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Objective improvement with coronary anastomosis simulation training: meta-analysis.

Marliza O'Dwyer1, Cristina A Fleming2, Shane Ahern1

  • 1Department of Cardiothoracic Surgery, Cork University Hospital, Cork, Ireland.

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Simulation training significantly improves coronary anastomosis skills and efficiency for surgeons. Novice surgeons show greater time improvements compared to senior surgeons with simulation-based learning.

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Area of Science:

  • Cardiovascular Surgery
  • Medical Simulation
  • Surgical Education

Background:

  • Coronary artery anastomosis is crucial for patient safety and outcomes.
  • Effective training and assessment are essential for surgical proficiency.

Purpose of the Study:

  • To systematically review and meta-analyze the impact of simulation on coronary anastomosis proficiency.
  • To assess improvements in time taken and skill scores.

Main Methods:

  • Systematic review and meta-analysis following PRISMA guidelines.
  • Searched PubMed, Embase, and Cochrane databases.
  • Included studies with objective pre- and post-simulation measurements.

Main Results:

  • Simulation training improved skill scores (SMD 1.68) and reduced time (MD 205.9s) compared to no training.
  • Novice surgeons experienced greater time improvements (293s) than senior surgeons (120s).
  • Simulator fidelity did not significantly affect improvement rates.

Conclusions:

  • Simulation-based training enhances coronary anastomosis efficiency and performance.
  • Further research is needed to define optimal progression from simulation to live operating.