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We propose a novel low-cost training interface that mimics the laparoscopic surgical environment using customized instruments whose movement and control are used as inputs for video games. The system is significantly less expensive than commercial systems and allows users freedom to select and play any game, enabling a take-home system with potential for higher levels of engagement, as well as familiarity and expertise with ambidextrous laparoscopic hand motion. A preliminary study compared performance on FLS (Fundamentals of Laparoscopic Surgery) testing before and after training. For a precision cutting task, groups that trained on a standard simulator or on the new system with either a noninverted or inverted hand-instrument mapping showed statistically significant improvements, warranting further investigation of training with this new system.<\/jats:p>","DOI":"10.1142\/s2424905x19420029","type":"journal-article","created":{"date-parts":[[2019,11,14]],"date-time":"2019-11-14T09:14:28Z","timestamp":1573722868000},"page":"1942002","source":"Crossref","is-referenced-by-count":0,"title":["Development of a Low-Cost System for Laparoscopic Skills Training"],"prefix":"10.1142","volume":"04","author":[{"given":"Jui-Te","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Mechanical and Aerospace Engineering University of California San Diego, 9500 Gilman Drive, San Diego, CA 92093, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanglei","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, San Diego, 9500 Gilman Drive, San Diego, CA 92093, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arielle","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, San Diego, 9500 Gilman Drive, San Diego, CA 92093, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Broderick","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, San Diego, 9500 Gilman Drive, San Diego, CA 92093, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garth","family":"Jacobsen","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, San Diego, 9500 Gilman Drive, San Diego, CA 92093, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5319-8995","authenticated-orcid":false,"given":"Tania K.","family":"Morimoto","sequence":"additional","affiliation":[{"name":"Department of Mechanical and Aerospace Engineering University of California San Diego, 9500 Gilman Drive, San Diego, CA 92093, USA"},{"name":"Department of Surgery, University of California, San Diego, 9500 Gilman Drive, San Diego, CA 92093, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"219","published-online":{"date-parts":[[2020,3,10]]},"reference":[{"issue":"1","key":"S2424905X19420029BIB001","first-page":"89","volume":"5","author":"Walker Reynolds J.","year":"2001","journal-title":"J. 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