet. Res. 2023. under review.
  19. Chen C.Y., Elarbi M., Ragle C.A., Fransson B.A.. Development and Evaluation of a High-Fidelity Canine Laparoscopic Ovariectomy Model for Surgical Simulation Training and Testing. J. Am. Vet. Med. Assoc. 2019;254:113–123.
    doi: 10.2460/javma.254.1.113pubmed: 30668299google scholar: lookup
  20. Fransson B.A., Ragle C.A., Bryan M.E.. Effects of Two Training Curricula on Basic Laparoscopic Skills and Surgical Performance among Veterinarians. J. Am. Vet. Med. Assoc. 2012;241:451–460.
    doi: 10.2460/javma.241.4.451pubmed: 22852570google scholar: lookup
  21. Fransson B.A., Towle Millard H.A., Ragle C.A.. Surgeons’ Skills Training. In: Fransson B.A., Mayhew P.D., editors. Small Animal Laparoscopy and Thoracoscopy. ACVS Foundation and Wiley-Blackwell; Germantown, MD, USA: 2015. pp. 2–10.
  22. Braid H.R.. The Use of Simulators for Teaching Practical Clinical Skills to Veterinary Students—A Review. ATLA Altern. Lab. Anim. 2022;50:184–194.
    doi: 10.1177/02611929221098138pubmed: 35587390google scholar: lookup
  23. Divers S.J.. Clinical Technique: Endoscopic Oophorectomy in the Rabbit (Oryctolagus cuniculus): The Future of Preventative Sterilizations. J. Exot. Pet Med. 2010;19:231–239.
  24. Valliyate M., Robinson N.G., Goodman J.R.. Current concepts in simulation and other alternatives for veterinary education: A review. Vet. Med. 2012;57:325–337.
    doi: 10.17221/6261-VETMEDgoogle scholar: lookup
  25. Gurgel H.J., de Oliveira Monteiro F.D., Barroso J.P.M., de Sousa L.A., dos Santos G.M.A., da Cunha Rossy K., da Silva V.S., do Espirito Santo Fernandes C., Silva C.R.G., dos Santos Albuquerque R.. Laparoscopy Assisted Abomasal Cannulation in Cadavers of Bovine Fetuses. BMC Vet. Res. 2022;18:378.
    doi: 10.1186/s12917-022-03473-4pmc: PMC9598014pubmed: 36284310google scholar: lookup
  26. Iso H., Uchiyama F., Tsuka T.. One-Step Laparoscopic Abomasopexy for Left Displacements of the Abomasum in Pregnant Cattle: A Retrospective Study. Animals 2022;12:3264.
    doi: 10.3390/ani12233264pmc: PMC9735835pubmed: 36496785google scholar: lookup
  27. Baldassarre H.. Laparoscopic Ovum Pick-up Followed by in Vitro Embryo Production and Transfer in Assisted Breeding Programs for Ruminants. Animals 2021;11:216.
    doi: 10.3390/ani11010216pmc: PMC7830735pubmed: 33477298google scholar: lookup
  28. Sathe S.R.. Laparoscopic Artificial Insemination Technique in Small Ruminants—A Procedure Review. Front. Vet. Sci. 2018;5:266.
    doi: 10.3389/fvets.2018.00266pmc: PMC6206429pubmed: 30406122google scholar: lookup
  29. Estermann SJ, Pahr DH, Reisinger A. Quantifying Tactile Properties of Liver Tissue, Silicone Elastomers, and a 3D Printed Polymer for Manufacturing Realistic Organ Models. J. Mech. Behav. Biomed. Mater. 2020;104:103630.
    doi: 10.1016/j.jmbbm.2020.103630pubmed: 32174390google scholar: lookup
  30. Jin Z, Li Y, Yu K, Liu L, Fu J, Yao X, Zhang A, He Y. 3D Printing of Physical Organ Models: Recent Developments and Challenges. Adv. Sci. 2021;8:2101394.
    doi: 10.1002/advs.202101394pmc: PMC8425903pubmed: 34240580google scholar: lookup
  31. French ED, Griffon DJ, Kass PH, Fahie MA, Gordon-Ross P, Levi O. Evaluation of a Laparoscopic Abdominal Simulator Assessment to Test Readiness for Laparoscopic Ovariectomy in Live Dogs. Vet. Surg. 2021;50:49–66.
    doi: 10.1111/vsu.13604pubmed: 33615505google scholar: lookup
  32. Fransson BA, Ragle CA, Bryan ME. A Laparoscopic Surgical Skills Assessment Tool for Veterinarians. J. Vet. Med. Educ. 2010;37:304–313.
    doi: 10.3138/jvme.37.3.304pubmed: 20847341google scholar: lookup
  33. Read EK, Bell C, Rhind S, Hecker KG. The Use of Global Rating Scales for OSCEs in Veterinary Medicine. PLoS ONE 2015;10:e0121000.
  34. Chang OH, King LP, Modest AM, Hur HC. Developing an Objective Structured Assessment of Technical Skills for Laparoscopic Suturing and Intracorporeal Knot Tying. J. Surg. Educ. 2016;73:258–263.
    doi: 10.1016/j.jsurg.2015.10.006pubmed: 26597729google scholar: lookup
  35. Thomas G, Lemos JD, Soto-Romero G, Fourniols J-Y, Hernández AM. Laparoscopy’s Gestures Assessment: A Construct Study for the Validation of an Instrumented Glove. Proceedings of the Eurosensors 2017 2017; Paris, France. 3–6 September 2017.
  36. Hamstra SJ, Brydges R, Hatala R, Zendejas B, Cook DA. Reconsidering Fidelity in Simulation-Based Training. Acad. Med. 2014;89:387–392.
    doi: 10.1097/ACM.0000000000000130pubmed: 24448038google scholar: lookup
  37. Fransson B. The Future: Taking Veterinary Laparoscopy to the next Level. J. Feline Med. Surg. 2014;16:42–50.
    doi: 10.1177/1098612X13516571pmc: PMC11383079pubmed: 24361949google scholar: lookup
  38. Maurin MP, Pozzi A, Bleedorn J, McNally TP, Cuddy LC. Teaching and Proficiency Assessment for Arthroscopy in Veterinary Surgery: A 2017 Survey of Diplomates and Residents of the American and European College of Veterinary Surgeons. Vet. Surg. 2018;47:70–78.
    doi: 10.1111/vsu.12951pubmed: 30267588google scholar: lookup
  39. Fransson BA. Training Residents in Minimally Invasive Surgery; Confirming Competence or Hoping for the Best?. Vet. Surg. 2022;51:5–11.
    doi: 10.1111/vsu.13850pmc: PMC9546116pubmed: 35906954google scholar: lookup
  40. Hutchison R. Laparoscopic Spay of the Female Canine and Feline. Small Animal Endoscopy 2011;3rd ed. Elsevier/Mosby; St. Louis, MO, USA: p. 476.
  41. Pope JFA, Knowles TG. Retrospective Analysis of the Learning Curve Associated with Laparoscopic Ovariectomy in Dogs and Associated Perioperative Complication Rates. Vet. Surg. 2014;43:668–677.
  42. Lencioni RD, Ragle CA, Kinser ML, Coffey T, Fransson BA. Effect of Simulator Orientation during Skills Training on Performance of Basic Laparoscopic Tasks by Veterinary Students. J. Am. Vet. Med. Assoc. 2017;251:1196–1201.
    doi: 10.2460/javma.251.10.1196pubmed: 29099249google scholar: lookup
  43. Glassman D, Yiasemidou M, Ishii H, Somani BK, Ahmed K, Biyani CS. Effect of Playing Video Games on Laparoscopic Skills Performance: A Systematic Review. J. Endourol. 2016;30:146–152.
    doi: 10.1089/end.2015.0425pubmed: 26414043google scholar: lookup
  44. Sammut M, Sammut M, Andrejevic P. The benefits of being a video gamer in laparoscopic surgery. Int. J. Surg. 2017;45:42–46.
    doi: 10.1016/j.ijsu.2017.07.072pubmed: 28733118google scholar: lookup

Citations

This article has been cited 4 times.
  1. Lopez-Minguez S, Urbano I, de Blas I, Del Rio-Martinez C, Bonastre C, Guirola JA, Rodriguez JB, Miana-Mena FJ, Serrano-Casorran C. Educational Impact of a 3D Canine Vascular Simulator for Learning Anatomy and Interventional Radiology Techniques in Veterinary Training.. Vet Sci 2025 Nov 29;12(12).
    doi: 10.3390/vetsci12121139pubmed: 41472120google scholar: lookup
  2. Azuaga-Filho H, Santos A, Colaço B, Payan-Carreira R. Comprehensive Validation of the TrAI4Nel Simulator for Nelore Artificial Insemination Training: A Controlled Study.. Animals (Basel) 2025 Oct 15;15(20).
    doi: 10.3390/ani15202982pubmed: 41153909google scholar: lookup
  3. Redander J, Anagrius K, Enlund KB, Bjerrum F, Ström L, Höglund O. The development of a novel virtual reality simulation module for canine laparoscopic ovariectomy.. Acta Vet Scand 2025 Jun 2;67(1):28.
    doi: 10.1186/s13028-025-00815-8pubmed: 40457394google scholar: lookup
  4. Oviedo-Peñata CA, Lemos-Duque JD, Maldonado-Estrada JG. Training total laparoscopic gastropexy using a composed simulator and evaluating the significant transfer of surgical skills performed in growing pigs in vivo.. BMC Vet Res 2025 Feb 13;21(1):64.
    doi: 10.1186/s12917-024-04463-4pubmed: 39948675google scholar: lookup