Marco La Torre1, Carlo Caruso. 1. Department of Experimental Surgery, Tecnopolo di Castel Romano, Rome, Italy. m.latorre@dipartimentobioscienze.it
Abstract
BACKGROUND AND AIM: Laparoscopic surgery is recognized as an established technique for several abdominal disorders. Aim of the present investigation was to assess the level of expertise of senior residents and to evaluate the role of the animal model on advanced laparoscopic training. METHODS: Overall, 60 residents underwent a training session on a porcine model under the guidance of experienced laparoscopic surgeons. Of these, 30 residents underwent a box-trainer preparation before starting the surgical procedure on the animal model, while a group of 20 repeated the course 3 months after the first session. Global Operative Assessment of Laparoscopic Skills (GOALS) was used to evaluate technical proficiency. RESULTS: Senior residents presented low mean scores for all the GOALS domains for both for the minor and major surgical procedure. The box-trainer led to an improvement in suturing skills (P<0.001). Comparison of the mean GOALS scores from the first to the second laparoscopic session demonstrated a significant improvement on the duration of the procedures (P<0.05), onset of major complications (P=0.01), need of the tutor (P=0.08), and confidence in treating intraoperative bleeding (P=0.01). CONCLUSIONS: National Resident Training Programs should take into consideration the present quality of training and attempt to develop alternative methods of training for laparoscopic surgery, such as, the animal model laboratory.
BACKGROUND AND AIM: Laparoscopic surgery is recognized as an established technique for several abdominal disorders. Aim of the present investigation was to assess the level of expertise of senior residents and to evaluate the role of the animal model on advanced laparoscopic training. METHODS: Overall, 60 residents underwent a training session on a porcine model under the guidance of experienced laparoscopic surgeons. Of these, 30 residents underwent a box-trainer preparation before starting the surgical procedure on the animal model, while a group of 20 repeated the course 3 months after the first session. Global Operative Assessment of Laparoscopic Skills (GOALS) was used to evaluate technical proficiency. RESULTS: Senior residents presented low mean scores for all the GOALS domains for both for the minor and major surgical procedure. The box-trainer led to an improvement in suturing skills (P<0.001). Comparison of the mean GOALS scores from the first to the second laparoscopic session demonstrated a significant improvement on the duration of the procedures (P<0.05), onset of major complications (P=0.01), need of the tutor (P=0.08), and confidence in treating intraoperative bleeding (P=0.01). CONCLUSIONS: National Resident Training Programs should take into consideration the present quality of training and attempt to develop alternative methods of training for laparoscopic surgery, such as, the animal model laboratory.
Authors: Ciro Esposito; Maria Escolino; Amulya Saxena; Philippe Montupet; Fabio Chiarenza; Juan De Agustin; Isabela Magdalena Draghici; Mariapina Cerulo; Mario Mendoza Sagaon; Vincenzo Di Benedetto; Piergiorgio Gamba; Alessandro Settimi; Azad Najmaldin Journal: Pediatr Surg Int Date: 2015-02-10 Impact factor: 1.827
Authors: Benjamin Eigl; Caroline Haslebacher; Philip C Muller; Andreas Andreou; Beat Gloor; Matthias Peterhans Journal: IEEE Open J Eng Med Biol Date: 2020-06-03
Authors: Péter Etlinger; Catarina Barroso; Alice Miranda; João Moreira Pinto; Ruben Lamas-Pinheiro; Hélder Ferreira; Pedro Leão; Tamás Kovács; László Juhász; László Sasi Szabó; András Farkas; Péter Vajda; Attila Kálmán; Tibor Géczi; Zsolt Simonka; Tamás Cserni; Miklós Nógrády; Gergely H Fodor; Andrea Szabó; Jorge Correia-Pinto Journal: Surg Endosc Date: 2021-05-17 Impact factor: 4.584