Impact of Left-Handed Tailored Endoscopic Mitral Simulation Training on Skill Acquisition for Left-handed Surgeons

NCT07533214 | Enrolling By Invitation

• 1 other identifier: 2024-0391
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Study Characteristics and Structure are as follows: All Left-handed cardiac surgeons and residents attending the 2024 EACTS annual meeting (october 2024) are invited to any of the 3-day 8-endoscopic sessions as part of this study trial. The Left-handed cardiac surgeons and residents may participte in any of the sessions which best fits their schedule. Time frame includes all three days of endoscopic simulation sessions as walk-ins according to the availability of each surgeon. The exclusion criteria will be experienced endoscopic left-handed surgeons who are already experts. Left-handed surgeons will be randomized to either the standard right-handed guided simulation training session or to a Left-handed tailored simulation session. Study Intervention: Left-handed surgeons and residents will be randomized to either a 2-hour Left-handed tailored-guided session (Group 1) or a standard right-handed guided 2-hour endoscopic simulation training session (Group 2). Setting: EACTS 2024 annual meeting (october 2024 - 3-day convention) Group 1 will be guided by a left-handed intructor using Left-handed endoscopic suture maps Group 2 will be guided by a right-handed intructor using Standard right-handed suture maps Pre-course tests will evaluate accuracy and time of endoscopic suture placement in comparison to post-course tests to assess improvements. Pre-session assessments will be carried out evaluating endoscopic suture placement accuracy and time to suture placement. These include:

1. 1.Time to suture placement under \<60 seconds
2. 2.Accuracy of suture placement considered to be between 2-8 mm
3. 3.Suture placement locations will be both Anterior and Posterior annular placements

Conditions

Cardiac Surgery; Training; Suture; Left-handed

Keywords

cardiac; left-hand; simulation

Outcome Measures

Primary Outcomes (2)

• Delta time difference of suture placement

  Final study evaluations and delta time comparisons will be performed to determine if Left-handed surgeons guided by left-handed surgeons outperform or at least fair better then when guided by right-handed instructors. Study Objectives: Determine if during endoscopic simulation training the pairing of LH surgeons with LH instructors will outperform LH surgeons guided by right-handed intructors. Determine whether LH surgeons guided by right-handed instructors on simulation training fair worse against Right-handed to right handed simulation training. We hypothesize that the pairing of same dexterity tailored training will improve endoscopic skill performance.

  From the randomisation (start of the training) to the end of two-hours training

• improvement in seconds taken to perform mitral suturing

  time duration it takes to successfully place mitral annular sutures on simulators

  this will be performed during a two hour course

Study Arms (2)

Left-handed surgeons with left-handed instructors

ACTIVE COMPARATOR

Determine if during endoscopic simulation training the pairing of LH surgeons with LH instructors will outperform LH surgeons guided by right-handed intructors.

Procedure: Endoscopic annular suture placement guided by left handed instructor

Left-handed surgeons with right-handed instructor

NO INTERVENTION

Determine whether LH surgeons guided by right-handed instructors on simulation training fair worse against Right-handed to right handed simulation training.

Interventions

Endoscopic annular suture placement guided by left handed instructor PROCEDURE

Endoscopic suture placement efficiency guided by left hamded instructors

Left-handed surgeons with left-handed instructors

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Left handed cardiac surgeons and residents

You may not qualify if:

• experienced endoscopic left handed surgeons

Sponsors & Collaborators

• Academisch Ziekenhuis Maastricht: lead

Study Sites (1)

EACTS ANNUAL MEETING AT Lisbon convention center

Portugal, Portugal

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Cardiothoracic Surgeon

Model Details: Left-handed surgeons trained by left -handed instructors

Study Record Dates

• First Submitted: October 2, 2024
• First Posted: April 16, 2026
• Study Start: October 9, 2024
• Primary Completion: October 12, 2025
• Study Completion (Estimated): October 12, 2026
• Last Updated: April 16, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

PT (1)