Educational and training aspects of new surgical techniques: experience with the endoscopic-laparoscopic interdisciplinary training entity (ELITE) model in training for a natural orifice translumenal endoscopic surgery (NOTES) approach to appendectomy
Identifieur interne : 002771 ( Main/Curation ); précédent : 002770; suivant : 002772Educational and training aspects of new surgical techniques: experience with the endoscopic-laparoscopic interdisciplinary training entity (ELITE) model in training for a natural orifice translumenal endoscopic surgery (NOTES) approach to appendectomy
Auteurs : Sonja Gillen [Allemagne] ; Jörn Gröne [Allemagne] ; Fritz Knödgen [Allemagne] ; Petra Wolf [Allemagne] ; Michael Meyer [Allemagne] ; Helmut Friess [Allemagne] ; Heinz-Johannes Buhr [Allemagne] ; Jörg-Peter Ritz [Allemagne] ; Hubertus Feussner [Allemagne] ; Kai S. Lehmann [Allemagne]Source :
- Surgical endoscopy [ 0930-2794 ] ; 2012.
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- Pascal (Inist)
- Wicri :
- topic : Médecine.
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Abstract
Background Natural orifice translumenal endoscopic surgery (NOTES) is a new surgical concept that requires training before it is introduced into clinical practice. The endoscopic-laparoscopic interdisciplinary training entity (ELITE) is a training model for NOTES interventions. The latest research has concentrated on new materials for organs with realistic optical and haptic characteristics and the possibility of high-frequency dissection. This study aimed to assess both the ELITE model in a surgical training course and the construct validity of a newly developed NOTES appendectomy scenario. Methods The 70 attendees of the 2010 Practical Course for Visceral Surgery (Warnemuende, Germany) took part in the study and performed a NOTES appendectomy via a transsigmoidal access. The primary end point was the total time required for the appendectomy, including retrieval of the appendix. Subjective evaluation of the model was performed using a questionnaire. Subgroups were analyzed according to laparoscopic and endoscopic experience. Results The participants with endoscopic or laparoscopic experience completed the task significantly faster than the inexperienced participants (p = 0.009 and 0.019, respectively). Endoscopic experience was the strongest influencing factor, whereas laparoscopic experience had limited impact on the participants with previous endoscopic experience. As shown by the findings, 87.3% of the participants stated that the ELITE model was suitable for the NOTES training scenario, and 88.7% found the newly developed model anatomically realistic. Conclusions This study was able to establish face and construct validity for the ELITE model with a large group of surgeons. The ELITE model seems to be well suited for the training of NOTES as a new surgical technique in an established gastrointestinal surgery skills course.
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type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Meyer, Michael" sort="Meyer, Michael" uniqKey="Meyer M" first="Michael" last="Meyer">Michael Meyer</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Research Institute of Leather and Plastic Sheeting, FILK</s1><s2>Freiberg</s2><s3>DEU</s3><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Freiberg</wicri:noRegion><wicri:noRegion>FILK</wicri:noRegion><wicri:noRegion>Freiberg</wicri:noRegion></affiliation></author><author><name sortKey="Friess, Helmut" sort="Friess, Helmut" uniqKey="Friess H" first="Helmut" last="Friess">Helmut Friess</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Surgery, Klinikum rechts der Isar, Technische Universitat Miinchen, Ismaninger Strasse 22</s1><s2>81675 München</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Buhr, Heinz Johannes" sort="Buhr, Heinz Johannes" uniqKey="Buhr H" first="Heinz-Johannes" last="Buhr">Heinz-Johannes Buhr</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Surgery, Charite-Campus Benjamin Franklin</s1><s2>Berlin</s2><s3>DEU</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Ritz, Jorg Peter" sort="Ritz, Jorg Peter" uniqKey="Ritz J" first="Jörg-Peter" last="Ritz">Jörg-Peter Ritz</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Surgery, Charite-Campus Benjamin Franklin</s1><s2>Berlin</s2><s3>DEU</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Feussner, Hubertus" sort="Feussner, Hubertus" uniqKey="Feussner H" first="Hubertus" last="Feussner">Hubertus Feussner</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Research Group MITI, Minimally Invasive Therapy and Intervention</s1><s2>Munich</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Lehmann, Kai S" sort="Lehmann, Kai S" uniqKey="Lehmann K" first="Kai S." last="Lehmann">Kai S. Lehmann</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Surgery, Charite-Campus Benjamin Franklin</s1><s2>Berlin</s2><s3>DEU</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0335761</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0335761 INIST</idno><idno type="RBID">Pascal:12-0335761</idno><idno type="wicri:Area/PascalFrancis/Corpus">000303</idno><idno type="wicri:Area/PascalFrancis/Curation">001033</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000258</idno><idno type="wicri:doubleKey">0930-2794:2012:Gillen S:educational:and:training</idno><idno type="wicri:Area/Main/Merge">002799</idno><idno type="wicri:Area/Main/Curation">002771</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Educational and training aspects of new surgical techniques: experience with the endoscopic-laparoscopic interdisciplinary training entity (ELITE) model in training for a natural orifice translumenal endoscopic surgery (NOTES) approach to appendectomy</title><author><name sortKey="Gillen, Sonja" sort="Gillen, Sonja" uniqKey="Gillen S" first="Sonja" last="Gillen">Sonja Gillen</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Surgery, Klinikum rechts der Isar, Technische Universitat Miinchen, Ismaninger Strasse 22</s1><s2>81675 München</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Research Group MITI, Minimally Invasive Therapy and Intervention</s1><s2>Munich</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Grone, Jorn" sort="Grone, Jorn" uniqKey="Grone J" first="Jörn" last="Gröne">Jörn Gröne</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Surgery, Charite-Campus Benjamin Franklin</s1><s2>Berlin</s2><s3>DEU</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Knodgen, Fritz" sort="Knodgen, Fritz" uniqKey="Knodgen F" first="Fritz" last="Knödgen">Fritz Knödgen</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Research Group MITI, Minimally Invasive Therapy and Intervention</s1><s2>Munich</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Wolf, Petra" sort="Wolf, Petra" uniqKey="Wolf P" first="Petra" last="Wolf">Petra Wolf</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Institute of Medical Statistics and Epidemiology, Technische Universitat München, Ismaninger Strasse 22</s1><s2>81675 München</s2><s3>DEU</s3><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Meyer, Michael" sort="Meyer, Michael" uniqKey="Meyer M" first="Michael" last="Meyer">Michael Meyer</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Research Institute of Leather and Plastic Sheeting, FILK</s1><s2>Freiberg</s2><s3>DEU</s3><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Freiberg</wicri:noRegion><wicri:noRegion>FILK</wicri:noRegion><wicri:noRegion>Freiberg</wicri:noRegion></affiliation></author><author><name sortKey="Friess, Helmut" sort="Friess, Helmut" uniqKey="Friess H" first="Helmut" last="Friess">Helmut Friess</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Surgery, Klinikum rechts der Isar, Technische Universitat Miinchen, Ismaninger Strasse 22</s1><s2>81675 München</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Buhr, Heinz Johannes" sort="Buhr, Heinz Johannes" uniqKey="Buhr H" first="Heinz-Johannes" last="Buhr">Heinz-Johannes Buhr</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Surgery, Charite-Campus Benjamin Franklin</s1><s2>Berlin</s2><s3>DEU</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Ritz, Jorg Peter" sort="Ritz, Jorg Peter" uniqKey="Ritz J" first="Jörg-Peter" last="Ritz">Jörg-Peter Ritz</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Surgery, Charite-Campus Benjamin Franklin</s1><s2>Berlin</s2><s3>DEU</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Feussner, Hubertus" sort="Feussner, Hubertus" uniqKey="Feussner H" first="Hubertus" last="Feussner">Hubertus Feussner</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Research Group MITI, Minimally Invasive Therapy and Intervention</s1><s2>Munich</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Lehmann, Kai S" sort="Lehmann, Kai S" uniqKey="Lehmann K" first="Kai S." last="Lehmann">Kai S. Lehmann</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Surgery, Charite-Campus Benjamin Franklin</s1><s2>Berlin</s2><s3>DEU</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">Surgical endoscopy</title><title level="j" type="abbreviated">Surg. endosc.</title><idno type="ISSN">0930-2794</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Surgical endoscopy</title><title level="j" type="abbreviated">Surg. endosc.</title><idno type="ISSN">0930-2794</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Appendectomy</term><term>Endoscopic surgery</term><term>Endoscopy</term><term>Laparoscopy</term><term>Medicine</term><term>Models</term><term>Natural Orifice Transluminal Endoscopic Surgery</term><term>Technique</term><term>Treatment</term><term>Vermiform appendix</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Chirurgie NOTES</term><term>Endoscopie</term><term>Appendicectomie</term><term>Technique</term><term>Laparoscopie</term><term>Modèle</term><term>Médecine</term><term>Chirurgie endoscopique</term><term>Appendice vermiculaire</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Médecine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background Natural orifice translumenal endoscopic surgery (NOTES) is a new surgical concept that requires training before it is introduced into clinical practice. The endoscopic-laparoscopic interdisciplinary training entity (ELITE) is a training model for NOTES interventions. The latest research has concentrated on new materials for organs with realistic optical and haptic characteristics and the possibility of high-frequency dissection. This study aimed to assess both the ELITE model in a surgical training course and the construct validity of a newly developed NOTES appendectomy scenario. Methods The 70 attendees of the 2010 Practical Course for Visceral Surgery (Warnemuende, Germany) took part in the study and performed a NOTES appendectomy via a transsigmoidal access. The primary end point was the total time required for the appendectomy, including retrieval of the appendix. Subjective evaluation of the model was performed using a questionnaire. Subgroups were analyzed according to laparoscopic and endoscopic experience. Results The participants with endoscopic or laparoscopic experience completed the task significantly faster than the inexperienced participants (p = 0.009 and 0.019, respectively). Endoscopic experience was the strongest influencing factor, whereas laparoscopic experience had limited impact on the participants with previous endoscopic experience. As shown by the findings, 87.3% of the participants stated that the ELITE model was suitable for the NOTES training scenario, and 88.7% found the newly developed model anatomically realistic. Conclusions This study was able to establish face and construct validity for the ELITE model with a large group of surgeons. The ELITE model seems to be well suited for the training of NOTES as a new surgical technique in an established gastrointestinal surgery skills course.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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