medigraphic.com
SPANISH

Revista Mexicana de Cirugía Endoscópica

ISSN 1665-2576 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2012, Number 3

<< Back Next >>

Rev Mex Cir Endoscop 2012; 13 (3)

Feasibility, reliability and validity of training in simulators and the developement of skills for single-port laparoscopic surgery

Valadez-Caballero D, Decanini TCÓ, Chousleb KA, Enríquez GJA, Ramírez MF, González RV
Full text How to cite this article

Language: Spanish
References: 24
Page: 133-138
PDF size: 66.07 Kb.


Key words:

raining, surgery, endoscopic, validity, reliability, simulators.

ABSTRACT

Background: Because the simulator training requires both investments in equipment and in training time, it is necessary that they prove useful in the development of skills. Hence, currently based training simulators for laparoscopic surgery is focused on building feasibility, reliability and validity to transfer the skills to clinical practice. Methods: Experimental, longitudinal, prospective and comparative study. We identified four key skills in single port laparoscopic surgery and developed four exercises in simulators. Evaluations were made for 15 training sessions, clocking the time to perform properly each exercise and penalized for every error made. Results: 15 surgeons were evaluated. We observed a meaningful reduction in the score through the practice sessions and with highly significant differences and a p-value ‹ 0.0001. It can be seen that the dispersion of scores decreases with the decreasing execution time of each exercise. Conclusion: This technology appears to be appropriate to ensure skills development in single port laparoscopic surgery through a low cost device that allows the use of multiple instruments through a single incision.


REFERENCES

  1. Tang B, Hanna GB, Cuschieri A. Analysis of errors enacted by surgical trainees during skills training courses. Surgery 2005; 138: 14-19.

  2. Reznick RK, MacRae H. Teaching surgical skills-changes in the wind. N Engl J Med 2006; 355: 2664-2669.

  3. Feldman LS, Hagarty SE, Ghitulescu G, Stanbridge D, Fried GM. Relationship between objective assessment of technical skills and subjective in-training evaluations in surgical residents. J Am Coll Surg 2004; 198: 105-110.

  4. Jeong BC, Park YH, Han DH, Kin HH. Laparoendoscopic single-site and conventional laparoscopic adrenalectomy: a matched case-control study. J Endourol 2009; 23: 1957-60.

  5. Schwaitzberg SD, Kochman ML, Hawes RH, Rattner DW. Natural orifice translumenal endoscopic surgery (NOTES): is it time for introduction to clinical practice? Surgery 2009; 146: 841-42.

  6. Chang YT et al. Technical refinements in single-port laparoendoscopic surgery of inguinal hernia in infants and children. Diag Ther Endosc 2010: 1-6.

  7. Moreno SC, Noguero AJ, Herrero BM, Madandeira RA, García LC, Tadeo RG, Cuadrado GA, Picazo YJ. Cirugía laparoscópica a través de incisión única. Cir Esp 2010; 88: 12-17.

  8. Gutt CN, Muller BP, Reiter MA. Success and complication parameters for laparoscopic surgery: a benchmark for natural orifice transluminal endoscopic surgery. Endoscopy 2009; 41: 36-41.

  9. Gill IS, Advicncula AP, Aron M, Caddedu J, Canes D, Curcillo PG et al. Consensus statement of the consortium for laparoendoscopic single-site surgery. Surg Endosc 2009; doi:101007/s00464-009-0688-8.

  10. Romenelli JR, Mark I, Omotosho PA. Single port laparoendoscopic cholecystectomy with the triport system: a case report. Surg Innov 2008; 15: 223-8.

  11. Philipp SR, Miedema BW, Thaler K. Single-incision laparoscopic cholecystectomy using conventional instruments: early experience in comparison with the gold standard. J Am Coll Surg 2009; 209: 632-7.

  12. Hernández JM, Morton CA, Ross S, Albrink M, Rosemurgy AS. Laparoendoscopic single-site cholecystectomy: the first 100 patients. Ann Surg 2009; 75: 681-5.

  13. Tsimoyiannis CE, Tsimoyiannis EK, Pappas-Gongos G, Farantos C, Benatatos N, Mavridou P, Manaaki A. Different pian scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trail. 2010; 24: 1842-1848.

  14. Rattner D, Kalloo A. ASGE/SAGES working group on natural orifice translumenal endoscopic surgery. Surg Endosc 2006; 20: 329-333.

  15. Pryor DA, Tushar JR, Dibernardo RL. Single-port cholecystectomy with the TransEnterix SPIDER: single and safe. Surg Endosc 2010; 24: 917-923.

  16. Vassiliou MC, Feldman LS, Andrew CG et al. A global assessment tool for evaluation of intraoperative laparoscopic skills. Am J Surg 2005; 190: 107-13.

  17. Fried GM, Feldman LS, Vassiliou MC, Fraser SA, Stanbridge D, Ghitulescu G, Andrew C. Proving the value of simulation in laparoscopic surgery. Ann Surg 2004; 40: 518-521.

  18. McCluney AL, Vassiliou MC, Kaneva PA, Cao J, Stanbridge D, Feldman LS, Fried GM. FLS simulator performance predicts intraoperative laparoscopic skills. Surg Endosc 2007; 21: 1991-1995.

  19. Satava RM, Cuschieri A, Hamdorf J. Metrics for objective assessment. Surg Endosc 2003; 17: 220-6.

  20. Jara RJ, Subira RD. Ethics and training in laparoscopic surgery. Actas Urol Esp 2006; 30: 474-8.

  21. Peters JH, Fried GM, Swanstrom LL, Soper NJ, Siili LF, Schirmer B, Hoffman K, Sages FLS, Commitee. Development and validation of comprehensive program of education and assessment of basic fundamentals of laparoscopic surgery. Surgery 2004; 135: 21-27.

  22. Adrales GL, Chu UB, Witzke DB et al. Evaluation minimally invasive surgery training using low-cost mechanical simulations. Surg Endosc 2003; 17: 580-585.

  23. Youngblood LP, Srivastava S, Curet M, Heinrichs WL, Parvati D, Wren MS. Comparison of training on two laparoscopic simulators and assessment of skills transfer to surgical performance. J Am Coll Surg 2005; 200: 546-551.

  24. Komdorffer JR, Scott DJ, Sierra R, Brunner CW, Dunne JB, Slakey PD, Townsend CM, Hewitt LR. Development and testing competency levels for laparoscopic skills training. Arch Surg 2005; 140: 80-85.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Cir Endoscop. 2012;13