Single incision laparoscopic surgery – is it time for laboratory skills training?

Dariusz Łaski; Tomasz J. Stefaniak; Wojciech Makarewicz; Maciej Bobowicz; Jarosław Kobiela; Behzad Nateghi; Monika Proczko; Ilona Madejewska; Zbigniew Gruca; Zbigniew Śledzinski

doi:10.5114/wiitm.2011.33811

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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3/2013
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abstract:

Original paper

Single incision laparoscopic surgery – is it time for laboratory skills training?

Dariusz Łaski

,

Tomasz J. Stefaniak

,

Wojciech Makarewicz

,

Maciej Bobowicz

,

Jarosław Kobiela

,

Behzad Nateghi

,

Monika Proczko

,

Ilona Madejewska

,

Zbigniew Gruca

,

Zbigniew Śledzinski

Videosurgery Miniinv 2013; 8 (3): 216–220

DOI: https://doi.org/10.5114/wiitm.2011.33811

Online publish date: 2013/03/12

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Introduction: With the introduction of new surgical equipment, there is always the need for new, more advanced training. The authors try to answer whether the use of the newest generation tools has an impact on achieving better results in single incision laparoscopic surgery (SILS) technique during the exercises in the surgical skills laboratory.

Material and methods: There were 51 participants in the study: 44 ‘novices’ and 7 ‘experts’. All subjects performed the ‘advanced grasping’ exercise according to the FLS programme manual using four types of laparoscopic approach including two SILS ports and SILS-dedicated instruments. The outcome measures involved task completion time and the number of errors.

Results: Tasks using straight laparoscopic instruments set together with classic three-port access as well as SILS access ports were finished significantly faster when compared with SILS-dedicated instruments (p < 0.05). There were no significant differences in performance times between the two setups with straight instruments (p < 0.05) and both setups with SILS-dedicated instruments, irrespective of the use of curved or dynamic articulated tools. Students with no previous laparoscopic experience had significantly worse task completion times in all tasks in comparison to students with laparoscopic laboratory training and the ‘experts’ group.

Conclusions: The use of the straight instruments in the SILS technique remain similar to its performance in full triangulation. SILS-dedicated instruments paradoxically increase the task completion time irrespective of possessed skills. The study showed the necessity of a SILS-dedicated tools training programme.

keywords:

Single incision laparoscopic surgery – is it time for laboratory skills training?

Dariusz Łaski , Tomasz J. Stefaniak , Wojciech Makarewicz , Maciej Bobowicz , Jarosław Kobiela , Behzad Nateghi , Monika Proczko , Ilona Madejewska , Zbigniew Gruca , Zbigniew Śledzinski

surgical education, surgery didactics, single incision laparoscopic surgery, minimally invasive surgery, articulated tools, curved tools

Dariusz Łaski

,

Tomasz J. Stefaniak

,

Wojciech Makarewicz

,

Maciej Bobowicz

,

Jarosław Kobiela

,

Behzad Nateghi

,

Monika Proczko

,

Ilona Madejewska

,

Zbigniew Gruca

,

Zbigniew Śledzinski