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The animal model in advanced laparoscopy resident training
1Department of Experimental Surgery, Tecnopolo di Castel Romano, Rome, Italy. m.latorre@dipartimentobioscienze.it
Summary
Senior residents showed low proficiency in advanced laparoscopic surgery. Training with a porcine model, especially with prior box-trainer practice, significantly improved skills like suturing and managing complications.
Area of Science:
- Surgical Education
- Minimally Invasive Surgery
Background:
- Laparoscopic surgery is a standard treatment for various abdominal conditions.
- Assessing resident expertise and the impact of animal models on advanced laparoscopic training is crucial.
Purpose of the Study:
- To evaluate the laparoscopic skill level of senior surgical residents.
- To determine the effectiveness of an animal model in advanced laparoscopic training.
Main Methods:
- Sixty residents participated in a porcine model training session.
- One group received box-trainer preparation before the animal model; another group repeated the course.
- Technical proficiency was assessed using the Global Operative Assessment of Laparoscopic Skills (GOALS) scale.
Main Results:
- Residents initially scored low on all GOALS domains for both minor and major procedures.
- Box-trainer use significantly improved suturing skills (P<0.001).
- Repeat sessions showed significant improvements in procedure duration, complication rates, tutor reliance, and bleeding management confidence.
Conclusions:
- Current resident training programs may require enhancement.
- Animal model laboratories show promise as an effective method for advanced laparoscopic surgical training.
