Impact of established skills in open surgery on the proficiency gain process for laparoscopic surgery

Abstract

Prior open experience does not aid the laparoscopic learning process, as demonstrated in a simulated setting. Given the wealth of evidence demonstrating translation of virtual skills to the operating theater, we propose that the safe and effective introduction of well-supervised laparoscopic training may be possible at the beginning of a surgical training curriculum.

Laparoscopic Suturing Skills Acquisition: A Comparison Between Laparoscopy-Exposed and Laparoscopy-Naive Surgeons

“…1,12 Despite the difficulty, studies reveal that these skills can be acquired with extensive training outside the operating room. 2,5,7,8,13 However, the baseline skills required by the subject to learn laparoscopic suturing skills have not been defined, though many studies have found that previous laparoscopic exposure is not required for the acquisition of laparoscopic skills.…”

“…It has been shown in a few studies that previous laparoscopic experience is not necessary for the acquisition of laparoscopic suturing skills. 4,5 As a result, many residency programs have included this as an essential skill in their curriculum. 6,7 Even the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) has introduced laparoscopic suturing in their Fundamentals of Laparoscopic Surgery (FLS) program.…”

A retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in Thailand

“…The traditional belief that proficiency in open surgical techniques is a prerequisite for mastering laparoscopic procedures has sparked controversy in recent years [ 25 ]. While it has been argued that prior open surgical experience aids in transitioning to laparoscopic approaches, the evidence suggests otherwise.…”

Simulated training of a laparoscopic vesicourethral anastomosis

“…Previous experience in laparoscopy is not necessary to acquire endosuture skills 5 that can be acquired with extensive training outside the operating room 5,6 . Thus, many residency programs have included this practice as an essential activity in their curricula 6 .…”