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Cir Esp. 2016 Feb;94(2):70-6. doi: 10.1016/j.ciresp.2015.10.005. Epub 2015 Nov 24.

Validation of a model of intensive training in digestive laparoscopic surgery.

[Article in English, Spanish]

Author information

  • 1Unidad de Laparoscopia, Centro de Cirugía de Mínima Invasión Jesús Usón, Cáceres, España. Electronic address: senciso@ccmijesususon.com.
  • 2Unidad de Laparoscopia, Centro de Cirugía de Mínima Invasión Jesús Usón, Cáceres, España.
  • 3Presidente de Honor, Centro de Cirugía de Mínima Invasión Jesús Usón, Cáceres, España.
  • 4Dirección Científica, Centro de Cirugía de Mínima Invasión Jesús Usón, Cáceres, España.

Abstract

INTRODUCTION:

Our objective was to assess a laparoscopic training model for general surgery residents.

METHODS:

Twelve general surgery residents carried out a training program, consisting of a theoretical session (one hour) and a hands-on session on simulator (7 h) and on animal model (13 h). For the first and last repetitions of simulator tasks and the Nissen fundoplication technique, time and scores from the global rating scale objective structured assessment of technical skills (OSATS) were registered. Before and after the course, participants performed 4 tasks on the virtual reality simulator LAPMentor™: 1) hand-eye coordination, 2) hand-hand coordination, 3) transference of objects and 4) cholecystectomy task, registering time and movement metrics. Moreover, the residents completed a questionnaire related to the training components on a 5-point rating scale.

RESULTS:

The last repetition of the tasks and the Nissen fundoplication technique were performed faster and with a higher OSATS score. After the course, the participants performed all LAPMentor™ tasks faster, increasing the speed of movements in all tasks. Number of movements decreased in tasks 2, 3 and 4; as well as path length in tasks 2 and 4. Training components were positively rated by residents, being the suture task the aspect best rated (4.90 ± 0.32).

CONCLUSIONS:

This training model in digestive laparoscopic surgery has demonstrated to be valid for the improvement of basic and advanced skills of general surgery residents. Intracorporeal suturing and the animal model were the best rated training elements.

Copyright © 2015 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.

KEYWORDS:

Assessment; Cirugía general; Cirugía laparoscópica; Evaluación; Formación; General surgery; Habilidades; Laparoscopy; Surgical skills; Training

PMID:
26620567
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