A modified multi-angle suture training module for laparoscopic training curriculum on emergency intestinal surgery.

Area of Science:

• Surgical Education
• Minimally Invasive Surgery
• Gastrointestinal Surgery

Background:

• Laparoscopic intestinal resection and anastomosis are common emergency procedures.
• Traditional Fundamentals of Laparoscopic Surgery (FLS) training may limit suture practice angles.
• Limited training angles can hinder complex laparoscopic suturing for intestinal anastomosis.

Purpose of the Study:

• To evaluate a novel multi-angle suture module for laparoscopic training.
• To compare the effectiveness of multi-angle versus traditional suture training modules.
• To assess the impact on surgical residents' skills in laparoscopic intestinal anastomosis.

Main Methods:

• Thirty-six surgical residents were divided into traditional and multi-angle suture training groups.
• Training involved a novel multi-angle suture module or traditional FLS methods.
• Participants performed laparoscopic end-to-end anastomosis on swine intestines post-training.

Main Results:

• The multi-angle group demonstrated significantly shorter operation times (3375.7s vs. 4678.2s, p=0.008).
• Surgical performance scores were significantly higher in the multi-angle group (8.2 vs. 6.83, p=0.041).
• The multi-angle module enhanced trainee skills in laparoscopic suturing and knotting.

Conclusions:

• The multi-angle suture training module is superior to traditional methods for laparoscopic surgery.
• This module effectively improves surgical residents' skills for laparoscopic intestinal anastomosis.
• It offers a better training approach for laparoscopic suture and knotting techniques.