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Related Experiment Videos

Sequential psychomotor skills development in laparoscopic colon surgery

W P Geis1, A V Coletta, J C Verdeja

  • 1Department of Surgery, University of Chicago School of Medicine, Ill.

Archives of Surgery (Chicago, Ill. : 1960)
|February 1, 1994
PubMed
Summary

Laparoscopic colon surgery complexity was ranked for seven procedures and three skills. A recommended learning sequence for surgeons is provided, based on procedure difficulty.

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Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery
  • Surgical Skill Assessment

Background:

  • Laparoscopic colon surgery involves complex skills and procedures.
  • A standardized method for assessing procedural complexity is needed for surgical training.

Purpose of the Study:

  • To quantify the complexity of three key laparoscopic skills.
  • To rank seven common laparoscopic colon procedures by complexity.

Main Methods:

  • Five surgeons rated the complexity of intracorporeal mobilization, devascularization, and anastomosis.
  • Surgeons evaluated the complexity of seven procedures based on their initial 100 cases.

Main Results:

  • Right colon resection was least complex; transverse colon resection was most complex.

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  • Complexity increased with the addition of each laparoscopic skill.
  • Not all three skills were necessary for every procedure.

    • Conclusions:

    • A sequential learning approach for laparoscopic colon surgery is feasible.
    • Judicious patient selection can facilitate skill acquisition.
    • A complexity-based roadmap is proposed for surgical training.