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Practicing the advanced laparoscopic skills (ALS) curriculum improved surgical trainees' suturing speed and accuracy in porcine models. This training enhances clinical performance for procedures like gastrojejunostomy and Nissen fundoplication.

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Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery
  • Surgical Skills Training

Background:

  • The advanced laparoscopic skills (ALS) curriculum was developed to enhance laparoscopic suturing proficiency in surgical trainees.
  • It comprises six distinct tasks with defined proficiency benchmarks, utilizing a standard laparoscopic box trainer.

Purpose of the Study:

  • To evaluate if dedicated practice on the ALS curriculum improves clinical suturing performance in surgical residents.
  • To assess the transferability of skills acquired through the ALS curriculum to complex surgical procedures.

Main Methods:

  • Surgery residents from four institutions participated, undergoing assessment before and after completing the ALS curriculum.
  • Performance on ALS tasks and porcine models (gastrojejunostomy and Nissen fundoplication) was video-recorded and scored by experts.
  • Paired t-tests and Pearson correlations were used to analyze changes in performance and skill transfer.

Main Results:

  • Residents demonstrated significant improvements in ALS task completion time and error rates after training (p < 0.05).
  • Performance on porcine gastrojejunostomy and Nissen fundoplication showed decreased times post-training, with Nissen fundoplication reaching statistical significance (p < 0.05).

Conclusions:

  • Dedicated practice using the ALS curriculum effectively reduces suturing time and errors in simulated clinical scenarios.
  • The ALS curriculum shows promise as a valuable tool for improving advanced laparoscopic surgical skills and clinical performance.