Impact of laparoscopic surgery training laboratory on surgeon's performance
Open Access
- 1 January 2016
- journal article
- review article
- Published by Baishideng Publishing Group Inc. in World Journal of Gastrointestinal Surgery
- Vol. 8 (11), 735-743
- https://doi.org/10.4240/wjgs.v8.i11.735
Abstract
Minimally invasive surgery has been replacing the open standard technique in several procedures. Similar or even better postoperative outcomes have been described in laparoscopic or robot-assisted procedures when compared to open surgery. Moreover, minimally invasive surgery has been providing less postoperative pain, shorter hospitalization, and thus a faster return to daily activities. However, the learning curve required to obtain laparoscopic expertise has been a barrier in laparoscopic spreading. Laparoscopic surgery training laboratory has been developed to aid surgeons to overcome the challenging learning curve. It may include tutorials, inanimate model skills training (box models and virtual reality simulators), animal laboratory, and operating room observation. Several different laparoscopic courses are available with specific characteristics and goals. Herein, we aim to describe the activities performed in a dry and animal-model training laboratory and to evaluate the impact of different kinds of laparoscopic surgery training courses on surgeon’s performance. Several tasks are performed in dry and animal laboratory to reproduce a real surgery. A short period of training can improve laparoscopic surgical skills, although most of times it is not enough to confer laparoscopic expertise for participants. Nevertheless, this short period of training is able to increase the laparoscopic practice of surgeons in their communities. Full laparoscopic training in medical residence or fellowship programs is the best way of stimulating laparoscopic dissemination.Keywords
This publication has 51 references indexed in Scilit:
- Comparación de destrezas en simulador de laparoscopia: imagen en 2D vs. 3DCirugía y Cirujanos, 2016
- Chicken and porcine models for training in laparoscopy and roboticsCurrent Opinion in Urology, 2015
- Matched pair analysis of laparoscopic versus open radical nephrectomy for the treatment of T3 renal cell carcinomaWorld Journal of Urology, 2014
- Minimally invasive surgery adoption into an established surgical practice: impact of a fellowship-trained colleagueSurgical Endoscopy, 2012
- Learning Basic Laparoscopic Skills: A Randomized Controlled Study Comparing Box Trainer, Virtual Reality Simulator, and Mental TrainingJournal of Surgical Education, 2012
- Intensive laparoscopic training course for surgical residents: program description, initial results, and requirementsSurgical Endoscopy, 2011
- Initial Laparoscopic Basic Skills Training Shortens the Learning Curve of Laparoscopic Suturing and Is Cost-EffectiveJournal of the American College of Surgeons, 2010
- Short-Term Impact of a Laparoscopic “Mini-Residency” Experience on Postgraduate Urologists’ Practice PatternsJournal of the American College of Surgeons, 2006
- Initial Impact of a Dedicated Postgraduate Laparoscopic Mini-Residency on Clinical Practice PatternsJournal of Endourology, 2005
- The effect of practice on performance in a laparoscopic simulatorSurgical Endoscopy, 1998