<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902020000200144</article-id>
<article-id pub-id-type="doi">10.29193/rmu.36.2.7</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Simulación en laparoscopía avanzada con un modelo de anastomosis entero-entérica]]></article-title>
<article-title xml:lang="en"><![CDATA[Simulation in advanced laparoscopy with an entero-enteric anastomosis model]]></article-title>
<article-title xml:lang="pt"><![CDATA[Simulação em laparoscopia avançada com um modelo de anastomose entero-entérica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chinelli]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital Maciel]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital Maciel]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>144</fpage>
<lpage>158</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902020000200144&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902020000200144&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902020000200144&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: la enseñanza de la cirugía atraviesa un cambio de paradigma, siendo el entrenamiento en laparoscopía avanzada uno de sus mayores desafíos. El objetivo de este estudio es describir y evaluar la experiencia de un servicio de cirugía universitario con un modelo de entrenamiento simulado de anastomosis intestinal laparoscópica.  Método: tres residentes de cirugía general completaron un programa de entrenamiento de cuatro semanas. Se utilizó un modelo biológico ex vivo en box trainer, evaluando objetivamente la realización de una anastomosis entero-entérica.  Resultados: el tiempo de ejecución del procedimiento se redujo en una media de 15 minutos, con una mejoría significativa del desempeño según la escala OSATS.  Discusión: la implementación de un programa validado y modificado de simulación en laparoscopía avanzada permitió obtener resultados positivos, utilizando para ello solo el 4% de la carga horaria semanal curricular. El modelo tiene una alta fidelidad, bajo costo y es fácilmente reproducible.  Conclusiones: el entrenamiento simulado en laparoscopía es una herramienta obligatoria y beneficiosa durante la formación del cirujano general.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  o ensino da cirurgia atravessa um cambio de paradigma, sendo o treinamento em laparoscopia avançada um de sus maiores desafios. O objetivo deste estudo é descrever e avaliar a experiencia de um serviço universitário de cirurgia com um modelo de treinamento simulado de anastomose intestinal laparoscópica.  Métodos:  3 residentes de cirurgia general completaram um programa de treinamento de 4 semanas. Foi empregado um modelo biológico ex vivo em simuladores de caixa, avaliando objetivamente a realização de uma anastomose entero-entérica.  Resultados:  o tempo de execução do procedimento foi reduzido em média 15 minutos, com una melhoria significativa do desempenho segundo a escala OSATS.  Discussão:  a implementação de um programa validado e modificado de simulação em laparoscopia avançada permitiu obter resultados positivos, utilizando somente 4% da carga horaria semanal curricular. O modelo tem alta fidelidade, baixo custo e é facilmente reproduzível.  Conclusões:  o treinamento simulado em laparoscopia é uma ferramenta obrigatória e benéfica durante a formação do cirurgião geral.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Laparoscopía]]></kwd>
<kwd lng="es"><![CDATA[Simulación]]></kwd>
<kwd lng="es"><![CDATA[Anastomosis quirúrgica]]></kwd>
<kwd lng="es"><![CDATA[Intestinos]]></kwd>
<kwd lng="es"><![CDATA[Anastomosis intestinal]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopía]]></kwd>
<kwd lng="en"><![CDATA[Simulation]]></kwd>
<kwd lng="en"><![CDATA[Anastomosis, surgical]]></kwd>
<kwd lng="en"><![CDATA[Intestines]]></kwd>
<kwd lng="en"><![CDATA[Bowel anastomosis]]></kwd>
<kwd lng="pt"><![CDATA[Laparoscopia]]></kwd>
<kwd lng="pt"><![CDATA[Simulação]]></kwd>
<kwd lng="pt"><![CDATA[Anastomose cirúrgica]]></kwd>
<kwd lng="pt"><![CDATA[Intestinos]]></kwd>
<kwd lng="pt"><![CDATA[Anastomose intestinal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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