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Related Experiment Videos

Telementoring. A practical option in surgical training

J C Rosser1, M Wood, J H Payne

  • 1Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.

Surgical Endoscopy
|August 1, 1997
PubMed
Summary

Telementoring offers a safe and cost-effective method for advanced laparoscopic surgery training. This approach effectively addresses intraoperative challenges, showing no difference in surgeon performance or outcomes.

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Area of Science:

  • Surgical Education
  • Medical Technology
  • Minimally Invasive Surgery

Background:

  • Telemedicine facilitates remote expert consultation.
  • A significant shortage exists in surgeons trained for advanced laparoscopic procedures.

Purpose of the Study:

  • To assess the effectiveness of telementoring in training advanced laparoscopic surgical procedures.
  • To evaluate telementoring as a tool for enhancing surgical skills and procedural competency.

Main Methods:

  • Surgeons underwent standardized training in laparoscopic skills, suturing, colonic resections, and Nissen fundoplication.
  • Operating rooms were equipped with cameras, a telestrator, instant replay, and CD-ROMs for intraoperative guidance.
  • Telementoring was implemented with mentors either in the operating room or remotely (hospital grounds or 5 miles away) using coaxial cable or T-1 land lines.

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Main Results:

  • No significant differences were observed in surgeon performance or patient outcomes between in-person and telementored groups.
  • Intraoperative surgical problems were effectively managed using the telementoring system.

Conclusions:

  • Telementoring presents a viable, safe, and cost-effective strategy for advanced laparoscopic surgical training.
  • Further research is recommended before widespread clinical application for transcontinental patient care.