Abstract: Objective Laparoscopic basic skills can be learned in simulators as virtual-reality (VR) or box-trainers. However, there is no clear recommendation for either box or VR trainers as the most appropriate tool for the training of acquired laparoscopic basic skills for medical students. Methods Surgical novices without prior surgical experience (medical students, n =30). Both training tools were compared in the acquirement of basic skills. Participants completed either a box- or VR-trainer curriculum and then were asked to cut out a circle marked on a stretchable material. All groups were assessed after 1 week on both VR or box-trainers. Three main parameters were assessed, namely time, precision and accuracy. Results There were no significant differences in time, precision and accuracy in these two groups. Conclusions VR or box-trainers can both be used for simulation training for laparoscopic skills. The box-trainers has much more cost-effect than VR, and it could be applied in training for laparoscopic basic skills in primary level hospitals.

Key words: laparoscopic skills, surgical teaching, virtual reality, simbox trainer