Kolegium Bedah Indonesia

Basic Laparascopic Coordination Skills Standard

Lab Session: B Kolegium Bedah Indonesia, PBEI and Johnson & Johnson Medical Indonesia

(* Developed by Surgery Department, Kariadi Hospital in collaboration

with Lap101-Johnson & Johnson as part of the Curriculum of BSS2
Approved by Kolegium Bedah Indonesia April 24, 2009, Bali)

B06

Dry Lab Training Standard for Surgical Interns in

Indonesia

The following 8 Standard Laparoscopic Skills exercise has been

reviewed and approved by the Commission for Laparoscopic
Curriculum chartered by the Kolegium Bedah Indonesia on April 25,
2009 in Bali as the Standard Dry Lab Training in Basic Laparoscopy of
the Surgical Interns.
The candidate must be able to complete ALL exercises in the
maximum time allocated.
A 100% PASS in all 8 exercises as examined by appointed Kolegium
instructors is required for the candidate to proceed to the Animal Lab
Exercise.

_____________
Dr. Nurhayat
Commission Chairman

_______________
Prof. Aryono
President, Kolegium
Bedah Indonesia.

Objective of Basic Coordination Skills

Workshop
Demonstrate three-dimensional spatial perception from a twodimensional video image.
Operate with both the dominant and nondominant hand and
coordinate the use of both hands.
Demonstrate basic laparoscopic skills before entering the
operating room.
Distinguish between different tactile inputs.
Work with reversed hand-eye axis (mirror image).

Remarks by Dr. Andy Maleachy

April 2009: Kariadi Hospital, Semarang

#1: Basic Grasper Exercise

Materials Needed:
2 Petri Dish and Small Balls
One grasper

Activity:
Segment A: With dominant hand,
move 10 balls from right to left.
Segment B: With non-dominant
hand, move 10 balls from left to
right

Error Definition:
Dropped balls outside of petri
dish
Inappropriate hand used

Time for Completion:

For both segments,120 seconds

#2: Two hand transfer

Materials Needed:

Activity:

Segment A: Pick up one ring with

dominant hand, transfer to nondominant hand, place in thumb tacks.
Repeat 5 times.
Segment B: Pick up one ring with
non-dominant hand, transfer to
dominant hand, place in thumb tacks.
Repeat 5 times.

Error Definition:

10 thumb tac on soft board

10 soft rubber rings
Two graspers

Ring dropped
Inappropriate hand used
Appropriate transfer not completed

Time for Completion:

For both segments, 240 seconds

#3: Placement of Balls on Tees

Materials Needed:
16 golf tees and balls
One grasper

Activity:
Segment A: Use dominant
hand to move 4 balls to high
tees and 4 balls to lower tees.
Segment B: Use nondominant hand to move 4
balls to high tees and 4 balls
to lower tees.

Error Definition:
Knocking down tees
Dropped ball.

Time for Completion:

For both segments, 300
seconds

#4: Stacking Rings thru Nails

Materials Needed:
Small rings
Two upright metal pole

Activity:
Segment A: Using dominant
hand, place 5 rings stacked
into first pole.
Segment B:Using nondominant hand, place 5 rings
stacked into second pole.

Error Definition:
Dropping the rings outside
the pole

Time for Completion:

For both segments, 300
seconds

#5: Single Handed Ring transfer

Materials Needed:
Three rings
Metal wire shaped

Activity:
Starting with the larger rings,
with a grasper in the
dominant hand, move the
rings one at a time, to the
other end. Repeat until all 3
rings are moved.

Error Definition:
Dropping the ring
Did not reach other end

Time for Completion:

120 seconds

#6: Two handed Ring transfer

Materials Needed:
2 Rings
Metal wired shaped in 3dimension

Activity:
Starting with the larger rings,
with a grasper in the dominant
hand, and another grasper in
non-dominant hand, move the
rings one at a time, to the other
end. Repeat until all 2 rings are
moved.

Error Definition:
Dropping the ring
Did not reach other end

Time for Completion:

120 seconds

#7: Scissor exercise

Materials Needed:
A small size rubber or silicon
tubing with 5 markings
equally spaced

Activity:
Using a scissor in the
dominant hand, and a
grasper in the non dominant
hand, cut the tubing at the
marked area in 5 pieces.

Error Definition:
Cutting in unmarked area
Dropping the tubing

Time for Completion:

120 secs

#8: Rope thru 9 rings

Materials Needed:
A rope
9 rings with different heights
Graspers

Activity:
Using two graspers, pass the
rope thru the 9 rings.

Error Definition:
Fail to pass thru rings
Dropping the rope

Time for Completion:

300 secs

Laparoscopic Dry Lab Test Sign-off For

Resident Training
NAME:____________________________
AFFILIATION: ______________________

Task

Pass/Fail

Time

Required
Time

#1: Basic Grasper Exercise

REQUIRED

120

#2: Two hand transfer

REQUIRED

240

#3: Placement of balls on Tee

REQUIRED

300

#4: Stacking rings thru Nails

REQUIRED

300

#5: Single Handed Ring Transfer

REQUIRED

120

#6: Two handed ring transfer

REQUIRED

120

#7: Scissor Exercise

REQUIRED

120

#8: Rope thru 9 rings

REQUIRED

300

Referee Signature

Note: Designated referees will be available to time and sign off. Passing all required
exercises is a requirement to proceed to the animal stage of the training.

Presented by:

April 2009: Kariadi Hospital, Semarang