Surgical telementoring: A new model for surgical training.

Autor: Snyderman CH; Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.; Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania., Gardner PA; Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania., Lanisnik B; Department of Otolaryngology, University of Maribor, Maribor, Slovenia., Ravnik J; Department of Neurological Surgery, University of Maribor, Maribor, Slovenia.
Jazyk: angličtina
Zdroj: The Laryngoscope [Laryngoscope] 2016 Jun; Vol. 126 (6), pp. 1334-8. Date of Electronic Publication: 2016 Mar 24.
DOI: 10.1002/lary.25753
Abstrakt: Objectives/hypothesis: To assess the efficacy of a surgical telementoring program for endoscopic skull base surgery.
Study Design: Prospective case series with surveys of surgeons.
Methods: A surgical telementoring program was established for mentoring of a skull base team at the University of Maribor in Slovenia by an experienced skull base team at the University of Pittsburgh Medical Center in Pennsylvania. Two-way video and audio streaming provided real-time communication with the surgical team. Over a period of 3 years, 10 endoscopic endonasal surgeries of the skull base were mentored preoperatively and during the key part of the procedure. Following each procedure, an evaluation form was used to document the mentoring interventions and rate the experience.
Results: Procedures included endoscopic endonasal approaches to the sella, anterior cranial fossa, posterior cranial fossa, and orbit. Diagnoses included benign and malignant neoplasms, cerebrospinal fluid leak, and inflammatory disease. In nine of 10 cases, adequate audio and video communications were maintained. The most frequent mentoring interventions were for identification of anatomy, extent of exposure, extent of resection, and surgical technique. The median perceived value by the junior surgical team was 9.5 (range 8-10). A model for surgical telementoring is proposed.
Conclusion: Surgical telementoring provides the ability to help surgeons develop their surgical skills to a greater level of proficiency for complex surgeries when experienced mentors are not available locally. The technology is reliable and available at most institutions. Perceived benefits of surgical telementoring include improved surgical exposure, increased extent of tumor resection, and decreased duration of surgery.
Level of Evidence: N/A. Laryngoscope, 126:1334-1338, 2016.
(© 2016 The American Laryngological, Rhinological and Otological Society, Inc.)
Databáze: MEDLINE
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