Seasoned Surgeons Assessed in a Laparoscopic Surgical Crisis

Abstract

Seasoned surgeons can use their assistant surgeon well to assure a safe and effective operation. Mandatory operating room retirement based on age may be arbitrary and should be replaced by performance measures. Simulation may prove a valuable tool for self -assessment and recredentialing.

Training situational awareness to reduce surgical errors in the operating room

“…The search identified 287 potentially relevant articles; nine were suitable for inclusion ( Fig . , Table ). Seven articles described crisis management training in simulated operating theatres, and two described a non‐technical skills training course.…”

“…None of the studies described interventions other than training methods. Eight articles reported prospective cohort studies and one a cross‐sectional survey. None of the studies was randomized.…”

“…Four studies described crisis training for surgical teams in minimally invasive surgery ( Table ). In a simulated surgical environment using high‐fidelity simulators and mannequins, critical events were simulated.…”

“…Experienced surgeons performed significantly better than inexperienced trainees on situational awareness at individual level, indicating the method's construct validity for assessing situational awareness in the surgical theatre. Studies by Gettman and co‐workers and Powers et al . did not provide information on the validity of the training methods applied.…”

When should surgeons retire?

“…There are few data regarding older surgeons and their compatibility with newer technology. Powers and co‐workers reported that older surgeons find it difficult to handle new minimally invasive technology, especially during a crisis situation. In that study, seasoned surgeons (aged over 55 years) were found frequently to relegate the use of unfamiliar technology to their assistants.…”