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Training program for transanal endoscopic microsurgery.

K Kipfmüller1, G Buess, M Naruhn

  • 1Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität, Mainz, Federal Republic of Germany.

Surgical Endoscopy
|January 1, 1988
PubMed
Summary
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This study introduces a video-supported training course for transanal endoscopic microsurgery. The innovative, multistage program effectively trains surgical skills using phantoms and animal models.

Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery
  • Gastroenterology

Background:

  • Televised endoscopy aids in teaching surgical endoscopic techniques.
  • Training dummies offer a novel method for developing manual dexterity and surgical skills.
  • Transanal endoscopic microsurgery (TEMS) requires specialized training.

Purpose of the Study:

  • To present a multistage, video-supported training course for transanal endoscopic microsurgery.
  • To detail a structured curriculum for acquiring TEMS proficiency.
  • To establish a reproducible training model for TEMS.

Main Methods:

  • Development of a one-day training system for TEMS.
  • Utilizing a four-step approach: technology familiarization, cloth phantom training, opened bowel training, and closed bovine bowel training.

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  • Incorporating didactic videotapes to demonstrate each training step.
  • Application of the developed technique in 116 patient operations.

    • Main Results:

    • The training course effectively introduces and supports the learning of transanal endoscopic microsurgery.
    • The multistage, video-supported method provides a comprehensive approach to skill acquisition.
    • Successful application of the technique in a significant patient cohort (116 patients).

    Conclusions:

    • The presented video-supported training course is an effective method for teaching transanal endoscopic microsurgery.
    • Intensive, structured training is crucial for mastering TEMS and other microsurgical techniques.
    • This training model facilitates the development of essential manual dexterity and surgical skills for TEMS.