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Assessing Surgeons' Attitude to Teaching Intra-Corporeal Anastomosis
Meet Patel1,2, Zainab Naseem1,3, Christopher J Young1,4
1Faculty of Medicine and Health, the University of Sydney, Camperdown, Australia.
Summary
Extra-corporeal anastomosis (ECA) is preferred for teaching colorectal surgery trainees initially. Simulation-based training can aid intra-corporeal anastomosis (ICA) adoption, but a multimodal approach is needed for widespread use.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Procedures
- Surgical Education
Background:
- A debate exists regarding intra-corporeal anastomosis (ICA) versus extra-corporeal anastomosis (ECA) in minimally invasive colorectal surgery.
- While ICA offers short-term benefits, particularly in right hemicolectomy, it presents greater operative challenges.
- Understanding current attitudes towards teaching ICA is crucial for surgical training advancement.
Purpose of the Study:
- To assess surgeons' attitudes towards teaching intra-corporeal anastomosis (ICA) in colorectal procedures.
- To explore how these attitudes differ across surgical subspecialties.
- To evaluate the perceived role of simulation-based training in promoting ICA adoption.
Main Methods:
- A voluntary, unincentivized survey was distributed to active members of General Surgeons Australia.
- Participants provided demographic data and rated their agreement with simulation-based training for ICA adoption using a Likert scale.
- Descriptive statistics and ordinal regression were employed to analyze the survey data.
Main Results:
- Most of the 43 respondents agreed that extra-corporeal anastomosis (ECA) is easier to teach and should be taught first.
- 53.5% of participants believed simulation-based training would facilitate intra-corporeal anastomosis (ICA) adoption.
- Surgeons performing routine intra-corporeal bowel closure were significantly more likely to support simulation-based training for ICA.
Conclusions:
- There is consensus that extra-corporeal anastomosis (ECA) serves as a foundational technique for learning intra-corporeal anastomosis (ICA).
- Simulation-based training is viewed as beneficial for increasing intra-corporeal anastomosis (ICA) uptake.
- Enhancing intra-corporeal anastomosis (ICA) adoption requires a comprehensive strategy, including expanded training opportunities and financial incentives.
