An Analysis of Skills Acquisition During a Training Program for Experienced Laparoscopists in Laparoendoscopic Single-Site Surgery

Abstract

A gradual and positive evolution of attendants was observed throughout the training course. Thus, we believe a structured program for the acquisition of basic skills in new minimally invasive surgical approaches should be recommended. Considering that this is a small study, it would be advisable to increase the number of study subjects on future opportunities.

Efecto de tres programas de entrenamiento sobre el desempeño en cirugía laparoscópica por puerto único

“…However, it shows some disadvantages with respect to CLS such as a long learning curve, greater complexity, execution time, and higher cost in certain procedures, and poor ergonomics for the surgeon 7,8 . Some of the aforementioned limitations when performing surgical procedures by means of the LESS technique include the loss of triangulation with the reduction of the field of vision, inverted manipulation of the instruments due to the crossing of tools, less intuitive and imprecise movements requiring greater concentration, visual interference between the surgical instruments and the endoscopic camera due to the reduced working space, and the use of instruments with unfamiliar characteristics, making it difficult to maintain surgical safety for the patient and a significant technical challenger 9,10 . On the other hand, the use of articulating instruments can help to minimize these problems because they expand the work area and their steerable tips allow to perform triangulation more easily, making this kind of instrument the recommended choice when performing LESS procedures.…”

Comparative Study of the Use of Different Sizes of an Ergonomic Instrument Handle for Laparoscopic Surgery

“…This rising interest in laparoscopy is based on several benefits, such as better surgical outcomes for patients and resource optimization for healthcare services [1]. Furthermore, this surgical technique has constantly evolved over the past few years, mainly due to training efforts of surgeons [2][3][4] and technological advances of surgical equipment [5]. However, there are some important technical limitations that should be addressed in order to increase both performance and wellbeing of surgeons: reduced freedom of movements due to the fixed location of the surgical ports, the need for high precision through long instruments, loss of tactile feedback (no direct touch of intracorporeal anatomical structures), and the use of bidimensional vision instead of real stereoscopic (3D) vision.…”