OBJECTIVE: To evaluate the efficiency of training for advanced minimally-invasive surgery in rats. SETTING: Teaching hospital, Germany. SUBJECTS: 10 surgical residents with few laparoscopic training skills had two days laparoscopic microsurgical training using rats. INTERVENTIONS: Increasingly difficult procedures started using a rubber model, followed by 'open' and 'closed' rat models simulating laparoscopic conditions. MAIN OUTCOME MEASURES: The surgical skills of all participants were assessed before and after the laparoscopic training course by applying 5 defined tasks in a simulation trainer. As a control group, 8 surgical residents with the same amount of minimal-invasive training were tested after a 2-day interval. RESULTS: All participants of the laparoscopic training programme significantly improved their surgical skills for all 5 tasks (p < 0.05). In the control group only one of the 5 tasks was significantly improved after repetition. Participants of the complete training programme consistently improved their surgical skills significantly compared with the controls before and after repetition (p < 0.05). CONCLUSION: Surgical training in minimal-invasive techniques in the rat model is effective and reproducible especially to improve laparoscopic skills such as bimanual tissue handling, knot tying and microsurgical suturing.
OBJECTIVE: To evaluate the efficiency of training for advanced minimally-invasive surgery in rats. SETTING: Teaching hospital, Germany. SUBJECTS: 10 surgical residents with few laparoscopic training skills had two days laparoscopic microsurgical training using rats. INTERVENTIONS: Increasingly difficult procedures started using a rubber model, followed by 'open' and 'closed' rat models simulating laparoscopic conditions. MAIN OUTCOME MEASURES: The surgical skills of all participants were assessed before and after the laparoscopic training course by applying 5 defined tasks in a simulation trainer. As a control group, 8 surgical residents with the same amount of minimal-invasive training were tested after a 2-day interval. RESULTS: All participants of the laparoscopic training programme significantly improved their surgical skills for all 5 tasks (p < 0.05). In the control group only one of the 5 tasks was significantly improved after repetition. Participants of the complete training programme consistently improved their surgical skills significantly compared with the controls before and after repetition (p < 0.05). CONCLUSION: Surgical training in minimal-invasive techniques in the rat model is effective and reproducible especially to improve laparoscopic skills such as bimanual tissue handling, knot tying and microsurgical suturing.
Authors: Arturo Minor Martínez; José Luis Limón Aguilar; Ricardo Ordorica Flores; José Luis Ortiz Simón; Alejandro García Pérez Journal: Surg Endosc Date: 2009-12-24 Impact factor: 4.584
Authors: Karl-Friedrich Kowalewski; Andreas Minassian; Jonathan David Hendrie; Laura Benner; Anas Amin Preukschas; Hannes Götz Kenngott; Lars Fischer; Beat P Müller-Stich; Felix Nickel Journal: Surg Endosc Date: 2018-09-07 Impact factor: 4.584
Authors: Idoia Díaz-Güemes Martín-Portugués; Laura Hernández-Hurtado; Jesús Usón-Casaús; Miguel Angel Sánchez-Hurtado; Francisco Miguel Sánchez-Margallo Journal: Int J Med Sci Date: 2013-06-21 Impact factor: 3.738
Authors: Felix Nickel; Felix Jede; Andreas Minassian; Matthias Gondan; Jonathan D Hendrie; Tobias Gehrig; Georg R Linke; Martina Kadmon; Lars Fischer; Beat P Müller-Stich Journal: Trials Date: 2014-04-23 Impact factor: 2.279