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Effectiveness of basic endoscopic surgical skill training for pediatric surgeons.

Satoshi Ieiri1, Takanori Nakatsuji, Mayumi Higashi

  • 1Department of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. satoshi@med.kyushu-u.ac.jp

Pediatric Surgery International
|July 16, 2010
PubMed
Summary

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Basic endoscopic surgery training improved pediatric surgeons' skills to match general surgeons. However, the training increased errors, necessitating program modification for safer, precise techniques.

Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery
  • Pediatric Surgery

Background:

  • Pediatric surgeons often have limited experience in endoscopic surgery compared to general surgeons.
  • Developing advanced endoscopic skills is crucial for pediatric surgeons.

Purpose of the Study:

  • To assess the effectiveness of a basic endoscopic surgery training program for less-experienced pediatric surgeons.
  • To compare the endoscopic skills of pediatric surgeons with those of general surgeons post-training.

Main Methods:

  • A 2-day endoscopic skill training program involving lectures, VR, and tissue-based simulations.
  • Trainees included pediatric surgeons (P, n=33) and general surgeons (G, n=444).
  • Skill assessment focused on continuous suturing performance before and after training.

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Main Results:

  • Pediatric surgeons showed significant improvement in completed sutures after training, nearing general surgeons' levels.
  • Despite skill enhancement, the number of errors increased post-training for pediatric surgeons.
  • Forceps economy and speed improved, but overall error rates rose.

Conclusions:

  • The training program effectively enhanced pediatric surgeons' skills to a level comparable to general surgeons.
  • A critical need exists to modify the training to reduce post-training errors.
  • Program adjustments are required to ensure pediatric surgeons master safe and precise endoscopic techniques.