Takahiro Jimbo1,2, Satoshi Ieiri3,4, Satoshi Obata1, Munenori Uemura5, Ryota Souzaki1,5, Noriyuki Matsuoka6, Tamotsu Katayama6, Kouji Masumoto2, Makoto Hashizume5, Tomoaki Taguchi1. 1. Department of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan. 2. Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan. 3. Department of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan. satoshi@med.kyushu-u.ac.jp. 4. Department of Advanced Medicine and Innovative Technology, Kyushu University Hospital, Fukuoka, Japan. satoshi@med.kyushu-u.ac.jp. 5. Department of Advanced Medicine and Innovative Technology, Kyushu University Hospital, Fukuoka, Japan. 6. Kyoto Kagaku Co., Ltd., Kyoto, Japan.
Abstract
PURPOSE: Pediatric surgeons require highly advanced skills when performing endoscopic surgery; however, their experience is often limited in comparison to general surgeons. The aim of this study was to evaluate the effectiveness of endoscopic surgery training for less-experienced pediatric surgeons and then compare their skills before and after training. METHODS: Young pediatric surgeons (n = 7) who participated in this study underwent a 2-day endoscopic skill training program, consisting of lectures, box training and live tissue training. The trainees performed the Nissen construction tasks before and after training using our objective evaluation system. A statistical analysis was conducted using the two-tailed paired Student's t tests. RESULTS: The time for task was 984 ± 220 s before training and 645 ± 92.8 s after training (p < 0.05). The total path length of both forceps was 37855 ± 10586 mm before training and 22582 ± 3045 mm after training (p < 0.05). The average velocity of both forceps was 26.1 ± 3.68 mm/s before training and 22.9 ± 2.47 mm/sec after training (p < 0.1). The right and left balance of suturing was improved after training (p < 0.05). CONCLUSION: Pediatric surgery trainees improved their surgical skills after receiving short-term training. We demonstrated the effectiveness of our training program, which utilized a new laparoscopic fundoplication simulator.
PURPOSE: Pediatric surgeons require highly advanced skills when performing endoscopic surgery; however, their experience is often limited in comparison to general surgeons. The aim of this study was to evaluate the effectiveness of endoscopic surgery training for less-experienced pediatric surgeons and then compare their skills before and after training. METHODS: Young pediatric surgeons (n = 7) who participated in this study underwent a 2-day endoscopic skill training program, consisting of lectures, box training and live tissue training. The trainees performed the Nissen construction tasks before and after training using our objective evaluation system. A statistical analysis was conducted using the two-tailed paired Student's t tests. RESULTS: The time for task was 984 ± 220 s before training and 645 ± 92.8 s after training (p < 0.05). The total path length of both forceps was 37855 ± 10586 mm before training and 22582 ± 3045 mm after training (p < 0.05). The average velocity of both forceps was 26.1 ± 3.68 mm/s before training and 22.9 ± 2.47 mm/sec after training (p < 0.1). The right and left balance of suturing was improved after training (p < 0.05). CONCLUSION: Pediatric surgery trainees improved their surgical skills after receiving short-term training. We demonstrated the effectiveness of our training program, which utilized a new laparoscopic fundoplication simulator.
Keywords:
Endoscopic surgery; Fundoplication model; Pediatric surgeon; Short-term training
Authors: K Tanoue; S Ieiri; K Konishi; T Yasunaga; K Okazaki; S Yamaguchi; D Yoshida; Y Kakeji; M Hashizume Journal: Surg Endosc Date: 2007-08-19 Impact factor: 4.584