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Copyright 2014 Society of Photo-Optical Instrumentation Engineers. One print or electronic copy may be made for personal use only. Systematic reproduction and distribution, duplication of any material in this paper for a fee or for commercial purposes, or modification of the content of the paper are prohibited.Laparoscopic surgery is a difficult perceptual-motor task and effective and efficient training in the technique is\udimportant. Viewing previously recorded laparoscopic operations is a possible available training technique for surgeons\udto increase their knowledge of such minimal access surgery (MAS). It is not well known whether this is a useful\udtechnique, how effective it is or what effect it has on the surgeon watching the recorded video. As part of an on-going\udseries of studies into laparoscopic surgery, an experiment was conducted to examine whether surgical skill level has an\udeffect on the visual search behaviour of individuals of different surgical experience when they examine such imagery.\udMedically naive observers, medical students, junior surgeons and experienced surgeons viewed a laparoscopic recording\udof a recent operation. Initial examination of the recorded eye movement data indicated commonalities between all\udobservers, largely irrespective of surgical experience. This, it is argued, is due to visual search in this situation largely\udbeing driven by the dynamic nature of the images. The data were then examined in terms of surgical steps and also in\udterms of interventions when differences were found related to surgical experience. Consequently, it is argued that\udmonitoring the eye movements of trainee surgeons whilst they watch pre-recorded operations is a potential useful adjunct\udto existing training regimes

Laparoscopic surgical skills training: an investigation of the potential of using surgeons' visual search behaviour as a performance indicator