New models for advanced laparoscopic suturing: taking it to the next level

Abstract

This study provides validity evidence for three novel advanced laparoscopic suturing tasks. Performance on all tasks correlated significantly with training level and self-reported experience. Integrating these tasks into educational curricula may help improve residents' suturing skills and better prepare residents for the operating room.

Defining the key skills required to perform advanced laparoscopic procedures: a qualitative descriptive study

“…A gap is also evident from our data; all participants stated that training for ALP skills happen mostly in the OR, with lack of effective resources available for learning outside of the OR. Although some advanced LS tasks have been developed with preliminary validity evidence, [21][22][23][24][25] needs assessments were not detailed to optimally define the key skills required to perform ALP, in order to guide the development of an advanced laparoscopy simulation program.…”

Effectiveness of Telementoring in Surgery Compared With On-site Mentoring: A Systematic Review

“…In simulation, various metrics such as time and accuracy, assessment tool scores, number of task repetitions, and training hours are used as outcome measures when assessing performance and when comparing the effectiveness of various educational interventions. 30-33 In telesimulation (telementoring done in a simulation setting), some studies have used questionnaires to evaluate satisfaction with the system and the mentoring sessions, recorded tool path length and time of task completion, or assessed performance using an operative performance rating scale. 34-36 In the clinical setting, some telementoring studies (without comparison with on-site mentoring) have used identification of anatomical landmarks, procedure time, length of stay in intensive care unit, length of hospital stay, and number of interactions between mentee and mentor as outcomes of interest.…”

Development of a Model for the Acquisition and Assessment of Advanced Laparoscopic Suturing Skills Using an Automated Device

“…Pilot performance data for continuous suturing without using an automated suturing device from 18 senior surgical residents and 13 minimally invasive surgery–trained surgeons showed significant differences in performance in both training platforms. 7 In order to show a similar difference between the 2 groups in performance with an α of .05 and a power of 80%, with 2-sided testing, a total of 8 participants per group is required.…”

“…4,5 Based on this, a set of advanced LS models using free needles was developed and tested for validity evidence. 6-8 The models, however, were not adapted to be used with automated suturing devices such as Endo Stitch TM . The needs assessment also revealed a gap with regard to learning how to use suturing devices, which are also commonly used in the OR.…”