Surgical resident training program in minimally invasive surgery experimental laboratory (CENDOS)
2009
Abstract Introduction The rapid development of laparoscopic surgery makes resident training programmes necessary. Objective To analyse the results of a structured programme of laparoscopic training in an experimental laboratory. Material and method From 2003 until 2007, we trained 11 general surgery residents for 20 h every 3 months, for 3 years. The practice consisted of suture and anastomosis in Endo- Trainer with animal organs, as well as laparoscopic techniques in live animals. In the Endo-Trainer practice we evaluated the time and quality of anastomosis performance. In laparoscopic techniques (cholecystectomy and anti-reflux surgery) a task table was evaluated, from 0 (no errors) to 100 (severe lesion). Results In total, 314 anastomosis were performed by the 11 residents, with a median of 28.5 per resident (24–42). The mean time for the first gastro-jejunal anastomosis was 135 min (100–140) and 65 min (57.5–105) for the first jejunal-jejunal anastomosis. Maximum learning was achieved after 45 training hours. There were no appreciable differences between both types of anastomosis. There was inadequate anastomosis quality due to leakage in 17.1% during the learning period and 13.7% during the consolidation period. In the animal, 172 procedures were performed. In cholecystectomy and anti-reflux surgery the mean scores were 2.4 and 5.6 points, respectively. In the remaining procedures, subjectively evaluated by the monitors, the quality was adequate in 65%, deficient in 22% and highly deficient in 13%. Conclusions This structured programme of laparoscopic skills based on intestinal anastomosis allows for quicker resident training.
Keywords:
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
20
References
3
Citations
NaN
KQI