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Advanced Training in Laparoscopic Abdominal Surgery (Atlas): A Systematic Review

Identifieur interne : 001451 ( Main/Exploration ); précédent : 001450; suivant : 001452

Advanced Training in Laparoscopic Abdominal Surgery (Atlas): A Systematic Review

Auteurs : Laura Beyer-Berjot [Royaume-Uni, France] ; Vanessa Palter [Canada] ; Teodor Grantcharov [Canada] ; Rajesh Aggarwal [Royaume-Uni, États-Unis]

Source :

Surgery [ 0039-6060 ] ; 2014.

RBID : PMC:4150855

Abstract

Background

Simulation has widely spread this last decade, especially in laparoscopic surgery, and training out of the operating room (OR) has proven its positive impact on basic skills during real laparoscopic procedures. However, few articles dealing with advanced training in laparoscopic abdominal surgery (ATLAS) have been published so far. Such training may reduce learning curves in the OR for junior surgeons with limited access to complex laparoscopic procedures as a primary operator.

Methods

Two reviewers, using MEDLINE, EMBASE, and The Cochrane Library, conducted a systematic research with combinations of the following keywords: (teaching OR education OR computer simulation) AND laparoscopy AND (gastric OR stomach OR colorectal OR colon OR rectum OR small bowel OR liver OR spleen OR pancreas OR advanced surgery OR advanced procedure OR complex procedure). Additional studies were searched in the reference lists of all included articles.

Results

Fifty-four original studies were retrieved. Their level of evidence was low: most of the studies were case series, one fifth purely descriptive, and there were 8 randomized trials. Porcine models and video trainers, as well as gastric and colorectal procedures were mainly assessed. The retrieved studies showed some encouraging trends in terms of trainees' satisfaction, improvement after training (but mainly on the training tool itself). Some tools have been proven to be construct-valid.

Conclusions

Higher quality studies are required to appraise ATLAS educational value.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4150855

DOI: 10.1016/j.surg.2014.04.044
PubMed: 24947643
PubMed Central: 4150855

Affiliations:

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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Simulation has widely spread this last decade, especially in laparoscopic surgery, and training out of the operating room (OR) has proven its positive impact on basic skills during real laparoscopic procedures. However, few articles dealing with advanced training in laparoscopic abdominal surgery (ATLAS) have been published so far. Such training may reduce learning curves in the OR for junior surgeons with limited access to complex laparoscopic procedures as a primary operator.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Two reviewers, using MEDLINE, EMBASE, and The Cochrane Library, conducted a systematic research with combinations of the following keywords: (teaching OR education OR computer simulation) AND laparoscopy AND (gastric OR stomach OR colorectal OR colon OR rectum OR small bowel OR liver OR spleen OR pancreas OR advanced surgery OR advanced procedure OR complex procedure). Additional studies were searched in the reference lists of all included articles.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Fifty-four original studies were retrieved. Their level of evidence was low: most of the studies were case series, one fifth purely descriptive, and there were 8 randomized trials. Porcine models and video trainers, as well as gastric and colorectal procedures were mainly assessed. The retrieved studies showed some encouraging trends in terms of trainees' satisfaction, improvement after training (but mainly on the training tool itself). Some tools have been proven to be construct-valid.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
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Advanced Training in Laparoscopic Abdominal Surgery (Atlas): A Systematic Review

Advanced Training in Laparoscopic Abdominal Surgery (Atlas): A Systematic Review

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Abstract

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