Construct validity for the LAPSIM laparoscopic surgical simulator

A. J. Duffy, N. J. Hogle, H. McCarthy, J. I. Lew, A. Egan, P. Christos, D. L. Fowler

Research output: Contribution to journalArticlepeer-review

111 Scopus citations


Background: The skills required for laparoscopic surgery are amenable to simulator-based training. Several computerized devices are now available. We hypothesized that the LAPSIM simulator can be shown to distinguish novice from experienced laparoscopic surgeons, thus establishing construct validity. Methods: We tested residents of all levels and attending laparoscopic surgeons. The subjects were tested on eight software modules. Pass/fail (P/F), time (T), maximum level achieved (MLA), tissue damage (TD), motion, and error scores were compared using the t-test and analysis of variance. Results: A total of 54 subjects were tested. The most significant difference was found when we compared the most (seven attending surgeons) and least experienced (10 interns) subjects. Grasping showed significance at P/F and MLA (p < 0.03). Clip applying was significant for P/F, MLA, motion, and errors (p < 0.02). Laparoscopic suturing was significant for P/F, MLA, T, TD, as was knot error (p < 0.05). This finding held for novice, intermediate, and expert subjects (p < 0.05) and for suturing time between attending surgeons and residents (postgraduate year [PGY] 1-4) (p < 0.05). Conclusions: LAPSIM has construct validity to distinguish between expert and novice laparoscopists. Suture simulation can be used to discriminate between individuals at different levels of residency and expert surgeons.

Original languageEnglish (US)
Pages (from-to)401-405
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Issue number3
StatePublished - Mar 1 2005
Externally publishedYes


  • Construct validity
  • Laparoscopic surgery
  • LAPSIM Surgical simulator
  • Resident training
  • Simulation
  • Virtual reality

ASJC Scopus subject areas

  • Surgery


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