Simulación en laparoscopía avanzada con un modelo de anastomosis entero-entérica

Abstract

Background: there is a changing paradigm in surgical education, being laparoscopic training one of its major challenges. The objective of this study is to describe and evaluate our experience with a simulated laparoscopic small bowel anastomosis training model at a universitary surgical center.Methods: a 4-week training program was conducted with participation of 3 general surgery residents. An ex vivo biological model in a box trainer was used to objectively evaluate a simulated entero-enterostomy.Results: final procedure time was reduced an average of 15 minutes, with better outcomes according to OSATS scale.Discussion: implementation of a modified, validated advanced laparoscopic skills training program showed positive results, taking only 4% of the weekly curricular schedule. The model has high fidelity, low cost and is easily reproducible.Conclusions: simulated laparoscopic training is both mandatory and beneficial in surgical education.