Five-Year Experience Training Surgeons with a Laparoscopic Simulation Training Program for Bariatric Surgery: a Quasi-experimental Design

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dc.contributor.authorDuran Espinoza, Valentina
dc.contributor.authorBelmar Riveros, Francisca
dc.contributor.authorJarry Trujillo, Cristian
dc.contributor.authorGaete Danobeitia, Maria Ines
dc.contributor.authorMontero Jaras, Isabella
dc.contributor.authorMiguieles Schilling, Mariana
dc.contributor.authorValencia Coronel, Brandon
dc.contributor.authorEscalona, Gabriel
dc.contributor.authorAchurra Tirado, Pablo
dc.contributor.authorQuezada, Nicolas
dc.contributor.authorCrovari, Fernando
dc.contributor.authorVaras Cohen, Julian
dc.date.accessioned2025-01-20T20:14:46Z
dc.date.available2025-01-20T20:14:46Z
dc.date.issued2023
dc.description.abstractPurpose Nearly 200,000 laparoscopic Roux-en-Y gastric bypass (LRYGB) are performed yearly. Reported learning curves range between 50 and 150, even 500 cases to decrease the operative risk. Simulation programs could accelerate this learning curve safely; however, trainings for LRYGB are scarce. This study aims to describe and share our 5-year experience of a simulated program designed to achieve proficiency in LRYGB technical skills.Materials and Methods A quasi-experimental design was used. All recruited participants were previously trained with basic and advanced laparoscopic simulation curriculum completing over 50 h of practical training. Ex vivo animal models were used to practice manual and stapled gastrojejunostomy (GJ) and stapled jejunojejunostomy (JJO) in 10, 3, and 4 sessions, respectively. The main outcome was to assess the manual GJ skill acquisition. Pre- and post-training assessments using a Global Rating Scale (GRS; max 25 pts), Specific Rating Scale (SRS; max 20 pts), performance time, permeability, and leakage rates were analyzed. For the stapled GJ and JJO, execution time was registered. Data analysis was performed using parametric tests.Results In 5 years, 68 trainees completed the program. For the manual GJ's pre- vs post-training assessment, GRS and SRS scores increased significantly (from 17 to 24 and from 13 to 19 points respectively, p-value < 0.001). Permeability rate increased while leakage rate and procedural time decreased significantly.Conclusion This simulated training program showed effectiveness in improving laparoscopic skills for manual GJ and JJO in a simulated scenario. This new training program could optimize the clinical learning curve. Further studies are needed to assess the transfer of skills to the operating room.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s11695-023-06616-0
dc.identifier.eissn1708-0428
dc.identifier.issn0960-8923
dc.identifier.urihttps://doi.org/10.1007/s11695-023-06616-0
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/92218
dc.identifier.wosidWOS:000980236800001
dc.issue.numero6
dc.language.isoen
dc.pagina.final1837
dc.pagina.inicio1831
dc.revistaObesity surgery
dc.rightsacceso restringido
dc.subjectSimulation training
dc.subjectBariatric surgery
dc.subjectEducation
dc.subjectMedical
dc.subjectGraduate
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleFive-Year Experience Training Surgeons with a Laparoscopic Simulation Training Program for Bariatric Surgery: a Quasi-experimental Design
dc.typeartículo
dc.volumen33
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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