• Development of a low-cost lapa...

*Result*: Development of a low-cost laparoscopic appendicectomy simulation model with automated progress tracking: enhancing surgical training through innovation and accessibility.

Title:
Development of a low-cost laparoscopic appendicectomy simulation model with automated progress tracking: enhancing surgical training through innovation and accessibility.
Authors:
Karki BB; The Suture Centre, Hull University Teaching Hospitals NHS Trust, Hull, UK.; General Surgery Specialty Trainee, Yorkshire and Humber School of Surgery, Yorkshire, UK.; Health Professions Education Unit, University of York, York, UK., Sharma S; Department of Electrical Engineering, Pulchowk Campus of Institute of Engineering, Tribhuvan University, Lalitpur, Nepal., Neupane P; Department of Electrical Engineering, Pulchowk Campus of Institute of Engineering, Tribhuvan University, Lalitpur, Nepal., Shrestha S; Department of Electrical Engineering, Pulchowk Campus of Institute of Engineering, Tribhuvan University, Lalitpur, Nepal., Phuyal S; Department of Electrical Engineering, Pulchowk Campus of Institute of Engineering, Tribhuvan University, Lalitpur, Nepal., Walshaw J; General Surgery Specialty Trainee, Yorkshire and Humber School of Surgery, Yorkshire, UK.; Leeds Institute of Medical Research, St James's University Hospital, University of Leeds, Leeds, UK., Satyal S; Department of Electrical Engineering, Pulchowk Campus of Institute of Engineering, Tribhuvan University, Lalitpur, Nepal., Loubani M; The Suture Centre, Hull University Teaching Hospitals NHS Trust, Hull, UK.; Department of Cardiothoracic Surgery, Hull University Teaching Hospitals NHS Trust, Hull, UK.
Source:
Journal of medical engineering & technology [J Med Eng Technol] 2026 Jan; Vol. 50 (1), pp. 75-81. Date of Electronic Publication: 2025 Oct 21.
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: Informa Healthcare Country of Publication: England NLM ID: 7702125 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1464-522X (Electronic) Linking ISSN: 03091902 NLM ISO Abbreviation: J Med Eng Technol Subsets: MEDLINE
Imprint Name(s):
Publication: London : Informa Healthcare
Original Publication: London, United Trade Press.
MeSH Terms:
Appendectomy*/education , Appendectomy*/economics , Laparoscopy*/education , Laparoscopy*/economics , Simulation Training*/economics , Simulation Training*/methods, Humans ; Computer Simulation ; Models, Anatomic ; Cost-Benefit Analysis
Contributed Indexing:
Keywords: Laparoscopic; appendicectomy; prototype development; surgical education; surgical simulation
Entry Date(s):
Date Created: 20251022 Date Completed: 20260110 Latest Revision: 20260110
Update Code:
20260130
DOI:
10.1080/03091902.2025.2570160
PMID:
41121714
Database:
MEDLINE

*Further Information*

*Laparoscopic surgery has become the standard for many surgical procedures globally, including laparoscopic Appendicectomy. However, access to adequate training, particularly in lower and middle-income countries (LMICs) remains challenging, impacting surgical proficiency and patient outcomes. This paper presents the development of a Laparoscopic Appendicectomy Simulation (LaApSi) model, a silicone-based, low-cost solution designed to enhance laparoscopic skills training, particularly in resource-constrained settings. The LaApSi model was developed by creating a negative mould based on anatomically accurate dimensions. High-grade silicone was used to replicate the texture of human tissue. The model integrates strategically placed assessment electronics with an Automated Progress Tracking System (APTS), offering real-time feedback on surgical manoeuvres and tracking trainee progress during simulations. The model is cost-effective, with initial production costs of £12.69 for the docking system and negative mould. This system can be used with multiple LaApSi models, each costing only £0.66 to produce. Equipped with the APTS, the LaApSi model provides a realistic and affordable option for simulation-based training in laparoscopic appendicectomy. Its cost-effectiveness and automated progress tracking make it a viable option for widespread adoption, particularly in LMICs. Additionally, the production methodology is adaptable to other laparoscopic procedures, presenting opportunities for broader applications in surgical education and training.*