Measuring Small Bowel Length in Bariatric Surgery: An Ex Vivo Laparoscopic Training Experiment.

Autor:	Kaijser MA; Center for Obesity Northern-Netherlands (CON), Department of Bariatric and Metabolic Surgery, Medical Center Leeuwarden, Leeuwarden, the Netherlands.; Department of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.; Post Graduate School of Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Slagter N; Center for Obesity Northern-Netherlands (CON), Department of Bariatric and Metabolic Surgery, Medical Center Leeuwarden, Leeuwarden, the Netherlands.; Department of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.; Post Graduate School of Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.; Department of Endocrinology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., de Heide LJM; Center for Obesity Northern-Netherlands (CON), Department of Bariatric and Metabolic Surgery, Medical Center Leeuwarden, Leeuwarden, the Netherlands.; Department of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands., van Beek AP; Post Graduate School of Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.; Department of Endocrinology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Pierie JEN; Department of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.; Post Graduate School of Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Emous M; Center for Obesity Northern-Netherlands (CON), Department of Bariatric and Metabolic Surgery, Medical Center Leeuwarden, Leeuwarden, the Netherlands.; Department of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Jazyk:	angličtina
Zdroj:	Surgical innovation [Surg Innov] 2024 Aug; Vol. 31 (4), pp. 407-414. Date of Electronic Publication: 2024 Apr 16.
DOI:	10.1177/15533506241244854
Abstrakt:	Introduction: Determining limb length in gastric bypass procedures is a crucial step to ensure significant weight loss without risking malnutrition. This study investigated the effect of ex vivo training on the skills needed to determine limb lengths. Materials and Methods: This was a single-center ex vivo training experiment in a teaching hospital in the Netherlands. We designed a training exercise with marked ropes in a laparoscopic trainer box. All ten surgical residents participated and practiced the skill of estimating limb length. Before and after the two-week period their results on a 150-centimeter limb length task were evaluated. Results: Before training, 10 surgical residents estimated 150 centimeters of small bowel with an absolute deviation of 21% [range 9-30]. After the training experiment, the residents measured with 8% [2-20] deviation ( P = .17). The 8 residents who trained sufficiently improved statistically significantly to an absolute deviation of 5% [2-17] ( P = .012). Over 70% of the participants felt their skills had improved. Conclusions: With sufficient training, surgical residents' skills in measuring small bowel length improved when tested in an ex vivo model. Residents became more confident in their laparoscopic measurement skills. This ex vivo training model is a alternative and addition to on-site training. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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