BACKGROUND: Because of the learning curve required to master laparoscopic procedures, there is a growing concern that patient safety may be compromised due to technical errors by a novice surgeon. We evaluated the effect of videotape debriefing on the performance of a complex laparoscopic procedure. METHODS: Twenty-four surgical residents performed a laparoscopic jejunojejunal anastomosis under the supervision of a single laparoscopic surgeon. All procedures were videotaped. Half of the residents underwent video debriefing. Videotapes were analyzed for knot-tying time, anastomotic time, and frequency of minor technical errors and adverse events. The performance of the debriefed group was compared with a non-debriefed group. RESULTS: Knot-tying time, minor errors, and anastomotic time were similar between the debriefed and non-debriefed groups. However, adverse events from technical errors were more frequent in the non-debriefed group (chi2 = 7.647, P = .006). CONCLUSIONS: Postoperative video debriefing is an effective educational tool for reducing adverse events during a complex laparoscopic procedure.
BACKGROUND: Because of the learning curve required to master laparoscopic procedures, there is a growing concern that patient safety may be compromised due to technical errors by a novice surgeon. We evaluated the effect of videotape debriefing on the performance of a complex laparoscopic procedure. METHODS: Twenty-four surgical residents performed a laparoscopic jejunojejunal anastomosis under the supervision of a single laparoscopic surgeon. All procedures were videotaped. Half of the residents underwent video debriefing. Videotapes were analyzed for knot-tying time, anastomotic time, and frequency of minor technical errors and adverse events. The performance of the debriefed group was compared with a non-debriefed group. RESULTS: Knot-tying time, minor errors, and anastomotic time were similar between the debriefed and non-debriefed groups. However, adverse events from technical errors were more frequent in the non-debriefed group (chi2 = 7.647, P = .006). CONCLUSIONS: Postoperative video debriefing is an effective educational tool for reducing adverse events during a complex laparoscopic procedure.
Authors: Ali O Malik; Brahmajee K Nallamothu; Brad Trumpower; Marci Kennedy; Sarah L Krein; Khaja M Chinnakondepalli; Vittal Hejjaji; Paul S Chan Journal: Circ Cardiovasc Qual Outcomes Date: 2020-11-17
Authors: Gabriel E Herrera-Almario; Katherine Kirk; Veronica T Guerrero; Kwonho Jeong; Sara Kim; Giselle G Hamad Journal: Am J Surg Date: 2015-10-17 Impact factor: 2.565
Authors: Jose Carlos Manuel-Palazuelos; María Riaño-Molleda; José Luis Ruiz-Gómez; Jose Ignacio Martín-Parra; Carlos Redondo-Figuero; José María Maestre Journal: Adv Simul (Lond) Date: 2016-05-25