Progressive Training in Laparoscopic Suturing: From Motor Coordination to Intracorporeal Suturing Within Four Hours

The teaching of basic suturing and knot-tying techniques requires a structured method for the development of these skills, and acquiring such competence is essential in surgical training. The objective of this article is to present a structured four-hour program of progressive training based on principles of motor coordination, spatial cognition, and mastery of the non-dominant hand, focusing on gradual technical construction. The method includes specific exercises, such as the dancing needle, C-loop and D-loop formation, needle-passing practice, and the performance of intracorporeal sutures using physical simulators. The process preserves traditional pedagogy centered on manual skills, but it is designed in a modular format for future integration with virtual simulation platforms and artificial intelligence. This model provides an efficient approach to accelerate the initial technical development in laparoscopy and has the potential to be incorporated into contemporary surgical education programs that employ immersive learning methods.