Early analysis of laparoscopic common bile duct exploration simulation.
Am J Surg
; 213(5): 888-894, 2017 May.
Article
en En
| MEDLINE
| ID: mdl-28363343
ABSTRACT
BACKGROUND:
We developed a laparoscopic common bile duct exploration (LCBDE) simulation course for resident surgeons (RS) and practicing surgeons (PS). We hypothesized that course completion would provide LCBDE procedural skills and increase procedure utilization.METHODS:
RS and PS were prospectively enrolled. Pre- and post-course ability were assessed with written examinations and LCBDE simulations. PS completed pre-course, post-course, and 1-year follow-up surveys (5-point Likert-type scale).RESULTS:
17 RS and 8 PS were enrolled. Median written test scores improved (70.0%-80.0%, p < 0.001) and median LCBDE simulation times (seconds) improved (585-314, p = 0.001) among all participants. Comparing RS and PS, median written assessment scores pre-course (70% vs 72.5%, p = 0.953) and post-course (77.5% vs 80.0%, p = 0.198) were not significantly different. Simulation completion times (seconds) improved similarly from pre-course (608.0 vs 521.5, p = 0.885) to post-course (314.0 vs 373.0, p = 0.287) between groups. PS comfort with LCBDE improved (2-4, p = 0.03). All PS reported LCBDE utilization 1 year post-course.CONCLUSIONS:
The LCBDE course is appropriate for RS and PS. PS also reported increased comfort with LCBDE and procedure utilization.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cirugía General
/
Colecistectomía Laparoscópica
/
Conducto Colédoco
/
Educación Médica Continua
/
Entrenamiento Simulado
/
Internado y Residencia
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Am J Surg
Año:
2017
Tipo del documento:
Article