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ENDOSCOPY TRAINING OF PHYSICIANS RESIDENTS IN EXPERIMENTAL TRAINING CENTER
EAES Academy. Lozano Nájera A. 07/05/22; 367273; P999
Ana Lozano Nájera
Ana Lozano Nájera
Contributions
Abstract
Aims:

Obtain the level of competence that general surgery resident physicians have achieved by developing a training program in a laparoscopic skill such as intestinal anastomosis performed in pelvitrainer with exvivo viscera.
Methods:

From April 2016 to April 2021, 24 resident physicians have optionally performed a practical surgical training program. This program is composed for 3 training modules of 20 hours each. None had done a laparoscopic intestinal manual anastomosis.
The quality of the anastomoses during training has been measured with an evaluation tool. The score obtained with this evaluation tool divides poor quality anastomoses (between 0-5 points), improvable (6-15 points) and optimal (16-20).
Results of anastomosis performed by expert surgeons were also obtained.
Results:

The total number of anastomoses performed was 337. The mean size of the anastomosis was 47mm. The number of anastomoses performed has been: 127 enteroenterics, 157 gastroenterics and 53 ileocolics.
The mean quality of the first anastomosis was 14.6 points while that the mean quality of the last anastomosis was 16.0 points. Mean time of the resident physicians has been 66.4 minutes. The mean time to the first anastomosis was 91.3 minutes while that the mean time of the last anastomosis was 53.1 minutes. Regarding the expert surgeons, they performed a total of 41 anastomoses. Thier average time being 44 minutes; and the total average quality score of 16.5 points.
The mean of operations on the first day was 1.94 anastomoses, while the mean on the last day was 2.78 anastomoses.
Conclusions:

The surgical skills training program achieves improve their surgical skills, not only in quality but also in surgical time, achieving after the training results close to expert surgeons.
Aims:

Obtain the level of competence that general surgery resident physicians have achieved by developing a training program in a laparoscopic skill such as intestinal anastomosis performed in pelvitrainer with exvivo viscera.
Methods:

From April 2016 to April 2021, 24 resident physicians have optionally performed a practical surgical training program. This program is composed for 3 training modules of 20 hours each. None had done a laparoscopic intestinal manual anastomosis.
The quality of the anastomoses during training has been measured with an evaluation tool. The score obtained with this evaluation tool divides poor quality anastomoses (between 0-5 points), improvable (6-15 points) and optimal (16-20).
Results of anastomosis performed by expert surgeons were also obtained.
Results:

The total number of anastomoses performed was 337. The mean size of the anastomosis was 47mm. The number of anastomoses performed has been: 127 enteroenterics, 157 gastroenterics and 53 ileocolics.
The mean quality of the first anastomosis was 14.6 points while that the mean quality of the last anastomosis was 16.0 points. Mean time of the resident physicians has been 66.4 minutes. The mean time to the first anastomosis was 91.3 minutes while that the mean time of the last anastomosis was 53.1 minutes. Regarding the expert surgeons, they performed a total of 41 anastomoses. Thier average time being 44 minutes; and the total average quality score of 16.5 points.
The mean of operations on the first day was 1.94 anastomoses, while the mean on the last day was 2.78 anastomoses.
Conclusions:

The surgical skills training program achieves improve their surgical skills, not only in quality but also in surgical time, achieving after the training results close to expert surgeons.

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