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Structured Training for Laparoscopic Appendectomy for Residents (STAR Trial)-A Randomized Pilot Study.

Ning Qi Pang1, Hui Wen Chua2, Guowei Kim1

  • 1Department of Surgery, National University Health System, Singapore.

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|August 16, 2021
PubMed
Summary

A structured training program did not significantly improve laparoscopic appendectomy skills for junior surgical residents in this pilot study. While not statistically significant, the training may help residents progress in minimally invasive surgery earlier.

Keywords:
Laparoscopic appendectomyStructured training program

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Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery
  • Surgical Skills Assessment

Background:

  • Laparoscopic appendectomy is a common procedure often performed by junior surgical residents.
  • Acquiring proficiency in laparoscopic surgery is crucial for resident development.
  • The effectiveness of structured training programs for these skills requires investigation.

Purpose of the Study:

  • To evaluate the impact of a structured training program on junior residents' proficiency in laparoscopic appendectomy.
  • To assess the effect of the training on surgical performance and perioperative outcomes.

Main Methods:

  • A randomized pilot trial involving twenty junior surgical residents.
  • 11 residents received a structured, supervised, task-specific training program.
  • Performance was assessed using the GOALS scale and perioperative outcomes over ten laparoscopic appendectomy cases.

Main Results:

  • No statistically significant differences were observed in the GOALS scores between the training and control groups.
  • Perioperative outcomes, including blood loss, hospital stay, and complication rates, were similar between groups.
  • A trend towards shorter operative time was noted in the intervention group, but did not reach statistical significance.

Conclusions:

  • The structured training program did not significantly enhance surgical performance or outcomes for laparoscopic appendectomy in this pilot study.
  • Such programs may still facilitate earlier learning curves in laparoscopy within a safe training environment.
  • This is particularly relevant given the increasing prevalence of minimally invasive surgery.