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Revista Médica del Uruguay
Print version ISSN 0303-3295On-line version ISSN 1688-0390
Abstract
CHINELLI, Javier and RODRIGUEZ, Gustavo. Simulation in advanced laparoscopy with an entero-enteric anastomosis model. Rev. Méd. Urug. [online]. 2020, vol.36, n.2, pp.144-158. Epub June 01, 2020. ISSN 0303-3295. https://doi.org/10.29193/rmu.36.2.7.
Background:
there is a changing paradigm in surgical education, being laparoscopic training one of its major challenges. The objective of this study is to describe and evaluate our experience with a simulated laparoscopic small bowel anastomosis training model at a universitary surgical center.
Methods:
a 4-week training program was conducted with participation of 3 general surgery residents. An ex vivo biological model in a box trainer was used to objectively evaluate a simulated entero-enterostomy.
Results:
final procedure time was reduced an average of 15 minutes, with better outcomes according to OSATS scale.
Discussion:
implementation of a modified, validated advanced laparoscopic skills training program showed positive results, taking only 4% of the weekly curricular schedule. The model has high fidelity, low cost and is easily reproducible.
Conclusions:
simulated laparoscopic training is both mandatory and beneficial in surgical education.
Keywords : Laparoscopía; Simulation; Anastomosis, surgical; Intestines; Bowel anastomosis.