Abstract
BackgroundThe objectives of this study were to investigate the relationship between the acquisition of laparoscopic suturing skills and other operative laparoscopic skills and to provide evidence to determine ideal time and duration to introduce laparoscopic suturing training.MethodsThe first part of the study explored the relationship between the acquisition of laparoscopic suturing skills and proficiency of other operative laparoscopic skills. The second part of the study consisted of an opinion survey from senior and junior trainees on aspects of training in laparoscopic suturing.ResultsOne hundred twenty-eight surgical trainees participated in this study. The total scores of task performance of 57 senior surgical trainees in laparoscopic suturing skills consisting of needle manipulation and intracoporeal knot tying were improved significantly after the training course (46.9 ± 5.3 vs 29.5 ± 9.4, P < .001), the improvement rate was 59%. No statistically significant correlations were observed between intracorporeal laparoscopic suturing skills and proficiency in the basic laparoscopic manipulative skills assessed before (r = 0.193; P = 0.149) and after (r = 0.024; P = 0.857) the training course. 91% of senior trainees and 94% junior trainees expressed that intracorporeal suturing should be introduced at an early stage of the training curriculum.ConclusionsThere was no statistically significant correlation between the performance on basic operative laparoscopic skills (non-suturing skills) and laparoscopic suturing skills observed in this study. The acquisition of basic laparoscopic skills is not a prerequisite for training in intracorporeal suturing and it may be beneficial for the surgical trainees to learn this skill early in the surgical training curriculum. Surgical trainees want to learn and practice laparoscopic suturing earlier than later in their training.
Highlights
The objectives of this study were to investigate the relationship between the acquisition of laparoscopic suturing skills and other operative laparoscopic skills and to provide evidence to determine ideal time and duration to introduce laparoscopic suturing training
Experience gained from these laparoscopic training courses enabled 61% participants to improve their clinical practice by including intracorporeal suturing in laparoscopic urological operations [17, 18]
Demographics of participants Ninety-two senior and 36 junior surgical trainees were recruited in this study (Table 1)
Summary
The objectives of this study were to investigate the relationship between the acquisition of laparoscopic suturing skills and other operative laparoscopic skills and to provide evidence to determine ideal time and duration to introduce laparoscopic suturing training. There is good evidence that suturing skills acquired by simulator training can be translated to operative clinical laparoscopic surgery [11, 12]. Both training and learning of intracorporeal suturing and knot tying can be assessed objectively and this enables assessment of progress in skill acquisition [12,13,14,15,16]. A survey conducted amongst urologists confirmed that hands-on laparoscopy training courses contributed to expansion of laparoscopic practice In these studies, experience gained from these laparoscopic training courses enabled 61% participants to improve their clinical practice by including intracorporeal suturing in laparoscopic urological operations [17, 18]. Sleiman et al demonstrated that a short well-guided training course, using the European Academy laparoscopic “Suturing Training and Testing (SUTT) model, significantly improved surgeon’s laparoscopic suturing ability, regardless of their level of experience in laparoscopic surgery [19]
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