A feasible training program for transanal endoscopic surgery
EAES Academy. Popa C. 07/05/22; 363129; P174
Dr. Calin Popa
Contributions
Contributions
Abstract
Aims:
Transanal endoscopic surgery (TES) gained more interest and clinical applications in the last years. However, TES is a challenging technique, difficult to perform even for skilled laparoscopic surgeons, because of the reduced range of motion and particularities of movement patterns. A proper training is recommended before applying this technique in clinical practice. Our study has intended to develop a simple training program that recreates the intraoperative conditions and allows surgeons to start from basic exercises and to move on step by step to more complex techniques.
Method:
Our study is a prospective analytical study that enrolled surgeons with different backgrounds and laparoscopic skills, but with no experience in TES, in order to validate our previously developed training tubular system. Our training program proposed a series of exercises that targeted different skills (coordination, dissection, suturing), performed in tubular training platforms. Each exercise had a specific goal and a time frame for completion.
Results:
Forty surgeons were enrolled in the study – 12 residents in years 1 to 3 of their residency program (group A), 16 residents in years 4 to 6 of their residency program (group B) and 12 senior surgeons (group C). After performing each exercise for 3 times, most participants have improved their performance parameters by 40 to 55%. Each group had a different completion rate of the proposed exercises, the groups with previous laparoscopic experience have performed better: group B has performed more exercises by 30% compared to group A, while group C performed better by 16% compared to group B. The costs of developing each training tubular system were low, around 60 euros.
Conclusion:
The proposed training program proved to be a simple and easy-to-use tool, with low costs, that contributed to improving TES skills for all participants, regardless of their previous experience. A good skill set in laparoscopic surgery contributes to a better performance of TES exercises. Overall, the training program seems to be a feasible training tool for TES.
Transanal endoscopic surgery (TES) gained more interest and clinical applications in the last years. However, TES is a challenging technique, difficult to perform even for skilled laparoscopic surgeons, because of the reduced range of motion and particularities of movement patterns. A proper training is recommended before applying this technique in clinical practice. Our study has intended to develop a simple training program that recreates the intraoperative conditions and allows surgeons to start from basic exercises and to move on step by step to more complex techniques.
Method:
Our study is a prospective analytical study that enrolled surgeons with different backgrounds and laparoscopic skills, but with no experience in TES, in order to validate our previously developed training tubular system. Our training program proposed a series of exercises that targeted different skills (coordination, dissection, suturing), performed in tubular training platforms. Each exercise had a specific goal and a time frame for completion.
Results:
Forty surgeons were enrolled in the study – 12 residents in years 1 to 3 of their residency program (group A), 16 residents in years 4 to 6 of their residency program (group B) and 12 senior surgeons (group C). After performing each exercise for 3 times, most participants have improved their performance parameters by 40 to 55%. Each group had a different completion rate of the proposed exercises, the groups with previous laparoscopic experience have performed better: group B has performed more exercises by 30% compared to group A, while group C performed better by 16% compared to group B. The costs of developing each training tubular system were low, around 60 euros.
Conclusion:
The proposed training program proved to be a simple and easy-to-use tool, with low costs, that contributed to improving TES skills for all participants, regardless of their previous experience. A good skill set in laparoscopic surgery contributes to a better performance of TES exercises. Overall, the training program seems to be a feasible training tool for TES.
Aims:
Transanal endoscopic surgery (TES) gained more interest and clinical applications in the last years. However, TES is a challenging technique, difficult to perform even for skilled laparoscopic surgeons, because of the reduced range of motion and particularities of movement patterns. A proper training is recommended before applying this technique in clinical practice. Our study has intended to develop a simple training program that recreates the intraoperative conditions and allows surgeons to start from basic exercises and to move on step by step to more complex techniques.
Method:
Our study is a prospective analytical study that enrolled surgeons with different backgrounds and laparoscopic skills, but with no experience in TES, in order to validate our previously developed training tubular system. Our training program proposed a series of exercises that targeted different skills (coordination, dissection, suturing), performed in tubular training platforms. Each exercise had a specific goal and a time frame for completion.
Results:
Forty surgeons were enrolled in the study – 12 residents in years 1 to 3 of their residency program (group A), 16 residents in years 4 to 6 of their residency program (group B) and 12 senior surgeons (group C). After performing each exercise for 3 times, most participants have improved their performance parameters by 40 to 55%. Each group had a different completion rate of the proposed exercises, the groups with previous laparoscopic experience have performed better: group B has performed more exercises by 30% compared to group A, while group C performed better by 16% compared to group B. The costs of developing each training tubular system were low, around 60 euros.
Conclusion:
The proposed training program proved to be a simple and easy-to-use tool, with low costs, that contributed to improving TES skills for all participants, regardless of their previous experience. A good skill set in laparoscopic surgery contributes to a better performance of TES exercises. Overall, the training program seems to be a feasible training tool for TES.
Transanal endoscopic surgery (TES) gained more interest and clinical applications in the last years. However, TES is a challenging technique, difficult to perform even for skilled laparoscopic surgeons, because of the reduced range of motion and particularities of movement patterns. A proper training is recommended before applying this technique in clinical practice. Our study has intended to develop a simple training program that recreates the intraoperative conditions and allows surgeons to start from basic exercises and to move on step by step to more complex techniques.
Method:
Our study is a prospective analytical study that enrolled surgeons with different backgrounds and laparoscopic skills, but with no experience in TES, in order to validate our previously developed training tubular system. Our training program proposed a series of exercises that targeted different skills (coordination, dissection, suturing), performed in tubular training platforms. Each exercise had a specific goal and a time frame for completion.
Results:
Forty surgeons were enrolled in the study – 12 residents in years 1 to 3 of their residency program (group A), 16 residents in years 4 to 6 of their residency program (group B) and 12 senior surgeons (group C). After performing each exercise for 3 times, most participants have improved their performance parameters by 40 to 55%. Each group had a different completion rate of the proposed exercises, the groups with previous laparoscopic experience have performed better: group B has performed more exercises by 30% compared to group A, while group C performed better by 16% compared to group B. The costs of developing each training tubular system were low, around 60 euros.
Conclusion:
The proposed training program proved to be a simple and easy-to-use tool, with low costs, that contributed to improving TES skills for all participants, regardless of their previous experience. A good skill set in laparoscopic surgery contributes to a better performance of TES exercises. Overall, the training program seems to be a feasible training tool for TES.
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