Effectiveness of learning advanced laparoscopic skills in a brief intensive laparoscopy training program

Area of Science:

• Surgical Education
• Minimally Invasive Surgery
• Laparoscopic Techniques

Background:

• Limitations in access to simulation centers necessitate alternative training methods.
• Intensive training programs offer a solution for acquiring advanced laparoscopic skills.
• Validated teaching techniques are crucial for effective surgical skill development.

Purpose of the Study:

• To evaluate the effectiveness of an intensive advanced laparoscopy course.
• To identify factors associated with skill improvement in participants.
• To assess the impact of validated teaching techniques on surgical performance.

Main Methods:

• 114 general surgeons and residents participated in a 5-session intensive advanced laparoscopy course.
• Technical skills were assessed using Objective Structured Assessment of Technical Skill (OSATS) and operative time (OT) before and after training.
• Participants were grouped based on improvements in OSATS and OT to analyze demographic factors.

Main Results:

• Significant improvements were observed in operative time (37 to 24.6 min) and OSATS scores (global and specific ratings) post-course (p < 0.001).
• The success rate for jejunojejunal anastomosis improved from 61% to 92% (p < 0.01).
• Younger participants with less surgical experience, particularly residents, showed the most significant improvements (Group C).

Conclusions:

• The intensive course provides a viable, time-efficient method for teaching advanced laparoscopic skills.
• This program is particularly beneficial for surgeons with limited access to traditional training centers.
• Further research is needed to define the ideal participant profile for maximizing course benefits.