A skill degradation in laparoscopic surgery after a long absence: assessment based on nephrectomy case

Sugihara, Toru; Yasunaga, Hideo; Matsui, Hiroki; Ishikawa, Akira; Fujimura, Tetsuya; Fukuhara, Hiroshi; Fushimi, Kiyohide; Homma, Yukio; Kume, Haruki

doi:10.20517/2574-1225.2018.14

Cited by 7 publications

(5 citation statements)

References 16 publications

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“…For laparoscopic nephrectomy and nephroureterectomy, the time interval between operations influences the outcome in low-volume hospitals. Using a shorter operative time as a measure of surgical skill, deterioration was seen after a 14-day interval between procedures [ 17 ]. Many studies investigating surgeons’ increasing proficiency have used decreasing duration of surgery as a measure thereof [ 13 , 14 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

The influence of summer closure on serious postoperative complications in bariatric surgery

Fall

Sundbom

Stenberg

2022

Langenbecks Arch Surg

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Introduction Bariatric surgery is an effective method of treating obesity, with gastric bypass and sleeve gastrectomy being the most common techniques used worldwide. Despite the technical challenges in these methods, little is known about the effects of summer closure on the incidence of serious postoperative complications in surgeries performed shortly after summer vacation. This has therefore been studied in our large cohort. Materials and methods A retrospective cohort study based on data from the Scandinavian Obesity Surgery Registry was conducted. Patients who underwent a primary gastric bypass or sleeve gastrectomy operation between 2010 and 2019 were included. The rate of serious complications within 30 days after surgery for patients who underwent surgery the first month after summer closure was compared to those who underwent surgery during the rest of the year using the χ2 test and adjusted logistic regression. Results The study included 42,404 patients, 36,094 of whom underwent gastric bypass and 6310 of whom received sleeve gastrectomy. Summer closure was associated with an increased risk for serious postoperative complications in gastric bypass surgery (adjusted odds ratio (adj-OR) = 1.17; 95% confidence interval (CI): 1.01–1.36). No statistically significant association was seen for sleeve gastrectomy (adj-OR = 1.17; 95% CI: 0.72–1.91), nor in overall complication rate. Conclusions Summer closure increases the risk of serious postoperative complications in gastric bypass surgery. No statistically significant association was found for sleeve gastrectomy surgery.

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Section: Discussionmentioning

confidence: 99%

The influence of summer closure on serious postoperative complications in bariatric surgery

Fall

Sundbom

Stenberg

2022

Langenbecks Arch Surg

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“…Learning curve in laparoscopy is recognized as a process of skill enhancement, but the process of skill degradation called forgetting curve is not frequently discussed in relation to retention of skills. [ 18 ] A study by Bonrath et al [ 19 ] comprising 36 medical students novice to surgery concluded that basic laparoscopic skills learned by students are retained for at least 6 weeks, but skills deterioration is likely after 11 weeks and therefore practice and repetition are desirable. Our study highlights the issue of forgetting curve and the need for reinforcement to retain the acquired skills at the same level.…”

Section: Discussionmentioning

confidence: 99%

Prospective comparison of single encounter versus distributed laparoscopic training in novice learners

Arain

Begum

Shariff

et al. 2022

Journal of Education and Health Promotion

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BACKGROUND: The traditional model of teaching surgical skills on “real” patients using graded responsibility is being seriously questioned, and there is a paradigm shift toward exploiting simulators. There is a lack of clarity on the impact of using simulation as a teaching strategy in novice learners. The purpose of our study was to determine if the number and duration of training sessions influence the acquisition and retention of laparoscopic skills in naïve learners. There are some data to suggest that distributed training programs might have better outcomes, but the results are inconclusive. We designed a controlled trial at Aga Khan University, Karachi, with the hypothesis that students trained using the distributed method may have enhanced learning outcomes. MATERIALS AND METHODS: 100 medical students were assigned in a 1:1 ratio to one of two groups. Group A underwent a single orientation and supervised practice session of 3 h duration. Group B underwent distributed teaching with three learning sessions of 1 h each spread over 3 consecutive weeks. Participant scores were analyzed before and after the intervention and at 3- and 6-month intervals using repeat measures of ANOVA. RESULTS: Pretest and immediate posttest scores were comparable between the two groups. The 3-month interval test showed significantly higher scores in Group B (difference = −2.90, P < 0.001). The 6-month interval test showed no differences in scores between the two groups (P = 0.178). CONCLUSIONS: Distributed teaching resulted in significantly enhanced scores at 3-month assessment. However, similar scores at 6 months suggest the need for repeated intervention.

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“…The functioning of the robotic systems is highly influenced by the learning and training methodology used for their operation. Also, a prior study suggests that degradation of the skills has been observed in the case of newly trained robotic surgeons after a prolonged period of inactivity [ 117 ]. Hence, a new training methodology must be developed in the future, which not only enhances the device functionality but also its usability.…”

Section: Future Directions and Conclusionmentioning

confidence: 99%

Internet of Things and Robotics in Transforming Current-Day Healthcare Services

Pradhan

Bharti

Chakravarty

et al. 2021

Journal of Healthcare Engineering

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Technology has become an integral part of everyday lives. Recent years have witnessed advancement in technology with a wide range of applications in healthcare. However, the use of the Internet of Things (IoT) and robotics are yet to see substantial growth in terms of its acceptability in healthcare applications. The current study has discussed the role of the aforesaid technology in transforming healthcare services. The study also presented various functionalities of the ideal IoT-aided robotic systems and their importance in healthcare applications. Furthermore, the study focused on the application of the IoT and robotics in providing healthcare services such as rehabilitation, assistive surgery, elderly care, and prosthetics. Recent developments, current status, limitations, and challenges in the aforesaid area have been presented in detail. The study also discusses the role and applications of the aforementioned technology in managing the current pandemic of COVID-19. A comprehensive knowledge has been provided on the prospect of the functionality, application, challenges, and future scope of the IoT-aided robotic system in healthcare services. This will help the future researcher to make an inclusive idea on the use of the said technology in improving the healthcare services in the future.

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A skill degradation in laparoscopic surgery after a long absence: assessment based on nephrectomy case

Cited by 7 publications

References 16 publications

The influence of summer closure on serious postoperative complications in bariatric surgery

The influence of summer closure on serious postoperative complications in bariatric surgery

Prospective comparison of single encounter versus distributed laparoscopic training in novice learners

Internet of Things and Robotics in Transforming Current-Day Healthcare Services

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