J P Byrne1, M M Mughal. 1. Department of General Surgery, Chorley and South Ribble NHS Trust, Preston Road, Chorley, Lancashire, PR7 1PP England.
Abstract
BACKGROUND: We set out to assess telementoring as a training adjunct and an objective means of assessing competence in laparoscopic cholecystectomy (LC). METHODS: Consecutive patients underwent LC performed by a higher surgical trainee (HST). The laparoscopic image was relayed to an adjoining theater, where the trainer observed as he operated during a parallel operating list. Interaction occurred between trainer and trainee as appropriate; and interaction, procedure difficulty, and duration were recorded. RESULTS: LC was accomplished in 33 of 34 patients, with one (2.9%) open conversion and one (2.9%) postoperative bile collection. In 21 cases (69%), there was no interaction; in 11 cases (32.4%), there was verbal interaction; and in two cases (5.9%), the trainer scrubbed. Interaction rates for difficulty grades 1, 2, and 3 were 15% (2/13), 41.2% (7/17), and 50% (2/4), with median operating times of 35, 45, and 92 min, respectively. CONCLUSIONS: Telementoring in LC is feasible, appears to be safe, and may generate objective assessment of a trainee's performance and progress. Evaluation of this technique in a cohort of trainees at different stages is now required.
BACKGROUND: We set out to assess telementoring as a training adjunct and an objective means of assessing competence in laparoscopic cholecystectomy (LC). METHODS: Consecutive patients underwent LC performed by a higher surgical trainee (HST). The laparoscopic image was relayed to an adjoining theater, where the trainer observed as he operated during a parallel operating list. Interaction occurred between trainer and trainee as appropriate; and interaction, procedure difficulty, and duration were recorded. RESULTS: LC was accomplished in 33 of 34 patients, with one (2.9%) open conversion and one (2.9%) postoperative bile collection. In 21 cases (69%), there was no interaction; in 11 cases (32.4%), there was verbal interaction; and in two cases (5.9%), the trainer scrubbed. Interaction rates for difficulty grades 1, 2, and 3 were 15% (2/13), 41.2% (7/17), and 50% (2/4), with median operating times of 35, 45, and 92 min, respectively. CONCLUSIONS:Telementoring in LC is feasible, appears to be safe, and may generate objective assessment of a trainee's performance and progress. Evaluation of this technique in a cohort of trainees at different stages is now required.
Authors: Stavros A Antoniou; George A Antoniou; Jan Franzen; Stefan Bollmann; Oliver O Koch; Rudolf Pointner; Frank A Granderath Journal: Surg Endosc Date: 2012-02-15 Impact factor: 4.584
Authors: I-Hsuan Alan Chen; Ahmed Ghazi; Ashwin Sridhar; Danail Stoyanov; Mark Slack; John D Kelly; Justin W Collins Journal: World J Urol Date: 2020-11-06 Impact factor: 4.226
Authors: Justin W Collins; Ahmed Ghazi; Danail Stoyanov; Andrew Hung; Mark Coleman; Tom Cecil; Anders Ericsson; Mehran Anvari; Yulun Wang; Yanick Beaulieu; Nadine Haram; Ashwin Sridhar; Jacques Marescaux; Michele Diana; Hani J Marcus; Jeffrey Levy; Prokar Dasgupta; Dimitrios Stefanidis; Martin Martino; Richard Feins; Vipul Patel; Mark Slack; Richard M Satava; John D Kelly Journal: Eur Urol Open Sci Date: 2020-11-06