title: Impact of Super Monkey Ball and Underground video games on basic and advanced laparoscopic skill training.
abstract: This abstract profiles the comparison of correlations between previously validated Super Monkey Ball (SMB) and recently introduced Underground (U) video game on the Nintendo Wii U to multiple validated tasks used for developing basic and advanced laparoscopic skills.
  
  
  
  Sixty-eight participants, 53 residents and 15 attending surgeons, performed the Top Gun Pea Drop, FLS Peg Pass, intracorporeal suturing, and two video games (SMB and U). SMB is an over-the-counter game, and U was formulated for laparoscopic skill training.
  
  
  
  Spearman's rank correlations were performed looking at performance comparing the three validated laparoscopic training tasks, and SMB/U. The SMB score had a moderate correlation with intracorporeal suturing (ρ = 0.39, p < 0.01), and the final score involving all three tasks (ρ = 0.39, p < 0.01), but low correlations with Pea Drop Drill and FLS Peg Transfer (ρ = 0.11, 0.18, p < 0.01). The U score had a small correlation with intracorporeal suturing and final score (ρ = 0.09, 0.13, p < 0.01). However, there were correlations between U score and Pea Drop Drill, and FLS Peg Transfer (ρ = 0.24, 0.27, p < 0.01, respectively).
  
  
  
  In this study, SMB had a very significant correlation with intracorporeal suturing. U demonstrated more of a correlation with basic skills. At this point, our conclusion would be that both are effective for laparoscopic skill training, and they should be used in tandem rather than alone.
authors.affiliation: Florida Hospital Celebration Health, 400 Celebration Place, Suite A140, Celebration, FL, 34747, USA. brosser1@mac.com.
authors.forename: James C
authors.initials: JC
authors.lastname: Rosser
authors.affiliation: University of Central Florida College of Medicine, 6850 Lake Nona Blvd, Orlando, FL, 32827, USA.
authors.forename: Xinwei
authors.initials: X
authors.lastname: Liu
authors.affiliation: University of Central Florida College of Medicine, 6850 Lake Nona Blvd, Orlando, FL, 32827, USA.
authors.forename: Charles
authors.initials: C
authors.lastname: Jacobs
authors.affiliation: University of Central Florida College of Medicine, 6850 Lake Nona Blvd, Orlando, FL, 32827, USA.
authors.forename: Katherine Mia
authors.initials: KM
authors.lastname: Choi
authors.affiliation: Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Maarten B
authors.initials: MB
authors.lastname: Jalink
authors.affiliation: Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.|Post Graduate School of Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Henk O
authors.initials: HO
authors.lastname: Ten Cate Hoedemaker
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards*; D003198:Computer Simulation; D005260:Female; D006801:Humans; D007396:Internship and Residency; D010535:Laparoscopy / Q000193:education* / Q000295:instrumentation / Q000592:standards; D008297:Male; D066231:Surgeons; D013536:Suture Techniques / Q000193:education* / Q000295:instrumentation / Q000592:standards; D014584:User-Computer Interface; D018910:Video Games
keywords: Intracorporeal suturing; Minimally invasive surgical skills; Video games