SciELO - Scientific Electronic Library Online

vol.36 issue2Electronic medical records: barriers to acceptance by doctorsLymph node harvest in colon cancer. Myths and magic author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links


Revista Médica del Uruguay

Print version ISSN 0303-3295On-line version ISSN 1688-0390


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.


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.


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.


final procedure time was reduced an average of 15 minutes, with better outcomes according to OSATS scale.


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.


simulated laparoscopic training is both mandatory and beneficial in surgical education.

Keywords : Laparoscopía; Simulation; Anastomosis, surgical; Intestines; Bowel anastomosis.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )