Laparoscopic Skills Training and Testing method
LASTT is a validated practical test to measure the competence level of an individual in basic laparoscopic psychomotor skills in the specific uterine environment: camera handling, hand-eye coordination and bi-manual coordination.
It uses the LASTT model, representing the spatial distribution and orientation of the different planes and angles of a female pelvis, which is placed in a pelvic trainer.
Exercise 1: Camera Handling
The aim of the first exercise is to navigate the camera with the 30° optic to visualise all important areas of the pelvis.
- Start your search by locating the first position "1a"
- Zoom in to position the target circle on the small character so that it is fully shown and readable
- Only proceed when your partner can read the small character
- Search and locate the corresponding capital character (A)
- Continue this sequence until you reach the last position with small character ‘end’
Exercise 2: Hand-eye Coordination
The aim of the second exercise is to evaluate the ability to navigate the camera with the non-dominant hand and to handle a forceps with the dominant hand.
- Position one corresponding coloured ring on each nail
- If you drop an object, you can use the second ring or you may re-grasp, as long as you can find the object within the endoscopic boundaries
Exercise 3: Bi-manual Coordination
The aim of the third exercise is to evaluate the ability to handle two forceps simultaneously with the dominant hand and the non-dominant hand.
- Position one coloured pin in each corresponding circle
- Grasp plastic part of the pin with non-dominant hand and lift pin up
- While elevated, pass the pin to the dominant hand by grasping the metal part of the pin
- Place the pin in the corresponding coloured circle and repeat for all colours
- If the pin is dropped, use the second pin