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Step By Step: Microsurgical training method combining two nonliving animal models
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Remote cadaveric minimally invasive surgical training.

Go Miyano1, Makoto Takahashi2, Takamasa Suzuki1

  • 1Pediatric Surgery, Juntendo University Urayasu Hospital, Chiba, Japan.

Frontiers in Pediatrics
|October 25, 2023
PubMed
Summary

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Live vs. remote cadaver surgical training (CST) for minimally invasive surgery (MIS) showed comparable improvements in surgical skills. Remote learning is a viable option when resources are limited, offering equivalent training outcomes to live observation.

Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery (MIS)
  • Cadaveric Training

Background:

  • Cadaver surgical training (CST) is crucial for developing surgical skills in minimally invasive surgery (MIS).
  • Evaluating the efficacy of live versus remote CST is essential for optimizing surgical education strategies.

Purpose of the Study:

  • To compare the effectiveness of live versus remote cadaver surgical training (CST) for minimally invasive surgery (MIS) skills.
  • To assess trainee confidence in various surgical aspects after participating in different CST modalities.

Main Methods:

  • Thirty surgical interns were divided into three groups: live observers (n=12), live participants (n=6), and remote observers (n=12).
  • Trainees underwent CST for laparoscopic lower anterior resection and fundoplication, with assessments via pre- and post-training questionnaires.
Keywords:
cadaver surgical traininggeneral surgeryminimally invasive surgerypediatric surgeryremote education

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  • Questionnaires evaluated confidence in operating room design, surgical field access, anatomy, dissection, troubleshooting, and planning.

    • Main Results:

    • All groups demonstrated significant improvements in surgical skill confidence post-CST.
    • Live participants showed significantly greater improvements in 'field' and 'dissection' compared to live observers.
    • Remote observers found interaction with surgical teams easy due to not being on-site, with 83.3% reporting positive experiences.

    Conclusions:

    • Both live and remote CST modalities lead to equivalent improvements in surgical skills and confidence.
    • Remote surgical training presents a viable alternative, particularly when resources are constrained.
    • Subjective responses indicated a preference for hands-on experience, yet remote training outcomes were comparable.