Training in Basic Laparoscopic Surgical Skills: Residents Opinion of the New Nintendo Wii-U Laparoscopic Simulator

J Surg Educ. 2017 Mar-Apr;74(2):352-359. doi: 10.1016/j.jsurg.2016.10.004. Epub 2016 Oct 25.


Objective: Serious games are new in the field of laparoscopic surgical training. We evaluate the residents׳ opinion of a new laparoscopic simulator for the Nintendo Wii-U platform.

Design: Prospective questionnaire study. Participants received a standardized introduction and completed level 3 and 4 of the game "Underground." They filled out a questionnaire concerning demographics and their opinion on realism, usefulness, suitability, haptic feedback, and home training-use of the game.

Setting: Two tertiary teaching hospitals.

Participants: Obstetrics and gynaecology residents postgraduate year 1 to 6 (n = 59) from several European countries.

Results: Subjects (n = 59) were divided into 2 groups based on laparoscopic experience: Group A (n = 38) and Group B (n = 21). The realism of different aspects of the game received mean scores around 3 on a 5-point Likert scale. The hand-eye coordination was regarded most useful for training with a mean of 3.92 (standard deviation 0.93) and the game was considered most suitable for residents in the first part of their postgraduate training with a mean of 3.73 (standard deviation 0.97). Both groups differed especially concerning their opinion of the usefulness of the game as a training tool.

Conclusions: Most residents liked the new serious game for the Nintendo Wii-U. The usefulness and suitability as a laparoscopic training tool were rated at an acceptable to high level. However, the game does require improvements such as inclusion of a good scoring system before it can be integrated in resident training curricula.

Keywords: Nintendo; Patient Care; Practice-Based Learning and Improvement; laparoscopy; serious game; simulation; training.

Publication types

  • Multicenter Study

MeSH terms

  • Clinical Competence*
  • Computer Simulation*
  • Education, Medical, Graduate / methods
  • Female
  • Gynecologic Surgical Procedures / education
  • Humans
  • Internship and Residency / methods*
  • Laparoscopy / education*
  • Male
  • Prospective Studies
  • Simulation Training*
  • Surveys and Questionnaires*
  • User-Computer Interface
  • Video Games