Acta Cirúrgica Brasileira (Jan 2017)

Model for simulated training of laparoscopic gastroenterostomy

  • Márcio Alencar Barreira,
  • Delano Gurgel Siveira,
  • Hermano Alexandre Lima Rocha,
  • Luiz Gonzaga de Moura Junior,
  • Charles Jean Gomes de Mesquita,
  • Gleydson Cesar de Oliveira Borges

DOI
https://doi.org/10.1590/s0102-865020170110
Journal volume & issue
Vol. 32, no. 1
pp. 81 – 89

Abstract

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Abstract Purpose: To develop a model of gastroenterostomy and to analyze the acquisition of skills after training by simulation. Methods: Experimental longitudinal study and of a quantitative character. The sample consisted of twelve general surgery residents from four hospitals. The training consisted of making ten anastomoses divided equally into five sessions and it took place over a period of six weeks. The evaluation of the anastomoses considered the time and the analysis of the operative technique through the global evaluation scale Objective Structured Assessment of Technical Skills (OSATS). Results: Residents showed a reduction in operative time and evolution in the surgical technique statistically significant (p<0.01). The correlation index of 0.545 and 0.497 showed a high linear correlation between time variables and OSATS. Conclusion: The preparation of ten gastroenterostomies is an exercise capable of transferring basic and advanced skills in laparoscopy through a standardized training using synthetic organs and a simulator.

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