Simulation in advanced laparoscopy with an entero-enteric anastomosis model
DOI:
https://doi.org/10.29193/RMU.36.2.7Keywords:
LAPAROSCOPY, SIMULATION, SURGICAL ANASTOMOSIS, BOWEL ANASTOMOSIS, INTESTINESAbstract
Background: there is a changing paradigm in surgical education, being laparoscopic training one of its major challenges. The objective of this study is to describe and evaluate our experience with a simulated laparoscopic small bowel anastomosis training model at a universitary surgical center.
Methods: a 4-week training program was conducted with participation of 3 general surgery residents. An ex vivo biological model in a box trainer was used to objectively evaluate a simulated entero-enterostomy.
Results: final procedure time was reduced an average of 15 minutes, with better outcomes according to OSATS scale.
Discussion: implementation of a modified, validated advanced laparoscopic skills training program showed positive results, taking only 4% of the weekly curricular schedule. The model has high fidelity, low cost and is easily reproducible.
Conclusions: simulated laparoscopic training is both mandatory and beneficial in surgical education.
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